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Three organizational interventions were identified: an integrated service policy defined by the national government, a common legal framework allowing sharing of high-level client data, and commissioned support for local inter-agency workspaces.
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Commissioning support units are similarly unstable.
Bob Ricketts, NHS England's director of commissioning support strategy and market development, believes commissioning support is vital to ensuring that clinical commissioning groups (CCGs) get the best for their patients and taxpayers.
Emily Golightly, 19, who is working with Cheshire and Merseyside commissioning support unit (CSU), is also positive about the scheme.
Commissioning support units and GPs themselves are identified as being next in line for scrutiny and exposure to market forces.
English authorities charged with commissioning support are also directing their axes towards services that could save them the most in the long run.
CSSs will be required to be outside the NHS as "freestanding enterprises" and in a market of commissioning support for CCGs as "customers", by 2016 at the latest.
Prior to joining Mersey Care, he was a director of commissioning support at the NHS Commissioning Board, where he had national responsibility for the design and delivery of a significant reforms.
These commissioning support services are meant to exist as organisations outside the NHS by 2016.
Jacobs Engineering Group Inc has secured a five-year contract from Shell Canada Energy for front end engineering design, engineering, procurement, construction support, commissioning support and related services for the Jackpine Mine Tailings and Infrastructure Program in Canada.
Does buying commissioning support represent value for money for CCGs?
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