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Alison Crumbie is a nurse practitioner and partner at the Windermere Health Centre in Cumbria. She has been involved in clinician-led commissioning for some years and supports its implementation nationally as proposed by the Health and Social Care Bill.
In Cumbria, most of the NHS budget has been managed directly by GP-led boards since 2008. They have chosen to invest in community services so they can deliver care closer to home, give better outcomes for patients, reduce inequalities and make better use of resources.