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Report proposes alternative to practice based commissioning

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b5045 (Published 24 November 2009) Cite this as: BMJ 2009;339:b5045
  1. Andrew Cole
  1. 1London

    Practice based commissioning in England is not working and should be replaced by a system of new groups spanning primary and secondary care with bigger budgets and greater powers, suggests a report published on 24 November.

    The report, from the Nuffield Trust and the NHS Alliance, says that a growing body of research indicates that practice based commissioning is “at best under-developed and at worst in need of major overhaul.”

    It proposes instead the creation of a network of “local clinical partnerships,” consisting of GPs, community staff, and secondary care specialists, which would be responsible for providing and commissioning services and would have full accountability for their …

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