Time to debate neoliberalism
BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c2521 (Published 11 May 2010) Cite this as: BMJ 2010;340:c2521
- Clive Peedell, consultant clinical oncologist1
- 1Middlesbrough TS4 3BW
- clivep-1._{at}tiscali.co.uk
Paton highlights the inadequacies of commissioning in the English NHS.1 One of the recent reports from the King’s Fund and Nuffield Trust he cites illustrates the complexities of the system, including the many models available (box).2
Current commissioning models2
National commissioning groups
Supra-regional specialised groups
Regional specialised groups
Joint commissioning with local authority
Primary care trust (PCT)
Whole PCT practice based commissioning (PBC)
Locality PBC consortium
Personal medical services (PMS) provider organisation
Single practice
Personal health budgets …
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