title: Commissioning: perspectives from the ground.
abstract: Primary Health Networks (PHNs) have been tasked with two key objectives to be achieved through commissioning. Public value aims can be achieved by developing operational capability in the context of an authorising environment. Public value will need to focus on system level outcomes from multiple perspectives, including a consumer perspective. The authorising environment will require policymakers to allow time for PHNs to mature into their role. It will require an environment of effective collaboration amongst multiple stakeholders including consumers. The operational capability will need to ensure highly competent managers and clinical leadership working in a symbiotic relationship. Although some Medicare Locals demonstrated commissioning capacity and capability, this will need to be scaled up at-pace in the new healthcare landscape in order for PHNs to optimally fulfil their roles.
authors.affiliation: Capital Health Network (formerly ACT Medicare Local), PO Box 9, Deakin West, ACT 2600, Australia.
authors.forename: Paresh
authors.initials: P
authors.lastname: Dawda
authors.affiliation: Capital Health Network (formerly ACT Medicare Local), PO Box 9, Deakin West, ACT 2600, Australia.
authors.forename: Angelene
authors.initials: A
authors.lastname: True
authors.affiliation: Capital Health Network (formerly ACT Medicare Local), PO Box 9, Deakin West, ACT 2600, Australia.
authors.forename: Leanne
authors.initials: L
authors.lastname: Wells
mesh_terms: D001315:Australia; D003284:Contract Services; D003659:Decision Making, Organizational; D018166:Health Care Reform / Q000458:organization & administration*; D019981:Health Care Sector / Q000458:organization & administration*; D006291:Health Policy; D006302:Health Services Research; D006801:Humans; D017146:Models, Organizational; D015279:Organizational Culture; D009937:Organizational Objectives; D011320:Primary Health Care / Q000458:organization & administration*