Abstract
This chapter is concerned with the use of contracts and payments as a means of ensuring that care maximizes health at minimum cost. The chapter aims to cover the full range of healthcare commissioning from the simplest form, an individual patient making a private payment to an individual practitioner, through to the most complex, tax-funded, social medicine ‘free at the point of delivery’. In all healthcare commissioning, a common set of concerns arise: The nature of the need, including an assessment of the (cost-) effectiveness of the relevant interventions; Examination of the services available, including inputs, quality of care, and outcomes; The costs and efficiency of the care on offer; The development of formal commissioning agreements.
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