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Tuesday 22nd May 2018

The wheel of change grinds on

29th November 2006

In a world of seemingly constant change which politicians would have us believe are the changes to end all change, Mike Sobanja, NHS Alliance Chief Executive predicts we've only just begun.

The Strategic Health Authorities have been reduced from 28 to 10 and the number of PCTs halved, but the fun has only just begun in our adolescent health market, writes Mike in Health Direction.

The change will grind on for some time, he predicts: joint management structures and plans afoot in London to cut the existing 31 PCTs by two-thirds is just the start. Plans to align  health and local government boundaries comes at a time when the latter faces major restructure, while the mess of practice-based commissioning groups, clusters and neighbourhoods will have to grown up to become competent commissioners.

Specialist commissioning has still to blossom and find a new home among the SHAs PCTs and PBCs and clinical networks to find their natural level.

While commissioning is evident, the other side of the equation – to fully engage patients has yet to happen, while payment by results, regulation and the new IT system is likely to poor much more into the mix.


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