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This new service delivery model is being developed by the Hospice in collaboration with a team of international academic, industry, and clinical commissioning service improvement specialists.
As a result, by 2019, the external provider will have operated this outsourced commissioning service for 10 years with no mechanisms in place to develop skills within the NHS.
The study has been specially designed as part of the CLAHRC Nottinghamshire, Derbyshire and Lincolnshire joint collaboration between university, health and social care organisations to provide information of direct relevance to decisions on commissioning, service provision and implementation.
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Commissioning services So what's going wrong?
"Many of us had already moved to commissioning services elsewhere.
With the radically reorganised NHS, GP groups are now in charge of spending and commissioning services.
Already there are signs that American companies are stepping in to provide consulting and commissioning services.
Last year, NHS England published guidance on commissioning services to improve nutrition and hydration in health services.
Norfolk primary care trust has "fair" quality of commissioning services and "fair" financial management.
"We have not been as smart in commissioning services as we need to be," he admitted.
The idea, to slim the bureaucracy by putting general practitioners in charge of commissioning services, was an old one.
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