Abstract and Keywords
Commissioning is a cyclical process of that demands an understanding of the needs of prospective and current patients and service users, knowledge of community and institutional assets for psychiatric care, information on those public private and independent organizations available and willing to provide services, a wide and deep understanding of psychiatric nosology and treatments available, an ability to turn this information into a contract that is negotiated with the relevant providers, a recognition of cost and quality, a resource allocation methodology, and a system of measurement and clinical governance. Care planning, needs assessment, service development, and contracting disciplines each have their own ethical codes and values bases; by using values-based systems that engage patients and seek to meet patients lived experience, commissioners can shape the most appropriate service relevant to the patients’ recovery objectives.
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