Intended for healthcare professionals

Letters Keep GPs in the driving seat

Collective commissioning is better

BMJ 2011; 342 doi: (Published 20 June 2011) Cite this as: BMJ 2011;342:d3846
  1. Su Sethi, consultant in public health medicine1,
  2. Alison Rylands, director of public health1,
  3. Claire O’Donnell, clinical effectiveness specialist1
  1. 1North West Specialised Commissioning Team, Warrington WA4 6HL, UK
  1. su.sethi{at}

Hawkes argues against commissioning becoming a multidisciplinary cooperative enterprise.1 But what does excellent commissioning, best commissioning policies, and robust decision making for consortium populations and individual patients mean?

A well defined process should be at the heart of commissioning to identify the most important disease areas and risk factors associated with mortality and morbidity in the population, as well as any socioeconomic and geographical inequalities. Once population groups have been …

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