Practice-based commissioning: Reinvigorate, replace or abandon?

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Part of Practice-based commissioning

Practice-based commissioning (PBC) is one of the cornerstones of health policy reform, but has it delivered its intended benefits?

Its objectives were to encourage clinical engagement in service redesign and development, improve services for patients and make better use of resources.

Through in-depth interviews with GPs, hospital and primary care trust staff in four sites, this report assesses the progress of PBC and identifies the barriers that are limiting success.

Using the evidence from the four case studies and from previous research, it suggests ways forward for policymakers.