Shared investment differs from HNC’s previous attempts to co-plan. Instead, shared investment is driven by implementation, with planning as only one stage of a clearly scoped joint process. As understood from other settings, (reference: European Commission Directorate General for Health and Food Safety (2017). Report. Seminar on “Strategic investments for the future of health care.”
Shared investment requires:
- Cross sectoral partnership at the highest level of decision making;
- Trust between partners, including time to build relationships;
- Willingness to share decision making amongst stakeholders, including involvement of communities (i.e., consumers, carers, those with lived experience);
- Mechanisms for joint ownership and responsibility, where all partners are ‘shareholders’;
- Common language, goals, principles, strategies, measures of success and criteria to drive decision making;
- Long term time frame (including long-term contracts) to see through cycles of investment, evaluate results, and to make improvements for future cycles
- Good data and information to inform a thorough understanding of population health need and the services landscape, and to measure outcomes and attribution;
- Knowledge of high return interventions and willingness to test and evaluate in the absence of good evidence;
- Agreement on and application of methods to assess return on investment;
- Coordination of investments in service delivery with investment in infrastructure and technologies; and
- Common language, goals, principles, strategies, measures of success and criteria to drive decision making;
- Long term time frame (including long-term contracts) to see through cycles of investment, evaluate results, and to make improvements for future cycles
- Use of decision support technology: SDM – underpins our strategies
- Shared investment
- Joint planning / data sharing
- Population health outcomes
- Skilful facilitation through the full cycle (i.e., including planning, implementation and evaluation).
