Federations tend towards a looser network and a less disciplined approach to enforcement.

The most common aspirations expressed are:-

  1. We want to collaborate
  2. We want to exchange ideas and share best practice
  3. We want to achieve efficiencies

Disadvantages of a decentralised system:-

  1. You cannot dictate what members must do
  2. No powers to issue directions
  3. No motivation/incentive for members to do as they are told
  4. A “voluntary” compliance model makes everything optional

Without the power to dictate standards, members make individual self-serving decisions rather than for the greater good of the network.

Primary Care Networks (PCNs)

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