ABSTRACT
The PGCAs would be an integral part, too, of the social structure of a coherent society of solidarity and equity, fairness and morality, and the proper release of subjectivity and individual authenticity. Crucially, the competing PGCA would exert all its management and leadership skills to achieve coordinated provision and care, since we know that many of the failures in British cancer care, for example, arise from the absence of just this coordination. The PGCA would take very seriously the necessity to much improve end-of-life care. The competing PGCAs could join the argument that health and social care must be integrated if there are to be properly coordinated and collaborative services, to prevent people from falling through the cracks. The Department of Health’s consultation document Commissioning Framework for Health and Well Being of March 2007 challenged purchasers to commission for ‘what outcomes people want for themselves and their communities’.
