Strategic commissioning is the process of planning and purchasing healthcare for patients. It involves a cyclical process of analysing, planning, enabling delivery, management and evaluation. It intends to improve health and wellbeing outcomes to better meet the needs of local populations.

The 2024 Darzi review identified shortcomings in strategic commissioning as a contributor to the deterioration of NHS performance as a whole – including skills lacking to deliver priorities to redistribute resources out of hospital and integrate care.  A renewed focus has since been placed on the importance and role of strategic commissioning by the Labour government to support its ambition to reform the NHS.

In our latest CF snapshot, we summarise the main elements of Strategic Commissioning for the current day, reflecting current language and practice in the NHS:


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This framework highlights the importance of collaboration throughout the NHS, with elements of strategic commissioning distributed across partners within an ICS, and provider collaboratives and places each playing central roles.

Get in touch today with one of our health systems experts to find out more.