Joint commissioning and the evaluation of NHS reforms

It is a constant irony, or indeed frustration, that making steady and sure advances in changing the systems and processes of management can mean not a greater synergy in the relationship between systems, but rather a greater disparity. Such could be said of the NHS reforms and joint commissioning, although many of the concepts of NHS reforms should be conducive to achieving more success in joint commissioning. Joint commissioning involves assessment and planning for health and social sciences across a number of public and voluntary agencies.