Decision Effectiveness

Tom Jackson

Matthew Greene

NHS Liverpool Clinical Commissioning Group

1.) LCCG & Decision Effectiveness

2.) What is the Decision Effectiveness Toolkit?

3.) Next Steps at Liverpool CCG

4.) Questions

What we are covering?

• LCCG is required to make multiple large decisions to operationalise Healthy

Liverpool

• Decisions are complicated, involve lots of stakeholders, high value and maybe

risky as we look to close health inequalities gap

• Once in a generation opportunity to get best possible value from investment

funds available

• Effective decision making will be crucial for Healthy Liverpool to work

LCCG Context

• Future Focused Finance developing Decision Effectiveness Toolkit through Best

Possible Value Work Stream

• Ran a small in house pilot at LCCG looking at Frailty Unit

• Successful in application to FFF to become a pilot site for fully testing

Decision Effectiveness Toolkit

• Bain & Co support arranged for 7 weeks to help apply toolkit to ‘Healthy Lung’

Decision Effectiveness at LCCG

What is decision effectiveness?

Three frogs are sitting on a log.

One decides to jump off.

How many are left on the log?

• Get clinicians involved in the decision!

• Gain clarity on why action needs to be taken and what needs to be done

• Individuals feel ownership / involvement of the decision

• Value based thinking – getting the order right

• Define the required outcomes and how they will be measured

• Come up with options and assess against the outcomes

Benefits of the What

• Agree who will play which role in your decision – only 1 decision

maker

• Plan the process ahead to successfully move through governance

system

• Involve the right people at the right time

• Lead to wider improvements your process?

Who

• Mobilise Healthy Lung Investment

• Need to embed Decision Effectiveness Approach within LCCG

• Training of PMO staff to facilitate workshops and produce outputs

• Discussions around a ‘Lite’ Version of the Toolkit for smaller

decisions

• Widening the Value Conversation

Next Steps at Liverpool CCG

http://bpv.futurefocusedfinance.nhs.uk/

Questions?