PRUComm 27 February 2017
- This paper explores the ways in which the reforms of the Health and Social Care Act 2012 have altered public health commissioning.
- This research using surveys, interviews and case studies suggests that, while some of the intended opportunities to improve population health and create a more joined-up system with clearer leadership have been achieved, fragmentation, dispersed decision-making and uncertainties regarding funding remain significant challenges. There have been profound changes in commissioning processes, with consequences for what health improvement services are ultimately commissioned.
