Commissioning Services to Meet Identified Needs

  • Liz Haggard
Part of the Community Health Care Series book series (CHCS)


The introduction of commissioning purchasing and services as an activity which is organisationally separated from the provision of services is the mechanism which brings a form of competition into the National Health Service. The belief is that once the purchaser/ commissioner organisation has established which services are needed for a population, they can then use competition between providers as the lever to ensure best value for money for the available resources. The commissioning/purchasing lever operates at health authority level seeking best value from health service provider trusts, and also at general practice level where fundholders and general practice total purchasers use their buying power to get best value.


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  1. Atkin, K. and Lunt, N. (1995) Nurses in practice: the role of the practice nurse in primary health care. York: University of York Social Policy Research Unit.Google Scholar
  2. Department of Health (1991a) The Patient’s Charter. London: HMSO.Google Scholar
  3. Department of Health (1991b) The Citizen’s Charter. London: HMSO.Google Scholar
  4. Department of Health and Social Security (1986) Neighbourhood Nursing: A Focus for Care. Chair: Julia Cumberlege. London: HMSO.Google Scholar
  5. Fawcett-Henesey, A. (1995) Nurse practitioners: the South Thames RHA experience. Nursing Times, 22 March, 91(12), pp. 40–1.Google Scholar
  6. Gordon, P. (1995) Core values in general practice. Health Service Journal, 23 March, pp. 24–5.Google Scholar
  7. Hall, D. (1996) Health for All Children. Oxford: Oxford University Press. 3rd edn.Google Scholar
  8. Harley, M. (1995) Contact points: has increased hospital activity pushed up demand for community nursing? Health Service Journal, 105(5469), p. 29.PubMedGoogle Scholar
  9. Hennessy, D. (1995) ‘A changing health service requires a changing workforce’. In J. Littlewood (ed.), Current hues in Community Nursing. London: Churchill Livingstone.Google Scholar
  10. Iliffe, S. and Gould, M. M. (1995) Hospital at home: a substitution technology that nobody wants? British Journal of Healthcare Management, 1(13), pp. 663–5.Google Scholar
  11. Leicester Royal Infirmary (1995) Whole hospital re-engineering. Health Service Journal, 105(5449), p. 11.Google Scholar
  12. NHS Executive (1994) Towards a Primary Care Led NHS: An Accountability Framework for GP Fundholding [EL (94)92]. London: HMSO.Google Scholar
  13. Thomasson, G. (1995) Monitoring and evaluating the shift of health care services and resources from secondary to primary and community sectors. York Health Economics Consortium, University of York.Google Scholar
  14. United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) (1987) Project 2000: The Final Proposals. London: UKCC.Google Scholar
  15. United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) (1992) The Code of Professional Conduct. London: UKCC.Google Scholar

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© Liz Haggard 1997

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  • Liz Haggard

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