House of Commons Health Select Committee report on NHS Commissioning – 13 January 2011

Posted on January 21, 2011. Filed under: Health Mgmt Policy Planning | Tags: , |

House of Commons Health Select Committee report on NHS Commissioning

“The starting point of our inquiry has been our predecessors’ findings on the significant shortcomings of the current arrangements for commissioning in the NHS. Like the previous Committee, we are motivated by the desire to deliver high quality care to patients and good value to the taxpayer; and we see the need for an effective instrument to drive innovation and quality if these objectives are to be met. It is from this perspective that we have sought to ask “How do we make commissioning effective?” and reached our conclusions about the Government’s proposals.

We are mindful that the need to develop more effective NHS commissioning cannot be considered in isolation from the financial context in which the NHS now finds itself; the two issues are inevitably bound up inextricably with one another. The key priority facing the NHS in the immediate period ahead is the challenge first articulated by the NHS Chief Executive, Sir David Nicholson, in 2009 to achieve an efficiency gain of 4% per annum (“the Nicholson Challenge”) from 2011-12 (also expressed as the need to make £15to 20 billion in efficiency savings). The Committee accepts that it follows from the unprecedented scale of the Nicholson Challenge, and the widespread recognition of the weakness of existing commissioning structures in the NHS, that action to enhance the effectiveness of NHS commissioning is essential if the NHS is to deliver the pace of change implicit in the Nicholson Challenge – and therefore in the Comprehensive Spending Review. It is against this immediate challenge that the Committee believes the White Paper process should be judged.”  …continues

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