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I'm concerned about fragmentation – local commissioners are only providing training for people who will remain local.
Local commissioners go their own way, ignoring evidence on how to save money, while better integration is threatened by competition.
Local commissioners have said unanimously this is unacceptable.
Staffing levels are agreed and shared with local commissioners and NHS England and are reviewed weekly.
I talked to local commissioners who had dedicated their lives to this kind of upkeep.
Margarito stopped grinning, his smile replaced by a look of hate as the local commissioners cut off his tainted wraps.
Discussions are ongoing with local commissioners, NHS England and NHS TDA about future delivery plans for these services".
The influence of Nice guidelines and standards is potentially stronger; but balanced by discretion for local commissioners to ration treatments.
Local commissioners have, by and large, failed at genuine patient engagement, often because it is an afterthought.
Already, local commissioners are collecting names of people who are suspected of breaking the stringent new set of rules.
"Local commissioners have been asking for a faster, simplified approach to choosing and changing their commissioning support provider.
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CEO of Professional Science Editing for Scientists @ prosciediting.com