As greater budget restrictions loom on the horizon, particularly in thehealth sector, the challenges faced by those involved in the jointcommissioning process look like they are about to get harder.
Andrew Cozens, strategic adviser at the Improvement and DevelopmentAgency (IDeA), emphasises the need to measure progress in terms ofoutcomes.
But, he warns, without shared indicators it's still difficult to beaccurate about the effect of an integrated commissioning process. "Ithink it's very reasonable to ask, four or so years on from Every ChildMatters, whether things are getting better for children. The evidence isvery patchy because we're comparing performance to the old performanceindicators for education, social care or health."
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