Questions

Please leave any feedback and answers to our questions in the comments box below

QUESTION: What kinds of evidence do you think will convince commissioners that they need to commission shared decision making? 

  • How much detail do you think commissioners want around the business case for investing in shared decision making? For example, do commissioners want high level or evidence of detail of changes in intervention rates for different treatments?
  • What kind of information do commissioners need to help them understand what and how they can use commissioning to embed shared decision making i.e. what kind of training and provider  development support; how they might use contracting to set specifications, outcomes and quality standards around shared decision making?

QUESTION: What kinds of evidence do you think will convince other commissioners that they need to commission shared decision making and self-management support? 

  • How much detail do you think commissioners want around the business case for investing self-management support? For example, do commissioners want high level or evidence of changes in outcomes for specific conditions?
  • What kind of information do commissioners need to help them understand what and how they can use commissioning to embed and improve self-management i.e. what kind of services work? What kind of training and provider development support works? How they might use contracting to set service specifications, outcomes and quality standards around supporting self-management?

QUESTION:  If we want to embed shared decision making and self-management support across a local health economy, is this best done through a commissioning approach that combines both shared decision making and self-management support, or should each be viewed separately?

  • What are the common areas/themes?
  • What are the differences?
  • What are the advantages and disadvantages of these different approaches?
  • What outcomes should we build into contracts and measure?
  • How might we do that?
  • Do commissioners still need to fund things like training and workforce development – or should providers do that?

QUESTION:  How have you described your vision of great person centred care and aligned contracting processes and outcomes to deliver it?

  • Do you have examples of how you worked with local stakeholders that we can use?
  • Do you have examples of outcomes that we can use?
  • What contracting mechanisms have worked for you and driven person centred change?
  • What hasn’t worked?

QUESTION:  What commissioning levers have you used or might you use locally?

  • Do you have any examples that we could use?

QUESTION:  How are you monitoring or do you plan to monitor shared decision making and self-management support locally?

  • What off-the-shelf or locally developed tools and measures are you using?
  • What challenges have you experienced and what solutions have you identified?
  • Have you any novel ideas about how we might measurement how empowered people feel?

 

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