Intended for healthcare professionals

Letters NHS commissioning system

No data, no commissioning

BMJ 2010; 340 doi: (Published 28 April 2010) Cite this as: BMJ 2010;340:c2134
  1. Peter A West, semi-retired/consulting health economist1
  1. 1London SW20 0LP
  1. p.a.west{at}

    A parliamentary advisory committee has rightly found that commissioning by primary care trusts is adding little, if anything, to the NHS.1 Regardless of the quality of management, data on much trust spending are lacking. Even when the cost of acute hospital care is …

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