Outcome-focused commissioning
The sector is not alone in that its strategies, culture, structure, and governance models are not suited to tackle complex challenges that cut across sectors, departments, institutions, and communities.
Shifting focus not only on efficiencies of services but also the efficiencies of outcomes - cannot be done in isolation - will require co-ordination from different sectors with shared interests within defined areas. This corresponds with the new commissioning frameworks in which efficiencies of delivering outcomes sit alongside the focusing on efficiencies of services.