This document discusses decision effectiveness and the Decision Effectiveness Toolkit being piloted at NHS Liverpool Clinical Commissioning Group. It provides context on the need for effective decision making to operationalize their Healthy Liverpool initiative. It introduces the Decision Effectiveness Toolkit being developed through the Best Possible Value work stream to help make complicated, high value decisions. It describes how Liverpool CCG is piloting the toolkit to help make a decision around their "Healthy Lung" initiative and the next steps of embedding this approach and training staff to facilitate its use.

1. Decision Effectiveness
Tom Jackson
Matthew Greene
NHS Liverpool Clinical Commissioning Group

2. 1.) LCCG & Decision Effectiveness
2.) What is the Decision Effectiveness Toolkit?
3.) Next Steps at Liverpool CCG
4.) Questions
What we are covering?

3. • 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

4. • 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

5. What is decision effectiveness?
Three frogs are sitting on a log.
One decides to jump off.
How many are left on the log?

10. • 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

12. • 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

14. • 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

15. http://bpv.futurefocusedfinance.nhs.uk/
Questions?