18 November 2015

Commissioning identity crisis

Commissioning’s identity crisis, Comment from Nigel Edwards, chief executive Nuffield Trust
BMJ 18 November 2015;351:h6008
  • "Almost 25 years after the “purchaser-provider split” in England, questions are yet again being asked about the purpose of commissioning as attempts are made to sort out the muddle left by former health secretary Andrew Lansley’s reorganisation, which in 2013 abolished primary care trusts and handed commissioning to GP led groups. Politicians and officials are clear that they want to revisit commissioning policy without the pain and embarrassment of having to legislate again or undertake any visible reorganisation."
  • Changes discussed include new care models developed under Five year Forward View, devolution and use of personal budgets.