title: "Labyrinthine" commissioning is barrier to change, says NHS expert.
authors.affiliation: BMJ.
authors.forename: Gareth
authors.initials: G
authors.lastname: Iacobucci
mesh_terms: D026683:Advisory Committees / Q000458:organization & administration; D003695:Delivery of Health Care / Q000458:organization & administration; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D009936:Organizational Innovation; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom