Clinical commissioning is changing in response to financial and operational pressures, and the implementation of new care models. Chris Ham considers whether strategic commissioning is the way forward.
How are new co-commissioning arrangements progressing, a year after their introduction? Chris Naylor considers the results of our survey of GP practices in six clinical commissioning groups, carried out with the Nuffield Trust.
Are conflicts of interest affecting the services patients receive? Or is this inherent feature of clinical commissioning being managed appropriately through common-sense decision-making?
Is the ‘purchaser–provider split’ dead? No. Is it dying? Quite possibly, says Nicholas Timmins.
Although the ambitions of the care models in the US may resonate with our intentions here, we would be wise to learn from the early experiences of those who went before us, says Rachael Addicott.
Chris Ham reflects on his recent visit to the Royal Free Hospital in London to discuss the role of acute hospitals in developing integrated care.