Primary care commissioners need five year budgets to transform care, says report

BMJ 2015; 351 doi: (Published 22 October 2015) Cite this as: BMJ 2015;351:h5662
  1. Zosia Kmietowicz
  1. 1The BMJ

Commissioners in primary care need greater freedom and a reformed NHS payment system to improve care of patients, their representative body has said in a new report.

NHS Clinical Commissioners, which represents 86% of England’s clinical commissioning groups (CCGs), said that primary care needed flexibility to plan for the next five years—not for one year at a time, as at present—with funding in five year cycles.1

National short term priorities, such as winter pressure and targets on the time from referral to treatment, introduced to get “a grip …

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