Streamlining health commissioning structures and processes
Designing simple and efficient commissioning structures and processes
The challenge
Commissioning is a comprehensive approach to improving population outcomes
Commissioning provides a rigorous approach to drive sustainable and beneficial change. Commissioning addresses:
- weaknesses in health systems
- ineffective demand management
- persistent and unresolved health inequities
Whilst we can equip commissioners with skills, tools and techniques for improving health services and reforming health systems; this is not sufficient.
Commissioning requires close cooperation across teams with diverse skillsets
Commissioning is a comprehensive and fully integrated discipline. It requires close cooperation between different teams across the commissioning cycle:
The commissioning cycle

Commissioners need to bring together teams with skills covering needs assessment, priorities and planning, co-design and procurement, performance improvement, evaluation and review.
These commissioning skills need to come together as a multi-disciplinary response covering clinical, population health, procurement, financial, data management, analytics, communications and change management teams.
Without a coherent organisation structure and streamlined commissioning processes, there is a real risk of fragmented management silos, duplication and waste
Commissioners require a clear vision for system improvement and effective leadership, governance and oversight of the commissioning processes and a commitment to continuous improvement driven by a learning culture and organisational development.
What we do
We support your organisation to streamline health commissioning structures and processes
Our approach is to support your team to build commissioning capability across the organisation and ensure your structures support effective commissioning.
We ensure your organisation structures, roles and enabling technologies all support your commissioning process.
We also help you streamline the workflows and business processes across the commissioning cycle.
Our approach to streamlining health commissioning structures and processes is as straightforward as it is effective:
Our commissioning improvement approach

Our commissioning improvement approach involves:
- Exploring the current state – Exploring your current commissioning processes. This exploration involves understanding how your organisational structures support your current commissioning process. Also, we examine how team roles and responsibilities and technology platforms support commissioning.
- Co-designing the future state – We co-design a future state for your commissioning that leans on international best practices but is suited to your local context. This co-design process involves introducing tools and structures that integrate different disciplines. This also involves establishing information architecture that provides a ‘single version of truth’ across activity, finance, waiting times and outcome metrics.
- Building a realistic improvement plan – We provide a pragmatic improvement plan to help you move towards international commissioning best practices. We design improvement plans with sustainability in mind so you can lead your improvement journey. However, we are always available to help guide your team, whether through light touch coaching or more intensive support.
Get in touch to discuss how we can support you to streamline health commissioning structures and processes

Jay Rebbeck
