PubMed · 14708582
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René Jackson. 2003. Nailing the interview.. https://doi.org/10.1097/00006247-200310005-00002
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Practices and PCTs will need to negotiate a variety of options when implementing practice-led commissioning. Available options include how much power is devolved to practices, what services they will be commissioning and the incentives on offer. Practices must be regulated by PCTs. Their decisions should also be made in line with the broad strategic aims of their PCTs.
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Acute and primary care trust relationships can be fraught with baggage, vagueness and stereotypes. Changing that is about overt behaviours as well as structural and strategic issues. Payment by results and attitudes to commissioning pose significant challenges.