Sectoral Collaborations

Brenda DooleyManaging Director

AXIS Healthcare Consulting Ltd

Sectoral Collaborations AKA cross /intersectoral collaborations, joint

working or partnerships

“A collaborative outcome is the development of integrative solutions that go beyond an individual vision to a productive resolution that could not be accomplished by any single person or organization”

Require a common vision and common language

Flavour of the last 2 decades - but is it just wishful thinking ??

What are the entry points at national level for strategic and operational discussions?

How can capacity for collaborative action be ensured and credible partnerships created?

How can partnerships be struck at all levels from local to global, governmental to private?

Key Questions ?

Healthy Ireland : Partnerships & Cross Sectoral work

… “important to identify local structures for implementation and how these can be supported to work on common agendas”

“Forge proactive partnerships at the national and local level to activate the role of the private sector in addressing the broader determinants of health and wellbeing and improving the health of the population”

Health & Wellbeing directorate in the DoH and HSE established to coordinate models to enable cross sectoral work

What are our neighbours in the UK doing ?

Joint Working

Framework established by the UK’s DOH in 2008

NHS organisations & staff actively encouraged by DOH to consider opportunities for joint working with private sector

Benefits this could bring to patient care and health outcomes clearly seen as advantageous

UK’s definition of “Joint Working agreements”

Joint working between the pharmaceutical industry and the NHS must be for the benefit of patients or the NHS and preserve patient care

… are conducted in an open and transparent manner

Of note is that this differs from sponsorship, where pharmaceutical companies simply provide funds for a specific event or work programme

Joint Working in the UK

Many people call joint working innovative but it’s really common sense. The key is patient benefit, and this is something where both sides can be rewarded”

UK Department of Health

“Joint working doesn’t need to be expensive. It’s not about money but how we bring together skills for a better health outcome”

Partnership in Health Awards July 2013 UK

Enablers to collaboration with the private sector in the UK

Toolkit on Joint Working developed Moving Beyond Sponsorship:

joint working between the NHS and pharmaceutical industry

http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/

PublicationsPolicyAndGuidance/DH_082840

Joint Working in the UK UK now provides some excellent

examples of private sector meaningfully engaging with NHS stakeholders

Significant learning's from our nearest market – success & failures

not all joint working / collaborations require budgetary investment

Efficiency gains for NHS achieved ( e.g. BPR, Lean sigma & knowledge exchange)

An example of Joint Working in the UK

Another example…

Experience in Ireland

Homecare project 2009 A Joint working partnership between HSE national

office, University Hospital Galway, HSE west, Pfizer, Movianto, Hibernian Healthcare at home and NUIG

A 6 month programme providing home care management of cellulitis

Strategic and project work teams established from public & private sector

Private sector funded the provision of nurses, waste disposal & analysis of project

Public sector funded IV antibiotics, risk management plan and interim & final report

Sectoral collaboration are achievable here however …..

Enablers need to be in place…

Terms of Reference agreed

at outset

A Memorandum of understanding

between sectors is key

Commitment & a documented framework

must come from the DOH

Governance procedures essential

Clear identification of ALL the relevant

stakeholders

Written scope for each project at

outset with agreed

deliverables

PROMs please..

PROMs are measures of a patients health status or health related quality of - health improvements is assessed by the person experiencing it, not by a doctor or anyone else.

In the UK the view is that PROMs are likely to become a key part of how all health care is funded, provided and managed

Patient Reported Outcome Measurements ( PROMs ) afford a mechanism for joint working or sectoral collaboration

A final thought….

“Its not what we are doing ,but ,what we are achieving that counts

PROMs helps us see what we are really achieving for Patients”

NHS payer speaking at a conference in London Feb 2015

Thank You