Complex commissioning arrangements, with health, social care and education all acting as commissioners, have been compounded by changes arising from the health and social care bill and significant cuts in funding, particularly to services commissioned by social services.
She added: "The BBC has a very complex commissioning system with probably too many layers.
"Despite making up 97% of the sector, small charities are disproportionately being hit by funding cuts, complex commissioning practices and changes to fundraising regulations".
Meanwhile the labyrinthine structure and hugely complex commissioning system, particularly around primary and specialist care, drove the service in the opposite direction.
However, translational speed of applying these new technologies in radiotherapy could hardly catch up due to the complex commissioning process and quality assurance protocol.
When the complex was commissioned by Édouard Herriot, Lyon's progressive mayor in 1919, the idea of apartments with private baths, gas for cooking and an emphasis on sunlight and greenery was considered radical.
At last, thanks to the unlimited support of the French government, Le Corbusier was given the opportunity to construct a large (private) housing complex; he was commissioned to build, in Marseille, a residential complex that embodied his vision of a social environment.
Built for Monsieur, as the Comte de Provence was known, the property dates to the construction of a stables complex that he commissioned from the architect Alexandre Brongniart in 1777-78.
As Dan Sarewitz has argued in Nature, science funders could learn lessons from the achievements of the military-industrial complex, which successfully commissioned successful science during the Cold War, to fund meaningful science in other areas The case of neglected diseases shows that alternatives are possible.
On certain dark nights, as a Yemeni legend tells it, Sultan Amir ibn Abd Al-Wahhab would command his servants to set lanterns in the windows of the Amiriya Madrasa, the ornate palace complex he had commissioned at Rada, in southern Yemen.
