Commissioning integrated care in a liberated NHS: research report

HAM Chris, SMITH Judith, EASTMURE Elizabeth
Nuffield Trust
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This report sets out the findings of research that sought to understand how NHS commissioners – those organisations charged with planning, funding and purchasing care – use their leverage to develop services that are better integrated for patients, and of delivering much-needed efficiencies for the NHS. The research entailed a national survey of NHS commissioners in England, a survey of the strategic health authorities who oversee and develop NHS commissioning at a regional level, a review of international research literature on payment approaches in health, and input from several national organisations with expertise in the area of commissioning and integrated care. A number of case studies of innovative practice in commissioning integrated care were then identified. Eight of these case studies are explored within this report, along with analysis of what their experience reveals in terms of the effectiveness and potential of commissioning for integrated care within an NHS market.

Subject terms:
integrated services, NHS, social care provision, commissioning, cost effectiveness, health care;
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