title: Commissioning. Law of the jungle.
abstract: Many managers worry that payment by results and the separation of commissioners and providers encourages competition and undermines collaboration. But the NHS will always need organisations to work together for the benefit of patients. Managers must learn to compete and collaborate simultaneously--and live with uncertainty about their careers, as not will will find posts in the new era.
authors.forename: Alison
authors.initials: A
authors.lastname: Moore
mesh_terms: D032982:Contracts; D003299:Cooperative Behavior; D004465:Economic Competition; D006779:Hospitals, Public / Q000458:organization & administration*; D011320:Primary Health Care; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom