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Int J Health Plann Manage · Apr 2009
ReviewThe challenges of commissioning healthcare: a discussion paper.
- Sheila Peskett.
- Clinical Management and Leadership Team, School of Public Policy and Professional Practice, Keele University, UK. sheila.peskett@btinternet.com
- Int J Health Plann Manage. 2009 Apr 1; 24 (2): 95-112.
AbstractThe UK's Department of Health Independent Sector Programme to procure healthcare for National Health Service (NHS) patients from the independent sector revealed many of the challenges of commissioning, particularly assessing governance arrangements and identifying the organisational attributes of high quality healthcare providers. These issues were first discussed in a workshop at the British Association of Medical Managers (BAMM) Medical Directors Conference in Dublin in November 2007 (Dale, et al., 2009). The more difficult challenges of achieving effective clinical engagement, including motivational factors, organisational environment and systems and partnership working, in the complex field of commissioning healthcare in the UK are also explored here with particular reference to systems in other countries.
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