Potential for sustainability is enhanced by the fact that participating institutions and groups are supported through funding for commissioned activities and products, rather than grants to support non-specific capacity building.
Where disinvestment processes operate independently or parallel to commissioning, there is a risk that commissioning activities will continue as if programme budgets can simply expand to accommodate demand.
I've undertaken formal qualifications and structured development programmes, but have also learned a great deal from consciously taking the time to review commissioning activities undertaken elsewhere in the UK and abroad.
Philae's wake-up is part of a sequence of commissioning activities taking place over the next few weeks.
While the commissioning cycle (figure 1) provided a useful guide for primary care trusts, commissioning activities did not follow a neat series of stages within an annual cycle.
The task of identifying, prioritising and implementing a 'shift list' would presumably be the primary function of a dedicated disinvestment programme and would not easily be overshadowed or sidelined by commissioning activities operating in parallel or independently.
2 Until recently, commissioning activities such as planning (assessment and evaluation), purchasing (identifying and negotiating) and monitoring health services 3 4 were performed primarily by non-clinical managers in primary care trusts (PCTs) with little clinical input.
Wakefield council has commissioned cultural activity to support the delivery of public health.
The judge, John Samuels QC, queried the fact that no one from any newspaper had been charged even though Fleet Street titles had clearly commissioned the activity.
ABG – originator of the project in its final form, exercised rehabilitation consultations, commissioned rehabilitation activities, coordinated multidisciplinary team activities, obtained funds for the publication, translated the text from Polish and was responsible for drafting a cover letter.
