Key points

  • The approach tested by Isle of Wight primary care trust combines technical value for money analysis with stakeholder engagement.
  • This allows commissioners to take into account different factors when determining how resources can be most effectively invested.
  • The trust used a 2-step process for each of five priority areas:
    • stakeholder workshops
    • priority-setting event.
  • Results include a 50% reduction in emergency asthma admissions thanks to collective support to redesign services.

Commissioning with the Community describes an exciting and effective approach to priority setting that has been developed and tested to help commissioners make robust decisions with the support of their community.

Commenting on the work, Gary Belfield, Acting Director General of Commissioning and System Management at the Department of Health, said: 'Commissioning is more vital than ever if the health service is to rise to the challenge of enhancing quality in tandem with improving productivity.

'A key aspect of successful commissioning will be that health outcomes and priorities are determined at a local level with good involvement of partners and the local population. 

'Where there are good working relationships innovation can be a key driver to improve care and drive down costs. The work underway in the Isle of Wight with the support of the Health Foundation is a great example of what can be achieved.'

Further reading

Newsletter feature

A simple tool to facilitate shared decisions

Dr Marie-Anne Durand, and Professor Glyn Elwyn, from the MAGIC Option Grids Collaborative, explain the value of Option Grids ...

You might also like...


A combined effort for autism: lessons from the community for the health system

Research shows 88% of autistic people do not think their needs are understood by health professionals. Emily Niner and Oliver...

Press release

Urgent need to address systematic failings and stabilise the social care sector in England

Health Foundation response to Age UK report, ‘The Health and Care of Older People in England 2019’.


On the front line of quality improvement in Manchester: flashing lights, focused funding and forming habits

Will Warburton reflects on what he learnt from his recent visit to front-line improvement practitioners in Manchester.

Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q Community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more