World class commissioning

There is much talk about world class commissioning as the panacea to raising the quality of care and promoting improved integration of health services. What exactly constitutes ‘world class’ remains somewhat nebulous and, indeed, after the fatal interdependencies revealed in the ‘world class’ financial markets, perhaps more caution should be taken in the adoption of attractive banners which overnight can turn toxic. Many would argue that the UK’s involvement in the global financial markets has had serious consequences for the economy and will inevitably impact upon what we can afford in terms of healthcare expenditure.