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Commissioning: lessons from the last 30 years and implications for the new role of ICBs (Nuffield Trust, 11 February 2026)

by Patient_Safety_Learning

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Summary

Since its introduction in 1990, the commissioning layer of the NHS has been the most reorganised part of the health service, and it is changing once again. In this article for the Nuffield Trust, Nigel Edwards reviews the lessons to learn from the past and describes what needs to happen for ICB-led strategic commissioning to succeed where previous models have fallen short.

Commissioning: lessons from the last 30 years and implications for the new role of ICBs (Nuffield Tr… https://www.nuffieldtrust.org.uk/news-item/commissioning-lessons-from-the-last-30-years-and-implicat…
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