The future of NHS commissioning: no map or clear destination After more than 20 years of repeated reorganisations (culminating in one so big you can see it from outer space), policy-makers have finally navigated the purchaser–provider divide to focus their attention on the structure of health care providers. When the NHS five year forward view (Forward View) was published in 2014 (with its focus on developing new, locally designed integrated models for providing health and care) the broad thrust of English health policy shifted from commissioners and competition to providers and collaboration.
Although any pause in the cycle of top-down reorganisation is welcome, there is now a clear (and perhaps conscious?) gap in the policy landscape. How will clinical commissioning groups (CCGs) be affected as new integrated provider models such as accountable care organisations (ACOs) emerge and sustainability and transformation partnerships (STPs) and accountable care systems (ACSs) (that involve both commissioners and providers) are layered on top of an already complex NHS landscape? The King's Fund
Although any pause in the cycle of top-down reorganisation is welcome, there is now a clear (and perhaps conscious?) gap in the policy landscape. How will clinical commissioning groups (CCGs) be affected as new integrated provider models such as accountable care organisations (ACOs) emerge and sustainability and transformation partnerships (STPs) and accountable care systems (ACSs) (that involve both commissioners and providers) are layered on top of an already complex NHS landscape? The King's Fund
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