Given the wide and persistent variation in spending on cancer services, this project aimed to identify and quantify sources of variation in primary care trust (PCT) cancer spending and provide PCTs and cancer networks with a systematic way of framing decisions about the appropriate share of their total budgets to ...
World Class Commissioning is a policy that seeks to bring a "step change" in the capacity and capability of primary care trusts to act as effective commissioners. However, the enduring weakness of commissioning is unlikely to be addressed by WCC alone. It is not just a matter of aligning incentives; ...
In early 2009 The King’s Fund conducted a survey of primary care trusts (PCTs) in England, examining the use of external support for commissioning, and eliciting views on the world class commissioning programme. The survey revealed that PCTs are increasingly turning to external organisations, and the private sector in particular, ...
Since internal markets were created in the NHS, commissioners have purchased health care on behalf of patients and the public from a variety of competing providers. Commissioning was intended to drive improvements in the quality, accessibility and cost-effectiveness of services, but has so far largely failed to achieve these objectives. ...