The Secretary of State’s mandate for the National Commissioning Board lays clear responsibilities on it to improve the capacity of patients to self manage. In fact the mandate says that the board must become dramatically better at involving patients,
“2.5 The NHS commissioning board’s objective is to ensure the NHS becomes dramatically better at involving patients and their carers and empowering them to manage and make decisions about their own healthcare and treatment. For all the hours that most people spend with a doctor or nurse, they spend thousands more looking after themselves or a loved one.”
