BMJ 1994;309:215-216 (23 July)

Editorials

Some versions of joint commissioning

When the NHS reforms were first implemented in 1991 most emphasis was placed on developing the provider function. Many senior NHS managers opted for operational management, perceiving purchasing as at best uninteresting and at worst trivial and unnecessary. Three years later things look different. The minister of health, Dr Brian Mawhinney, boosted purchasing through a series of three speeches last year,1 and several organisations concerned with health service management now take purchasing seriously.2

In parallel, some far sighted managers and doctors saw the need to develop purchasing by encouraging collaboration between district health authorities and family health services authorities. These "commissioning agencies" began to offer a more coherent view of what commissioning might achieve by overcoming longstanding bureaucratic boundaries. Some of the first developments were in North West Thames and Wessex regions, where the benefits of joint commissioning were recognised early on, and some authorities, such as the Dorset Commissioning . . . [Full text of this article]


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Relevant Article

Joint commissioning
C A Hamilton
BMJ 1994 309: 608. [Extract] [Full Text]

This article has been cited by other articles:

  • Hamilton, C A (1994). Joint commissioning. BMJ 309: 608a-608 [Full text]  
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