Innovation in Commissioning 2011 - 2013
The Innovation in Commissioning Theme has sought to support commissioning managers and also those in provider services to mobilise knowledge and research in the improvement of key aspects of services for those with Long Term Conditions.

The majority of projects have adopted a 'whole- systems' approach either by initiating a review of a whole pathway of care or by making an analysis of the data and presenting that to those organisations who are stakeholders in the change.

The virtual ward pilot and project to initiate the use of integrated care planning in primary care, have been undertaken as service improvements, based on evidence and partnership working to mobilise new knowledge and best practices into community and primary care.

It is significant that the projects have been managed at different levels in the care system, some microsystems changes and others at meso level, instigating wider conversations about workforce needs, evaluation methods and quality outcome measurement.

The two over-arching principles of the support offered, the first is that patient/user/carer participation is essential to drive the prioritisation of change and to understand the impact. The second is that outcome measurement, particularly systems measures are important to evaluate the impact of micro-level change.

The reports and information on this site take a number of forms , based on the different ways that project leads have utilised the work. In one case a power point slide set and in another a report to the Unplanned Care Board. Each has given permission for the work to be published on the CLAHRC site.