Joint commissioning : talking heads on the road to nowhere?

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This is the fourth in a series of briefings from the King's Fund's Joint Community Care Commissioning Project, and the last before the Project's final report. It continues the theme of achieving change through joint commissioning and questions whether it really can lead to a significant improvement in the quality of life for older people, which has been the specific focus of the Project. Establishing a culture of greater trust and understanding within and between the health and social care systems is not to be decried, but how valuable a gain is it when it remains largely an act of faith that joint commissioning can go on to make a major impact on older people's lives? This briefing reviews specific progress at the Development Sites, looks at whether or not this is satisfactory in terms of stated objectives and relates this to achieving better quality of life for older people.

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