NHS Confederation, London.
Clin Med (Lond). 2011 Feb;11(1):35-9. doi: 10.7861/clinmedicine.11-1-35.
Since the purchaser/provider split was first introduced in the early 1990s, there have been successive attempts to enhance and strengthen the role of commissioners in the English NHS. Their role is to ensure that health services are planned and delivered in a way that meets the interests of patients and taxpayers rather than healthcare providers. The new coalition government has recently set out its proposals to transfer commissioning responsibilities from primary care trusts to a national NHS Commissioning Board and a set of general practice-led commissioning consortia. It is too early to say whether these reforms are likely to transform commissioning and finally place payers, rather than providers, in the driving seat of the NHS. However they unfold they are likely to have a significant impact on healthcare professionals in commissioning, primary care and specialist roles.
自 20 世纪 90 年代初首次引入购买方/提供方分离制度以来，英国国民保健署（NHS）一直在不断尝试加强和增强专员的作用。他们的角色是确保卫生服务的规划和提供符合患者和纳税人的利益，而不是医疗保健提供者的利益。新一届联合政府最近提出了将委托责任从基层医疗信托转移到国家 NHS 委托委员会和一系列以一般实践为导向的委托联盟的建议。现在说这些改革是否有可能改变委托制，最终使支付方而不是提供方成为 NHS 的主导力量还为时过早。然而，无论它们如何发展，它们都可能对委托、初级保健和专业角色中的医疗保健专业人员产生重大影响。
