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Can competition and integration co-exist in a reformed NHS?

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Can competition and integration co-exist in a reformed NHS?

The health care system needs to respond to the growing burden of chronic illness. Many NHS researchers, managers and clinical leaders believe that increased integration within the health service will help to achieve this, and the government has made clear its ambitions that the health reforms should encourage integrated care.

This paper addresses the fundamental question of whether competition and integration can co-exist and considers the role that different bodies, especially the NHS Commissioning Board and Monitor, will play within a new system. The paper argues that, through its influence on commissioners, the NHS Commissioning Board will have an important role in fostering an environment that encourages integration.