Intended for healthcare professionals

Letters Commissioning in English NHS

Time to debate neoliberalism

BMJ 2010; 340 doi: (Published 11 May 2010) Cite this as: BMJ 2010;340:c2521
  1. Clive Peedell, consultant clinical oncologist1
  1. 1Middlesbrough TS4 3BW
  1. clivep-1._{at}

    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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