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Update app/breast-screening-pathway/2026/03/commissioners-in-breast-screening/index.md
Co-authored-by: Frankie Roberto <frankie.roberto1@nhs.net>
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app/breast-screening-pathway/2026/03/commissioners-in-breast-screening/index.md

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- BSOs feel understaffed and underfunded
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- operational issues impact performance
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**2. Monitoring and accountability**
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#### 2. Monitoring and accountability
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Monitoring outcomes and holding services accountable to delivery standards laid out in the [service specification (NHS Futures)](https://future.nhs.uk/vaccsandscreening/view?objectId=71116816). This includes monitoring problems, vacancies, staffing, and demand to determine if additional funding is needed.
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**3. Funding and strategic oversight**

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