Entire NHS commissioning system may need to be scrapped, MPs say

BMJ 2010; 340 doi: http://dx.doi.org/10.1136/bmj.c1792 (Published 30 March 2010)
Cite this as: BMJ 2010;340:c1792

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. Adrian O’Dowd
  1. 1London

    Commissioning in the NHS in England has been a 20 year long “costly failure” and may need to be scrapped, MPs have concluded.

    After its recent inquiry the parliamentary health select committee published a highly critical report on commissioning on 30 March. The report gives its verdict of almost two decades of NHS commissioning in England since purchasers and providers were split in 1991.

    The MPs said that primary care trusts were not commissioning effectively, were too passive, and lacked the clinical knowledge and other skills to challenge hospitals over the provision of services.

    Frequent reorganisations in the NHS and a high turnover of staff had worsened the situation, they said.

    The committee questioned whether the government’s “world class commissioning” initiative, designed to improve the quality of …

    Get access to this article and all of bmj.com for the next 14 days

    Sign up for a 14 day free trial today

    Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

    Article access

    Article access for 1 day

    Purchase this article for £20 $30 €32*

    The PDF version can be downloaded as your personal record

    * Prices do not include VAT

    THIS WEEK'S POLL