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 3. Regardless of the intention to produce the commissioning method much more transparent, personal relationships depending on prevalent Expert passions, earlier perform history, friendships and collegiality, remained as critical drivers for sustainable innovation in service improvement.

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A vital rationale for PCO re-organisation in 2006 was to fortify their commissioning operate and people of clinicians by way of Practice-Based Commissioning. Even so, the turbulence, which surrounded reorganisation was identified to own the opposite sought after impact.

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