Commissioning strategy

As with many aspects of care, shared decision making and self-management support apply across a range of health conditions and are relevant all along the care pathway.  Yet most commissioning - and the way in which services are structured and provided - is still ‘condition specific’.  
 

This gives two possible approaches to commissioning:

  • The ‘umbrella approach’ - an overarching strategy that seeks to embed shared decision making and self-management support across services.
  • The ‘integrated approach’ - a pathway based approach that seeks to embed shared decision making and self-management support as part of the work in every commissioning programme.
 

In reality, you are likely to need both approaches to a greater or lesser extent:

 

 

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