Commissioners must “dismantle existing NHS services as they see fit,” doctors’ leader says

BMJ 2012; 345 doi: (Published 22 November 2012) Cite this as: BMJ 2012;345:e7956
  1. Gareth Iacobucci
  1. 1Bournemouth

Clinical commissioners in the reshaped NHS in England will need to become “demolition experts” to bring about the radical changes needed to tackle its daunting financial and public health challenges, the chairman of the NHS Alliance has declared.

In his keynote speech to the NHS Alliance’s conference in Bournemouth this week, Michael Dixon said that the new clinical commissioning groups must be given the freedom to redesign and if necessary dismantle existing services as they saw fit and to commission care from alternative providers if incumbent providers were not delivering.

He said that the NHS must think “ever bigger, wider, and more ambitious” …

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