"Commissioners adopting an incremental approach to service change in defined and manageable areas of work appeared to be more successful in terms of delivering planned changes in service delivery than those attempting to bring about wide-scale change across complex systems."
The work of commissioning: a multisite case study of healthcare commissioning in England's NHS
SE Shaw, JA Smith, A Porter, R Rosen, N Mays
BMJ Open, 2013, 3:e003341
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