Martin McShane: One small step

Back in May 2010 the professional executive committee and NHS Lincolnshire board agreed to delegate the management of the minor surgery local enhanced service to the practice based commissioning (PBC) Groups.  A lot of discussion and analysis had taken place prior to this decision. Practices had said that the historical budget was insufficient to meet […]

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Martin McShane: Multilayered commissioning

I walked into a room recently which was jam packed with secondary care clinicians and managers. I was the lone commissioner. The meeting was a peer review visit to support the development and improvement of vascular services. I recognised the chair. We had both sat together in an ante room awaiting interviews for a senior […]

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