Social enterprises are businesses that deliver goods and services but in pursuit of primarily social objectives. The government is committed to supporting social enterprise in the economy at large and in its recent white paper has suggested that social enterprise models of service delivery can be part of the provider ...
This paper aims to shape discussion about practice-led commissioning. It asks what this kind of commissioning is intended to achieve and what it really means in the new health care context. It explores the lessons of GP fundholding, total purchasing, and locality/GP commissioning pilots, and suggests some constraints and risks ...
Although practice-based commissioning (PBC) receives widespread support among the main political parties and NHS stakeholder groups, implementation of this policy has been slow. The NHS now boasts 'universal coverage' of PBC but in practice this means it has created an environment in which PBC could flourish rather than one in ...
Primary care has been the subject of a quiet revolution in recent years, with the ending of the monopoly of provision by independently contracted GPs and the introduction of a range of new targets and new forms of first contact care. Now it is poised for further radical change with ...