Commissioning in the context of a Primary Health Network
Commissioning – what is it?
A process of strategic planning and investment in quality primary health care services with the aim of maximising health gain for the population and efficiency for the health system.
It can be defined as
- A whole of organisation approach targeted specifically at addressing the health needs of the local community
- Clearly focussed on developing quality primary health care services and associated interventions that deliver better health outcomes
- Promote joint working and coordination across the whole health care system for the benefits of the patients
Primary Health Network Commissioning Principles
These principles have been designed by PHNs in consultation with the Department of Health, to assist in meeting the strategic objectives of the PHN Programme, and have been adapted from the National Audit Office (UK).
The Principles should be considered in the context of other ongoing work, such as the Guiding Principles between PHNs and Aboriginal Community Controlled Health Organisations to improve access to health services and improve health outcomes for Aboriginal and Torres Strait Islander people.
- Understand the needs of the community by analysing data, engaging and consulting with consumers, carers, clinicians, providers, peak bodies, community organisations and other funders.
- Engage with potential service providers well in advance of commissioning new services.
- Putting outcomes for users at the heart of the strategic planning process.
- Adopt a whole of system approach to meeting health needs and delivering improved health outcomes.
- Understand the fullest practical range of providers including the contribution they could make to delivering outcomes and addressing market failure and gaps, and encourage diversity in the market.
- Co-design solutions; engage with stakeholders, including consumer representatives, peak bodies, community organisations, potential providers and other funders, to develop evidence-based and outcome-focused solutions.
- Consider investing in the capacity of providers and consumers, particularly in relation to hard-to-reach groups.
- 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.
- Manage through relationships; work in partnership, building connections at multiple levels of partner organisations and facilitate links between stakeholders.
- Develop environments high in trust through collaborative governance, shared decision-making and collective performance management.
- Ensure efficiency, value for money, and service enhancement.
- Monitor and evaluate through regular performance reports; consumer, community, clinician and provider feedback, and independent evaluation.
Gippsland PHN Clinical Governance Framework
The purpose of the Clinical Governance Framework is to provide best practice guidance in clinical governance with strong emphasis on leadership, culture and improvement as being fundamental to high-quality, safe care and service. The framework identifies the five domains and systems required to develop and maintain a high performing organisation and service.
This framework is designed to provide the organisation and its commissioned health service organisations practical guidance on the systems and processes needed for sound clinical governance; the framework components can be tailored and scaled to best suit health services circumstances and best meet the needs of their consumers.
The framework aligns closely with the Victorian Clinical Governance Framework.
Our future state
A fully enabled and high functioning commissioning organisation.
Building to this level of capability over time to support improved outcomes.
Gippsland PHN invests in a range of services across the six local government areas of Gippsland.
A number of priority areas have been commissioned including:
- After Hours primary health care program
- Alcohol and Other Drugs program
- Doctors in Secondary Schools program
- Integrated Team Care program
- Mental Health and Suicide Prevention Stepped Care Program
- Place Based Flexible Funding program
- Gippsland Psychosocial Support Program (PSP)
For further information on Gippsland PHN commissioned services, please see visit the Programs and Projects area of our website.