NHS Observation Report

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Since 1948-2010, the NHS experienced significant changes to its core structure, which brought decentralisation and the way funding and purchasing decision are made, which led the introduction of service commissioning (NHS 2010). This is due to the current financial burden on the NHS related to the government financial constraint and spending cuts (Appleby 2012). Thus, contribute for the NHS under considerable funding and budgetary constraint for the next five years to achieve productivity saving of £22 billion by 2020/21 (Parliament UK 2015). The NHS biggest spending is allocated to the ever increasing elderly population especially those with long term conditions and purchasing of clinical equipment etc (NHS Confederation 2014). The National

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