Strategic Commissioning and Operational Delivery in UK Care Homes

This report critically evaluates commissioned services in UK Care Homes, examining the commissioning cycle, data analysis, stakeholder impact, and leadership skills required for effective delivery. It explores ways to improve organizational performance and outcomes, including communication, teamwork, and delivery models. The report identifies gaps in healthcare delivery, such as limited patient involvement and measures for assessing the impact of engagement on patient safety. Flexible strategies for commissioning and operational delivery are proposed, emphasizing the importance of motivating partnerships and responding to new market forces like payment methods and consumer expectations. The document concludes with an individual reflective log and a personal development plan, highlighting the author's understanding of commissioning issues and personal growth in this area. This student-contributed assignment is available on Desklib, where students can find a wealth of study resources.

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HEALTHCARE MANAGEMENT

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Table of Contents
Critically evaluate and examine the commissioned services of Care homes, UK.....................3
Critically discuss the service considering...............................................................................4
Ways to improve the organization's performance and outcomes...............................................6
Part B: Individual reflective.....................................................................................................10
Development plan....................................................................................................................13
References................................................................................................................................17
Appendix..................................................................................................................................20

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Critically evaluate and examine the commissioned servicesof Care homes, UK
Commissioning is determined as the process, which is used by the private companies to make
a decision, secure, deliver and examine the healthcare services for a local citizen.
Commissioned services are provided by the private sector organization to their clients in
terms of healthcare, supervision, and support and also deliver other paid services. A local
authority would provide adult social care department during personal care (Thomas, 2014).
There are almost five and a half million carers in England those are not paid for their work
and not appreciated for their precious contribution. These carers provide their free services to
their dear ones, neighbours and as well as their friends. It would support to maintain its
sustainability in the health care sector. Care home provide their services to needy persons or
who have a health issue. Care home should make innovative ideas to assist their carers,
develop new rights in the favor of carers by following care act and should also support to the
weak and poor carer carer (Hemphill, et al., 2015).
Commissioning for carers
Care home could get effective commissioning by making principles and providing resources
to their young and adult carers. Principles of commissioning are relied on the case studies,
effective practice and latest research (Baddour, et al., 2015). Principles are an essential
aspect as it provides a quality result for commissioners, local communities, practitioners,
patients, and carers. Following principles of commissioning are practiced by the organization:
 Consider caretaker and family as well as focuses on developing a count of every
contact
 Appropriate care on accurate time at a relevant place for caretakers
 Staff should be trained to recognize the carers and avail them support
 Health and welfare of carers should be prioritized

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 The organization should invest in carers to secure them and retain them
 Assist caretakers for accessing the local resources
 Considering leadership skill for all level of carers
 Evaluate the major issues of carers
 Assist the caretakers by partnership working
 Support the carers by learning others
Current commissioning practices facilitate the commissioners to sustain the carers and
support to get the resources to improve the skills of caretakers effectively. This practical tool
considers a simple self-assessment questionnaire to give rating about the areas of
improvement.
Critically discuss the service considering
In the health care sector, there are certain factors that are consideredby the firm in their
serviceslike the commissioning cycle, data analysis, therole of stakeholders, leadership skills,
and leadership capabilities. Care homes could use the following method to operate their
services in the UK:
Commissioning cycle
The communing cycle is a tool that is practiced to develop plan, procedure, monitor, and
revise the activity of health care and reaching a reliable conclusion (Powers, et al., 2018).
Initially, the organization could require to give priorities of resources for operating the
business activity and reaching a reliable conclusion Kash, et al., 2014). Subsequently, the
organization will focus on the provider's process for contracting and completing the business
activity.

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(Source: Kash, et al., 2014).
Data analysis
(Source: Kash, et al., 2014).
The organization has used the Care Quality Commissioning (CQC) approachis used by the
organization to evaluate the data and operate the business. CQC is an independent model that
permits an expert to evaluate the quality of care and make a judgment accordingly. The data
is collected by the different department of Care Homes from survey through questionnaire
and interview method. It could also lead to an increase in the quality of care in the hospitals
and support the firm to sustain its position in the marketplace (Kash, et al., 2014).
Impact on key stakeholders
The commissioning could directly impact on the stakeholder. It could make an attractive
process for the business that could positively influence the stakeholder with respect to the
investment. The stakeholders could be influenced by the firm if they have effective policies
towards the investment. Care homes could offer an opportunity to invest in the firm and get
higher competitive benefits. This organization has used stakeholder engagement programme

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for their stakeholder and attracts them towards the business activities as it could lead to
gettinga reliable outcome (Vashist, Schneider, and Luong, 2014).
Leadership skills required for delivery
In the health care sector, the organization needs to improve the skills of leadership and
increase the profitability of the firm. There are certain leadership skills that lead to the leader
of an organization to operate their activity and get a reliable outcome. These are known as
communication skills, team management, and democratic leadership skills are practiced by
the firm to get a reliable outcome. From the application of communication skills leaders
would be capable to convey their message to team member and lead them to care of patients
(Kaplan, et al., 2014). It could also be effective to make a decision in favor of business
activity and enhance the profitability of the firm. Another leader skill that is required by the
organization is team management skills as it could be vital for managing the team and lead
them in one direction for the accomplishment of the organizational task. Furthermore, a
leader should be demographic due to comprehending each people and make a decision in the
context of the organizational task. The health care organization should consider such
leadership skills to make a decision accordingly (Thompson, et al., 2015).
Leadership capabilities for delivery
The leadership abilities could also be effective in delivering the services of the organization.
A leader should always be accountable for engaging the key stakeholders in the organization
and improve business activity. It isexamined that leaders should always be the equitable
deployment of the specified resources and operates the business effectively. The leader of the
firm should also be capable ofthe delivery of culture by one provider (Castiglione, et al.,
2015). Moreover, a leader could also capable to maintain quality and achievements of
learning results. A leader should also be capable to increase the return of the organization on
the investment. In addition, it is examined that a leader should also be accountable for

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increasing the sustainability in the working place that could be effective to retain their
employees in the working place and support the organization to make their distinguish image
of the firm (Castiglione, et al., 2015).
Ways to improve the organization's performance and outcomes
There are different ways to enhance the performance and outcome of the organization.
Communication and teamwork skills are required to enhance the quality of health care. When
all clinical and non-clinical staff collaborate significantly, the health care team can enhance
the patient results, enhance efficiency, avoid medical errors, and boosts patient satisfaction
(Dobrzykowski, et al., 2014).
Delivery models and practices enhance the organization's capabilities and improve the
ability to drive change and improve patient care.
(Source: McMullen, et al., 2014).
The above delivery service model process can be used in care homes in the UK as this model
focuses on the result of interest such as cost, quality, equity, as well as patient centeredness. It
addresses a different common medical situation such as diabetes as a basic example to build
the list of elements relevant to results for chosen conditions. These elements can be classified
into the domain as per the commonalities that contain 30 elements as per 4 domains such as

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culture, function process, resources, and structure. The last steps are related to the finalization
of elements. In this step, 26 elements are selected by care homes such as organizational
structure, capacity, and culture (McMullen, et al., 2014).
(Source: Zhou, et al., 2015).
The first step of another delivers care model is structural that contains health care system and
organization of practice. After that, it accesses the data to maintain a patient-provider
relationship with coordination. The last step is related to the quality of care that contains
inter-personal communication, and patient satisfaction. This delivery model is beneficial
forenhancing the organization's capabilities and improving the ability to drive change and
improve patient care (Zhou, et al., 2015).
Gaps in the health care delivery of the organization
There is limited evidence related to patient involvement in the development of the
intervention. The peer-reviewed and literature depicts the significant amount of techniques,
interventions, and resources regarding targeting patient engagement in Care Homes UK.
There are different techniques, but, have limited evidence regarding end-user input into

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involvement in dissemination and usability practices (Tan, et al., 2014). Another gap is
related to limited measures for accessing the impact of engagement on patient safety. There
are most of the literature identified the engagement of patients and families practicing
surrogate measures like health outcome enhancement and patient satisfaction.
Evaluate and create flexible strategies for commissioning and operational delivery
Care homes should develop and support the key relationshipbetween commissioning and
operational delivery. Strong leadership would be required to seek as well as capitalize on
communication with other parts of the system. It supports for developing the partnership and
relationships as well as to select the right scale regarding outcomes, strategies, as well as
resources required for attaining the improved results related to sharing local population. It
would be effective for commissioners to work effectively with the social care partners and
partners as they create their potential commission plans (Kuziemsky, 2016).
Care home should focus on the significance of motivating partnerships and participation.
There is a central commission procedure is making sure that each element of health and care
system is structured and enhanced by entailment of those who use the services. Each
individual can be competent for contributing their perspective, particularly those who
facehigher health limitations and poorest results. The collaborative strategy could be used to
identify the concerns and improves the assets in communities (Rojas, et al., 2016).
Respond to new market forces e.g. payment methods, and consumer expectations
A provider payment mechanism is a method where funds are transferred through purchaser to
the health care provider. Provider payment mechanisms are significant to accomplish the
goals of Care homes because they create signals and incentives in order to enhance the
access, quality as well as efficiency of health care services between health care providers.
Timely payment made easier to process for care homes (Al-Balushi, et al., 2014). This
process can be associated with planning and purchasing commodities as well as pay suppliers

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and employees on time. For example, timeliness in payment is a significant element as it
makes sure the financial uncertainty to smooth runs the hospitals and encouraging the health
employees. As a result, delays in payments cannot influence the accessibility of resources
within the facilities particularly, medicines but also delays in resolving the salaries of
workforces as well as bills of suppliers.
Consumer expectations
Care homes can provide customer-focused experience as it is becoming a significant
technique for competing in the current health care marketplace. However, current experience
strategy of the health system is insufficient for developing loyalty at longer-terms because,
customer expectation in healthcare tracks closely to other industries. For example, the
customer can place convenience and high speed on their list such as selecting a doctor
(Mannon, 2014). Care home can take benefits of willingness for sharing and implementing
the remote monitoring system that can push the real-time information to keep patient records
and providing insights. It would not only meet the desire of customers in terms of a more
connected experience. But also, permits for more personalized communications that coach
the patients more significantly.
Part B: Individual reflective
In this study, I gained my understanding of commissioning issues and supports to get a
reliable outcome. I understood that commissioning could be effective for operating the
business in a flow and make a reliable decision. In this, it is observed that commissioned
service could be imperative to get a reliable outcome. Moreover, I improved my
understandingof the principles of the commissioning that leads to offer the best care service
to the patients in the organization. I also observed that care of any victim could be effective to
make a happier and stress-free life. From this, I improved my professional’s skills that
facilitate to me for making my career in the health care industry. I deeply evaluate skills that

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will be effective in makinga reliable decision (ArbabKash, Spaulding,.Gamm, Johnson,
2014). I also gained my understanding of interpersonal skills that are needed for making
afavorable decision in the context of existing issues. I also gained my understandingof the
commissioning cycle use in the service. It could consider different factors like plan,
procedure, monitor, and revise. I also improved my understanding of the data analysis
method that leads to the organization to evaluate the existing situation of the firm services
and operate the business effectively. In this, I improved my understanding about the CQC
approach, which could be effective for the health organization to understand their service
quality of the firm and make a different image of the firm in the marketplace as compared to
their competitors. I also enhanced my understanding of the impact of commissioning services
on stakeholder of an organization (Hauser, 2014). I observed that leadership skills are
effective for completing any goal in the least time and available resources. It is examined that
an effective leadership skill could be imperative in making a decision the favor of the firm. I
enhanced my understanding of the context of different skills of leadership,whichare practiced
by the firm to operate their business.These are team management skills, communication, and
a democratic leadership style. I observed that these skills are effective to lead the
organization and supports to get higher competitive benefits. It is evaluated that the
leadership capabilities could also be effective in leading the team to accomplish the same
goal without any conflict and reach a reliable conclusion. It could also be effective in getting
a reliable decision. I have developed my knowledge during working in care homes. In this
company, I have learned that there are different ways to enhance the performance of an
organization (Rezaee, Yaghmaee, and Rahmani, 2014). I have created different service
delivery models and practices that are beneficial for enhancing the organization's capabilities
and improving the ability to drive change as well as, improving patient care. This delivery
service model is beneficial for addressing the capabilities of an organization as it would be

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effective for me to make a career in the health industry. I have also learned that an
organization considers different process within deliver service model such as structure,
access, and quality of care. It would be beneficial for improving organizational performance
and outcomes. I have also created my understanding of the gaps in the health care delivery of
an organization. In this way, I have noticed that there are limited facts associated with the
involvement of people in building the intervention. This learning experience was beneficial
for me to develop further research. When I was in Care homes, I have faced challenges due to
a lack of understanding regarding working culture. But, after training, I understood the
working culture as it was beneficial for improving the organization's performance and
outcomes (Rezaee, Yaghmaee, and Rahmani, 2014).
I have also generated my experience about the flexible strategies for commissioning and
operational delivery. These strategies are strong leadership, and motivating the partnerships
and participation. It would be beneficial for improving my personal and professional career.
In my working time, initially, I have faced difficulties to understand the patient requirement
but, after some time, I understood the ways of dealing with patients (Hauser, 2014). These
ways are developing communication and teamwork skills. Before working with care homes, I
have lack of knowledge regarding the ways to improve the organization's performance and
outcomes. But, after that, I have generated my knowledge in a different field. It was effective
for improving the performance of an organization. I would apply this learning experience to
develop my personal and professional career.
During performing in care homes, I have learned that there are new market forces that should
be responded through care homes such as payment methods as well as consumer expectation.
In this way, I learned that provider payment mechanism is an effective technique to make
easier the process of payments on time. Along with this, I have observed that care home can
obtain the advantageous for willingness to share and execute the remote monitoring system