Commissioning Reform

Commissioners need to meet ever-increasing demand for healthcare within restricted funding. They need to manage multiple providers and stakeholders, including many needs and initiatives at national and local level. Medical Mosaic has a highly relevant track-record across the system - in the development of strategy, intentions, analysis, planning, contracting and procurement.

Service reform and cost improvement are at the core of the agenda. Contracting mechanisms are continuing to develop, and we are well-placed to provide the necessary skills to realise the necessary benefits using the available methods. Pathway reform is increasingly at the heart of new initiatives, as commissioners try to progress from contracts based on historic financial analysis with their risk of 'baked-in' practices and costs. Medical Mosaic have a strong track record in clinical engagement, analysis, pathway modelling, resource profiling and financial modelling, providing a common basis for efficient, high quality provision based on best practice.

For example, for the development of strategy or intentions, planning, analysis and contracting, we can offer -

• Critical Review - to capture current and best practice from all concerned, gathering suggestions and challenging all pathways at all levels – administration, clinical practice, patient flow, workforce, outcomes, volumes.
• Analysis and Enablement – gather drivers and context such as clinical improvements, the patient experience, locality, buildings, collaboration between organisations, information sharing, community, SHA, CCG, sector, patient group and Trust initiatives.
• Future state and Ensuring Success – design an appropriate 'blueprint' for the future state, fully costed, suited to consultation and usable in a business case, for contracting and change management.

We see working benefits in being an effective 'third party', in providing additional resource to commissioners so as to gain earlier payback, using a collaborative, engagement-led style and working to gain the confidence of the community. We are prepared to structure our own costs to share the financial risk.