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Role of commissioners in promoting clinical effectiveness in everyday psychiatric practice

Published online by Cambridge University Press:  02 January 2018

Sally Hargreaves
Sally Hargreaves*
Affiliation:
Kensington and Chelsea and Westminster Health Authority, 50 Eastbourne Terrace, London W2 6LX Role of commissioners in promoting clinical effectiveness
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In a nutshell, commissioners (i.e. health authorities) have a statutory responsibility to buy the best health care for a defined population with a defined amount of money. They also have a broader, but less well-defined, responsibility for health, as opposed to health care. There is no doubt that health care has a relatively small influence on health compared with deprivation, housing and unemployment, but in reality the majority of effort of commissioners focuses on health care.

Type
Original papers
Information
Psychiatric Bulletin , Volume 22 , Issue 6 , June 1998 , pp. 368 - 369
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Aveyard, P. (1997) Evidence based medicine and public health. Journal of Evaluation in Clinical Practice, 3, 139–144.CrossRefGoogle ScholarPubMed
Berwick, D. (1992) Heal thyself or heal thy system: can doctors help to improve medical care? Quality in Health Care, 1 (suppl.), S2–S8.CrossRefGoogle Scholar
Dixon, J. & Klein, R. (1997) It's all in the balance. Health Service Journal 5 June, 26–27.Google Scholar
Donabedian, A. (1988) Quality assessment and assurance: unity of purpose, diversity of means. Inquiry, 25, 172–192.Google ScholarPubMed
Grol, R. (1997) Beliefs and evidence changing clinical practice. British Medical Journal 44, 418–421.CrossRefGoogle Scholar
Hargreaves, S. (1996) Ostriches. Journal of Evaluation in Clinical Practice, 2, 95.Google ScholarPubMed
NHS Executive (1995) Planning and Priorities Guidance for the NHS: 1996/97. Leeds: NHS Executive.Google Scholar
Secretaries of State for Health, Wales. Northern Ireland & Scotland (1989) Working for Patients (Cmnd 555). London: HMSO.Google Scholar
Thompson, R. (1994) The purchaser role in provider quality: lessons for the United States. Quality in Health Care, 3, 65–66.CrossRefGoogle Scholar
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