Chapter 9 draws together key themes arising from the book about issues raised by commissioning in the context of a quasi-market for healthcare in the English NHS, such as governance and accountability, clinical engagement, co-ordination and fragmentation. The chapter presents an overview of how commissioning in health and healthcare has developed since 2010 and what the implications are for the future in the light of recent developments moving away from market style mechanisms to forms of local collaborative planning.
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