Governance needs balance of trust, challenge and workarounds

balancing different elements

In this blog, Alison Turner considers research on governance and commissioning practices in England, highlighting constraints on commissioner influence over local provider markets.

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Does the NHS have the capacity and capability to manage the volume and complexity of private contracts?

contract

In this blog Alison Turner, considers a report, which shares findings from a brief survey on contract management arrangements, making recommendations for a new approach.

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Signs of value for money in some out of hours GP services, but room for improvement says National Audit Office

Clock

This new report from the National Audit Office considers the current status of out of hours GP services in England, based on data collected during 2013-2014. Although the report is focused on England, there may be lessons for commissioners in other health systems. Methods The report is based on : a web-based survey of CCGs (175 [read the full story…]