Care commissioning process is too laborious, study concludes

BMJ 2013; 346 doi: (Published 01 March 2013) Cite this as: BMJ 2013;346:f1353
  1. Nigel Hawkes
  1. 1London

NHS commissioners of care for people with long term conditions in England put much more effort into meetings and discussions than they do into hard headed analysis of the effectiveness of that care, an investigation of three primary care trusts has found.1

The study by the Nuffield Trust concluded that the commissioning process was laborious and asked whether the outcomes for patients justified the effort involved.

The trusts—Calderdale, Somerset, and the Wirral, chosen, the report says, because they seemed to be at the forefront of commissioning practice—focused on making “small but marginal service changes, for which the …

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