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      ], "answer" : {"_about" : "http://data.parliament.uk/resources/77291/answer", "answerText" : {"_value" : "<p>Retaining the purchaser provider separation has been the policy of successive governments. In line with its predecessors, this Government considers it the most effective means of developing efficient high quality care while providing value for money for the public purse. More specifically, it created a means of managing the health service in which providers of care were accountable to the public through contracts which specified the quality of care, and its cost in a much more transparent way than had previously been the case. In doing so, it also drove improvement in both the quantity and quality of what the health service was providing.<\/p><p> <\/p><p>However, there are two distinct reasons why it has often been difficult to quantify the relative costs and benefits of the internal market. First, it is difficult to estimate the cost of what would have happened without it \u2013 in other words what would have been the case had such accountability not been in place. Second, there have been differing models for implementing the internal market over at least two decades (total purchasing pilots, general practitioner fundholding and practice-based commissioning).<\/p><p> <\/p><p>The impact assessment for the Health and Social Care Act 2012<sup>1<\/sup> looked at the broad cost and benefits of continuing a separate commissioning function as an advocate for patients and the taxpayer, separate from the more autonomous provider side.<\/p><p> <\/p><p><em>Notes:<\/em><\/p><p><sup>1<\/sup>www.gov.uk/government/uploads/system/uploads/attachment_data/file/215819/dh_129916.pdf<\/p>"}
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