"Pulse has learned that at least one major charity has already held preliminary discussions with the Department of Health about taking on a commissioning role. It is understood the DH is sympathetic to the idea in principle, although it would be GPs’ choice whether or not to enter into such commissioning partnerships."I have a chronic condition and I am a member of charity that is a support group for this condition. Do I want them commissioning my care? No. You may think this is an odd position, since surely a support group would want the best possible care for me? Yes, but they also want the moon on a stick. I recognise that it is possible to spend an unlimited amount of money on my care, I also recognise that often as you spend more you get less improvements, and there is a careful balance. I want my doctor to make these decisions, I want my GP to be my friend and advocate. I want my doctor to make the best decisions for me.
(A year or so ago I looked into how to get more involved in the governance of the charity and I found that it was inordinately difficult. Basically, the charity makes sure that only the "right" people can have governance positions. I am happy with that when it is simply a support group, but if they were to be commissioning my care then I would want to see far better, and more representative, governance.)
Handing over such commissioning to charities is heading for disaster.