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Department sets out framework for commissioning in English NHS

BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.333.7560.164-a (Published 20 July 2006) Cite this as: BMJ 2006;333:164
  1. Robert Short
  1. London

    The framework for commissioning health care by primary care trusts and GPs from local providers, published by the Department of Health last week, has provoked both opprobrium and approval.


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    London GP Dr Chaand Nagpaul: the document does not tackle the obstacles to practice based commissioning

    The document, Health Reform in England: Update and Commissioning Framework, sets out the proposed future arrangements for commissioning services for local communities—a role carried out mainly by primary care trusts until now, although increasingly individual GP practices are going to be encouraged to take on this role as well.

    The department has considered initially the commissioning—or purchasing—of hospital services. It intends to encourage what it calls “open tendering” by a variety of providers from the public, private, and voluntary sectors, which, it says, will ensure innovation, value for money, and choice.

    Increasingly, services will be offered in the …

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