Brenda Dooley

1. Sectoral Collaborations
Brenda Dooley
Managing Director
AXIS Healthcare Consulting Ltd

2. Sectoral Collaborations
 AKA cross /intersectoral collaborations, joint
working or partnerships
 “A collaborative outcome is the development of
integrative solutions that go beyond an
individual vision to a productive resolution that
could not be accomplished by any single
person or organization”
 Require a common vision and common
language
 Flavour of the last 2 decades - but is it just
wishful thinking ??

3.  What are the entry points at
national level for strategic and
operational discussions?
 How can capacity for
collaborative action be
ensured and credible
partnerships created?
 How can partnerships be
struck at all levels from local to
global, governmental
to private?
Key Questions ?

4. Healthy Ireland : Partnerships & Cross Sectoral
work
 … “important to identify local structures for
implementation and how these can be
supported to work on common agendas”
 “Forge proactive partnerships at the national
and local level to activate the role of the private
sector in addressing the broader determinants
of health and wellbeing and improving the
health of the population”
 Health & Wellbeing directorate in the DoH and
HSE established to coordinate models to
enable cross sectoral work

6. What are our neighbours in the UK doing ?
Joint Working
 Framework established by
the UK’s DOH in 2008
 NHS organisations & staff actively
encouraged by DOH to consider
opportunities for joint working with
private sector
 Benefits this could bring to patient
care and health outcomes clearly
seen as advantageous

8. UK’s definition of “Joint Working agreements”
 Joint working between the
pharmaceutical industry and the NHS
must be for the benefit of patients or
the NHS and preserve patient care
 … are conducted in an open and
transparent manner
 Of note is that this differs from
sponsorship, where pharmaceutical
companies simply provide funds for a
specific event or work programme

9. Joint Working in the UK
Many people call joint working innovative but it’s really common sense. The key
is patient benefit, and this is something where both sides can be rewarded”
UK Department of Health
“Joint working doesn’t need to be expensive. It’s not about money but how we
bring together skills for a better health outcome”
Partnership in Health Awards July 2013 UK

10. Enablers to collaboration with the private sector in
the UK
Toolkit on Joint Working developed
Moving Beyond Sponsorship:
joint working between the NHS and pharmaceutical industry
http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.go
v.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc
e/DH_082840

13. Joint Working in the UK
 UK now provides some excellent
examples of private sector
meaningfully engaging with NHS
stakeholders
 Significant learning's from our nearest
market – success & failures
 not all joint working / collaborations
require budgetary investment
 Efficiency gains for NHS achieved
( e.g. BPR, Lean sigma & knowledge
exchange)

14. An example of Joint Working in the UK

15. Another example…

16. Experience in Ireland
Homecare project 2009
 A Joint working partnership between HSE national
office, University Hospital Galway, HSE west, Pfizer,
Movianto, Hibernian Healthcare at home and NUIG
 A 6 month programme providing home care
management of cellulitis
 Strategic and project work teams established from
public & private sector
 Private sector funded the provision of nurses, waste
disposal & analysis of project
 Public sector funded IV antibiotics, risk management
plan and interim & final report
 Sectoral collaboration are achievable here
however …..

17. Enablers need to be in place…
Terms of
Reference agreed
at outset
A Memorandum of
understanding
between sectors is
key
Commitment & a
documented framework
must come from the
DOH
Governance
procedures
essential
Clear identification of
ALL the relevant
stakeholders
Written scope for
each project at
outset with
agreed
deliverables

18. PROMs
please..
 PROMs are measures of a patients health status or health related quality
of - health improvements is assessed by the person experiencing it, not by
a doctor or anyone else.
 In the UK the view is that PROMs are likely to become a key part of how all
health care is funded, provided and managed
 Patient Reported Outcome Measurements ( PROMs ) afford a mechanism
for joint working or sectoral collaboration

19. A final thought….
“Its not what we are doing ,but ,what we are achieving that
counts
PROMs helps us see what we are really achieving for Patients”
NHS payer speaking at a conference in London Feb 2015

20. Thank You