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Practice based commissioning

Practice based commissioning devolves commissioning powers to frontline health care practitioners. It is based on the idea that these professionals are best placed to make decisions regarding the needs of their patients. Practitioners are given ‘virtual’ budgets with which to ‘buy’ health services for their population, with primary care trusts (PCTs) continuing to hold the ‘real’ money. The main objectives are: to encourage clinical engagement in service redesign and development to bring about better, more convenient, services for patients to enable better use of resources.