Operational commissioning

As a programme, we offer a range of support and guidance on operational matters that commissioners are currently facing and working through. This page contains a variety of resources, including materials from workshops we have delivered that aim to support commissioners in their approach, planning and decision-making.

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These resources have been grouped into key areas of focus to reflect the scope of the workshops and the different elements of the situation facing commissioners: operational pressures; high-cost placement negotiations; provider viability and sustainability; cost of care and workforce and retention.

Operational pressures
 

In response to the growing scale of operational pressures and day-to-day challenges facing commissioners, we commissioned external experts with commissioner and provider experience to run a series of workshops from January to March 2024. 

These brought commissioners together to work through live commissioning challenges they were facing or expected to face. The sessions offered practical solutions, a variety of perspectives, insights into good practise and information sharing.

High cost placements

In March 2024, we commissioned iESE to run several iterations of a workshop which covered:

  • negotiation skills – how to prepare to negotiate and get to a win/win position
  • approach to reviews – the importance of a good review to support discussions
  • understanding budget, value and profit margins – using data and evidence to understand whether pricing is fair and where negotiations should be focused.

Provider viability and sustainability

Information and guidance for commissioners who are looking to understand more about provider viability challenges and how best to respond and sustain their local markets.