Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
What does the new commissioning landscape look like, post-April 1?
Several people have produced diagrams in an attempt to illustrate it; the Nuffield Trust?s slideshow is one such example. It describes the pre-reform structure − the Department of Health plus 162 organisations − in one neat slide, but five slides are needed to describe the world since April. Even these complicated diagrams do not reflect the sheer complexity of commissioning for the needs of individuals in the new world.
The number of hand-offs in commissioning responsibility along the patient pathway have increased significantly. To effectively commission services that appear seamless from the patient?s perspective requires extremely close working between numerous organisations and there are some critical interactions.
http://www.hsj.co.uk/home/commissio...w-nhs-commissioning-landscape/5057757.article
Several people have produced diagrams in an attempt to illustrate it; the Nuffield Trust?s slideshow is one such example. It describes the pre-reform structure − the Department of Health plus 162 organisations − in one neat slide, but five slides are needed to describe the world since April. Even these complicated diagrams do not reflect the sheer complexity of commissioning for the needs of individuals in the new world.
The number of hand-offs in commissioning responsibility along the patient pathway have increased significantly. To effectively commission services that appear seamless from the patient?s perspective requires extremely close working between numerous organisations and there are some critical interactions.
http://www.hsj.co.uk/home/commissio...w-nhs-commissioning-landscape/5057757.article