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Move to split role of healthcare purchaser and provider may have to be abandoned, expert says

BMJ 2008; 336 doi: (Published 01 May 2008) Cite this as: BMJ 2008;336:979
  1. Nick Timmins
  1. 1Financial Times

Plans to turn the NHS into a “world class” commissioner of health care are highly unlikely to work, a former health department head of strategy has warned.

But if the government does succeed, its achievement will be “a world first,” said Chris Ham, professor of health services management at Birmingham University and former head of the Department of Health’s strategy unit.

Separating the role of purchasing from the provision of health care has now been tried in various ways in several European countries, in New Zealand, and in the United States, …

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