• Convening stakeholders to develop shared purpose and gain consensus
• Facilitating involvement of ‘experts’ to co-design change and improvement
• Rigorous approach to planning and delivery
• Option for commissioning and contracting support         

The Challenge

Working together across system and organisational boundaries is challenging. Organisational and individual perspectives can seem far apart and individual organisations often do not have the capacity to facilitate or coordinate improvements or changes at scale. 

MIAA has experience of facilitating system collaboration. We engage and involve a wide range of stakeholders and subject matter experts to inform and design clinical and care pathways and new models of care. 

The Approach

MIAA is a trusted partner.  Our healthcare transformation team can work with you to design a support offer that meets your needs, drawing on a range of expertise and experience from facilitating collaboration, to hands on delivery e.g. programme management, commissioning and contracting, re-designing pathways.

Case Examples

Drug and Alcohol Pathways

We led the development of a consortia of nine local authorities  to support commissioning at scale and deliver improvements in care:

• Reduction in cost per bed day / increase in value for money
• Reduced waiting times for beds
• Early indication of a reduction in re-admissions
• Implementation of a reporting application that tracked activities and expenditure in real time
• National funding fully utilised to increase availability and utilisation of in-patient detoxification beds
• Increased choice of provision for patients covering a wider range of need and complexity
• Consolidated approach to procurement; reducing procurement costs
• Development of a reporting app to monitor progress
• Market management – increasing the range of providers that all places can access for their population

Children and Young People with Complex Mental Health Needs – ‘Resolution’ 

We provided clear direction and recommendations at scale on behalf of the whole system:

• Whole system senior engagement and collaboration across an ICB footprint
• Designed, organised and delivered a symposium for senior leaders – ‘the Resolution Exercise’
• Engagement with all stakeholders to gain views and insights to inform future vision and development of the resolution process
• Formulation of themes that informed recommendations presented in report format to the expert community and system leaders

Specialist Eating Disorders

We facilitated engagement to gain views and insight from stakeholders to develop consensus (on an ICB footprint) for:

• A local model for the delivery of specialist children and young people’s eating disorder in-patient provision, with care closer to home
• A specialist clinical protocol for the region
• Development of options for alternative models and pathways within community services and reduce avoidable admissions
• Changes required to improve transitions between services

The insight informed recommendations which included clarification on roles and responsibilities, and proposals on who in the system will take forwards key pieces of work.

To find out how our team can support your organisation, contact Steve Warburton, Director of Delivery – Healthcare & Transformation