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Discussion paper: Developing effective commissioning in the NHS

Published on: 29 November 2005

This paper on commissioning is the second in a series of publications focusing on areas of policy critical to the delivery of system reform.

Download - Discussion paper: Developing effective commissioning in the NHS - Discussion paper: Developing Effective Commissioning in the NHS (59.37 KB)


This discussion paper, Developing Effective Commissioning in the NHS, discusses the key challenges and potential solutions for:

  • the correct commissioning structure at the system level;
  • strong commissioning capabilities at the commissioner level; and
  • accountability, financial discipline and transparency in commissioner performance.

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