Skip to main content
Article thumbnail
Location of Repository

Commissioning for quality

By A Niroshan Siriwardena


Practice-based commissioning (PBC) is no longer\ud the new kid on the block of NHS reform. A direct\ud descendant of the purchaser–provider split conceived\ud by Margaret Thatcher and Alan Enthoven as part of\ud the market reforms of the 1990s, referred to in earlier\ud policy documents and developed in the White Paper on community care, Our health, our Care, our Say it is nevertheless a move towards greater partnership and\ud patient centredness in health care. Whereas general\ud practice (GP) fundholding encouraged individual entrepreneurialism which subsequent primary care groups\ud and trusts were never able to match, PBC, by working\ud directly at the coalface of primary care, does have the\ud potential to lead to rapid transformation more widely

Topics: B990 Subjects Allied to Medicine not elsewhere classified, A300 Clinical Medicine
Publisher: Radcliffe Publishing
Year: 2007
OAI identifier:

Suggested articles


  1. (1988). Care: agenda for action. doi
  2. Does practice based commissioning avoid the problems of fundholding? doi
  3. (2006). Health. Our Health, our Care, our Say: a new direction for community services. Cm 6737. London: The Stationery Office, doi
  4. (2004). Health. Practice Based Commissioning: promoting clinical engagement. London: Department of Health,
  5. (1997). Health. The New NHS: modern, dependable. Cm 3852. London: The Stationery Office,
  6. (2003). Improving the performance of health services: the role of clinical leadership. The Lancet doi
  7. (2006). Policy change and policy dilemmas: interpreting the community servicesWhite Paper in England.
  8. (2006). Policy change and policy dilemmas: interpretingthecommunityservicesWhitePaperinEngland.
  9. Practice based commissioning: applying the research evidence. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.