Population Approach to All Levels of Commissioning and Health Service Decision-Making
Pragmatically, healthcare commissioning activities can be described at different levels, these can be considered as strategic, tactical, and operational levels. This chapter demonstrates that a population approach to decision-making and planning is integral to all these levels of commissioning decisions. A model (Figure 9.1) illustrates the interactions between a big picture population healthcare perspective, the commissioning cycle, and the different levels of commissioning activities. It brings together the tasks to be achieved, population concepts, and business processes. It can be used to help develop commissioning systems (or equivalent strategic planning processes to secure health services for populations), and to support development of leadership for health gain across the system.