My recent blog on Commissioning 2.0 seemed to strike a chord so I've produced an overview report that sets out more of the 'How To'. This report:
- Sets out the core challenges of commissioning in complexity.
- Proposes key aspects of how Commissioning 2.0 will be different in order to meet these.
- Offers a 5 step process that can help people to explore and embed Commissioning 2.0 in practice.
- Links these steps to the 10 key enablers of the Asset Based Area.
- Proposes a contractual approach, based on Alliance Agreements but tailored to include a focus on growing capabilities over enacting priorities.
Format: Report
Comments
Gerard E
Hi Andy
Very interested in this move from "Master-Slave" commissioning to greater mutuality and shared purpose. A major obstacle often seems to be the funding model - "on what basis do we get paid?".
Current procurement and funding structures seem to be a key system condition that stands in the way of this new thinking being operationalised.
I'd appreciate your thoughts and observations on how (or whether) these aspects change to enable new perspectives.
Andrew Brogan
Hi Gerard,
There are a number of alternative models available, which need to be explored in context to shape the right one. They can include the use of grants, gift funding, open book accounting, pooled budgets, etc.
As a general rule, the tricks are to:
(i) move away from using invented numbers (e.g. paying on a 'price per activity' basis or paying on a 'price per capita' basis) to using real numbers (paying on an 'actual costs to run the service' basis).
(ii) remove the contingent nature of the funding (i.e. you only get paid X if you do Y).
These work together and the aim behind them is to remove the threat to providers' financial security. This (ironically) allows the conversations to focus on the real drivers of cost (i.e. value) rather than the made up stuff that pricing and incentives introduce.
I appreciate these need greater explanation so happy to pick up by email or over a call if you'd like. (You can get hold of me via the contact form on this site).