Is the data and IT infrastructure available to make clinical commissioning work?
MD: “No – not perfectly. However, you can use data as an excuse for not doing the nuts and bolts. Those nuts and bolts are about GPs examining their use of referrals, prescribing and diagnostics. They are about being aware of patient experiences and using feedback from patients to improve services. “If we try to run the NHS and GP commissioning only from data and account sheets, we will miss the point. The main reason, for instance, that many PBC consortia want hard budgets is simply because they have never been able to construct an adult working relationship with their PCTs. It is quite possible to do this without a budget provided the culture, mutual respect and trust are right. “Where they are, holding of budgets or the availability of accurate data will not be necessary to achieve desirable outcomes. Is the management capacity and capability available to make clinical commissioning work? MD: “It is not perfect yet in terms of capacity or quality. Nevertheless, World Class Commissio
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