Category Archive: Innovation

  1. The Essentials of Risk-Based Contracting

    It is rare to read a paper that has so much relevant information that even on the fourth reading, there is something new and applicable. This happened to me recently.

    I was sent The Essentials of Risk-Based Contracting: Avoiding Financial Missteps in Structuring Contracts by The Advisory Board Company. I strongly recommend anyone who is working on […]

  2. The big question

    Which do we change first – the care model or the financial flows and contracts? Traditionally we focus on describing a new care model and changing finances and contracts come later. Would we be better off the other way round?

    In a paper summarising the results of a survey of health providers in USA about their experience of risk based contracts, The Advisory Board Company describe two […]

  3. Championing diversity

    It is interesting that a methodology that came out of very commercial and competitive sectors has so much resonance with the public sector.

    I am often struck by the fact that alliance contracting was developed in the tough competitive and commercial worlds of the oil, construction and infrastructure […]

  4. Maximising the marginal gain

    The clamour for transformational changes in the NHS and social care continues to grow. There is also a call for evaluation and research to ‘prove’ what changes are successful and which are not. This all seems to point to big changes that can be shown to have significant impact. Does this risk missing an alternative approach to improvement?

    In 2010 the cycling coach David Brailsford (Performance Director of British Cycling and General Manager of Team Sky) developed a concept known as the aggregation […]