In this report, we focus on what needs to be done to strengthen commissioning in the NHS, through an analysis of the problems with current commissioning arrangements. We begin by examining what is meant by ‘commissioning’ in the English NHS.
The coalition government has made clear its commitment to the integration of health and social care in its proposals for reform. In the context of the intense financial and demographic challenges facing both health and social care, this paper offers a fresh assessment of the prospects for integrating health and ...
Over the past decade a number of health policies have sought to put the patient first and to improve health outcomes. Choice and competition have been key elements of these policies, but the importance of integrated care was highlighted by Lord Darzi in the final report of the NHS Next ...