How we approach system redesign, improvement and commissioning

Successful health system redesign, improvement and commissioning requires a holistic approach to understanding the needs of the community and the existing system; the capacity to co-design solutions and models to meet the needs; and a genuinely collaborative approach to working with the sector to implement the changes required.

Given the importance for us in working closely with community and service providers to achieve improved outcomes and sustainable change, a continuous improvement approach has been adopted as our Commissioning Framework, which in turn serves as our overarching operating model for both systems change initiatives and the tendering or contracting of new services.

Our Commissioning Framework provides our staff and stakeholders with a shared and transparent approach to decision making in an environment of collaboration and co-design.

Commissioning principles

  1. Understand the needs of the community by engaging and consulting with consumer, carer and provider representatives, peak bodies, community organisations and other funders.
  2. Engage potential service providers well in advance of commissioning new services.
  3. Focus on outcomes rather than service models or types of interventions.
  4. Adopt a whole of system approach to meeting health needs and delivering improved health outcomes.
  5. Understand the fullest practical range of providers including the contribution they could make to delivering outcomes and addressing market failures and gaps.
  6. Co-design solutions; engage with stakeholders, including consumer representatives, peak bodies, community organisations, potential providers and other funders to develop outcome focused solutions.
  7. Consider investing in the capacity of providers and consumers, particularly in relation to hard to reach groups.
  8. Ensure procurement and contracting processes are transparent and fair, facilitating the involvement of the broadest range of suppliers, including alternative arrangements such as consortia building where appropriate.
  9. Manage through relationships; work in partnership, building connections at multiple levels of partner organisations and facilitate links between stakeholders.
  10. Ensure efficiency and value for money.
  11. Monitor and evaluate through regular performance reporting, consumer, community and provider feedback and independent evaluation.