Commissioning and service provision


The NHS is going through yet more radical change, largely as a result of the Government’s introduction of market-based financial flows into the health service through Payment by Results (PbR), patient choice and the introduction of private sector providers.

GPs should, at the very least, be aware of various new initiatives relevant to them including practice based commissioning and alternative providers of medical services (APMS).
  • Doctor with child patientService provision

    Information on service provision for GPs
  • New NHS Primary Care procurements, May 2008

    Guidance for GPs and LMCs on the procurement of new primary care services following the Interim Report of Lord Darzi's Next Stage Review.
  • Care closer to home, October 2007

    The BMA supports care being delivered 'closer to home' where it is clinically appropriate and safe to do so, where sound evidence supports such a shift and where these new services will genuinely offer a cost-effective option.
  • GP - Role of the independent sector in primary care

    A parliamentary briefing paper, published in December 2006, which gives an overview of Alternative Provider Medical Services (APMS) contracts.

© British Medical Association 2008

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Practice based commissioning and wider commissioning: Links

  • Link logoLinks to Department of Health and GPC publications and guidance on practice based commissioning (PBC) and wider commissioning.

    Read more here