“Labyrinthine” commissioning is barrier to change, says NHS expert

BMJ 2014; 348 doi: (Published 05 March 2014) Cite this as: BMJ 2014;348:g1935
  1. Gareth Iacobucci
  1. 1BMJ

New competition laws and the fragmentation of commissioning responsibilities between clinical commissioning groups and NHS England are huge barriers to change in the health service, an NHS strategist has warned.

Ruth Carnall, former chief executive of NHS London, said, “We have an absolute labyrinth of process that people need to wade through in order to get support for change. Many people live in daily fear of the judicial review that’s going to come along if they don’t follow the minutiae of the processes we’ve set up.”

She was speaking at the NHS Innovation Expo in Manchester on 3 March. Carnall, who now works as an independent healthcare consultant to the …

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