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.
Our future state
A fully enabled and high functioning commissioning organisation.
Building to this level of capability over time to support improved outcomes.
Commissioned Services 2017/18
Gippsland PHN has commissioned over $8,500,000 of services with local providers to deliver 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 (Updated June 2019)
- Partners in Recovery program
Gippsland PHN’s After Hours Program addresses gaps in after-hours service arrangements and improve service integration. Priority is given to maintaining existing after-hours primary care that are not within the scope of the PIP After Hours Incentive and facilitate access to after-hours medical services through innovation and collaboration with regional stakeholders.
The Alcohol and other drugs program will improve the effectiveness of drug and alcohol treatment services for individuals requiring support and treatment by increasing coordination between various sectors, and improving sector efficiency.
The Doctors in Secondary Schools program is delivering on the Victorian Government’s election commitment to fund general practitioners to provide medical advice and health
care to those students most in need up to one day a week in 100 Victorian government secondary schools.
The Integrated Team Care program aims to contribute to improving health outcomes for Indigenous peoples with chronic conditions through better access to coordinated and multidisciplinary care.
Mental health and suicide prevention stepped care program will provide access to primary mental health and suicide prevention programs within a stepped care model to improve the overall health and wellbeing of people living in Gippsland.
National Disability Insurance Scheme (NDIS) The purpose of the NPSM measure is to provide psychosocial support services to assist people with severe mental illness resulting in reduced psychosocial functional capacity who are not eligible for assistance through the National Disability Insurance Scheme (NDIS). The NPSM is designed to help address the gap in a flexible and carefully planned way, which complements continuing and new State investment in psychosocial support and does not duplicate support available from existing programs (including those transitioning to the NDIS). The measure supports implementation of Action 6 in the Fifth National Mental Health Plan, through which Governments agreed to planning for the community mental health support needs of people who do not qualify to receive supports under the NDIS.
Download the NPSM Guidlines
The Placed Based Flexible Funding program supports rural organisations to maintain consumer access to supplementary allied health and primary care services based on identified needs of the community. The program also supports health prevention and promotion activities to encourage people living in rural and remote communities to adopt or modify behaviours to better manage their health and wellbeing.
Partners in Recovery program will facilitate better coordination of and more streamlined access to the clinical and other service and support needs of people experiencing severe and persistent mental illness with complex needs requiring a multi-agency response.
Download the Clinical Governance Framework