The prime provider works to one contract, signed by all 7 commissioners, which has a strong focus on prevention and is supported by a collaborative commissioning agreement.
Together with the support of a team with a clear mandate and resources to take this forward, effective collaborative commissioning could be carried out.
Tracy Myhill, chief executive at the Welsh Ambulance Service Trust, said: "This new Collaborative Commissioning
Framework places responsibilities on health boards as well as us to put in place a new model of working that breaks down the patient's journey into five important steps.
The pilot worked with clinical commissioning groups (CCGs) in Bedfordshire, Gateshead, and South Devon and Torbay to develop sustainable collaborative commissioning
of services for eye health and sight loss.
Central to the review process was a collaborative commissioning
approach, with public health acting as the bridge between commissioning colleagues in Staffordshire County Council and the local NHS provider service (Staffordshire and Stoke-on-Trent Partnership Trust), which manages and delivers school nursing services.
Begun in 2011, MTNA's Collaborative Commissioning
Project was created to promote chamber music study at the intermediate or amateur adult level.
We would suggest that a preferable approach to procurement is that of collaborative commissioning
as set out in the Welsh Government's Fulfilled Lives, Supportive Communities Commissioning Framework Guidance and Good Practice that the Audit Commission might consider doing some comparative work on the relative complexities and efficiencies of procurement and grants.
Public Health England would provide ring-fenced grants to local authorities in order to finance some local public heath services, and the role of health and well-being boards would be to support collaborative commissioning
across the system.
Hence the reason for doing things more smartly through collaborative commissioning
and procurement, developing the mixed economy of social care and working with providers in delivering services which respond to the individual needs of service users.