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The purpose of this paper is to evaluate the success of current approaches to commissioning. The report reveals that commissioning bodies are not delivering value for money in three key areas: 

  • Commissioners are failing to focus on outcomes that matter to service users. 
  • Fragmented commissioning bodies stand in the way of integrated services that meet users’ needs most effectively.
  • Devolution of commissioning to local areas is not happening in practice, with a one-size-fits all approach creating a postcode lottery across in healthcare, welfare-to-work and probation services.