Author: Judith Smith, Natasha Curry, Nicholas Mays and Jennifer Dixon
Publisher: Nuffield Trust
Commissioning is an activity that is subject to much debate in the English NHS. It is often suggested that if only commissioning were to be ‘strong’ or ‘world class’, much more progress would be made in areas such as moving care out of hospital into the community, or gaining greater productivity from healthcare providers. The theory is that having commissioners focused on the funding, planning and purchasing of services will enable powerful providers to be held to account for the quality and volume of care delivered, as well as being challenged to come up with new forms of care that can replace, rather than simply add to, current services. As the NHS faces a period of major financial challenge, the effectiveness of commissioning is a pressing concern.
In Where next for commissioning in the English NHS? the authors, who have studied the development of NHS commissioning for over 15 years, use research evidence as the basis for examining current commissioning arrangements, analysing the nature of the ‘commissioning problem’, and setting out practical suggestions for how commissioning might be strengthened to meet the
challenges ahead.
This report will be of interest to healthcare
policy-makers, senior managers and clinicians,
and others involved in commissioning, as well
as academics and students in the fields of
healthcare and social policy.
ISBN: 13-978-1-905030-43-9
Price: £10.00
Date: 30/03/2010
Download full publication pdfDownloadable file: PDF, size: 315 KB
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