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The table outlines what good practice should look like in some of the key areas relating to understanding needs and making a decision to decommission. It identifies the risks of not following good practice and looks at how these risks might be mitigated and what actions commissioners can take when the timeframe is very tight […]

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February 22, 2013

The table outlines what good practice should look like in some of the key areas relating to understanding needs and making a decision to decommission.

It identifies the risks of not following good practice and looks at how these risks might be mitigated and what actions commissioners can take when the timeframe is very tight and good practice is difficult to achieve.

 

Good practice Risks of not following good practice Mitigating these risks
Carry out a Needs Assessment exercise Services are decommissioned that are needed and those that are re-commissioned do not meet needs: leading to unmet need, inefficiency and waste and potentially more, expensive services needing to be accessed later
  • Speak to providers to understand where needs assessment data may be weak or lacking
  • Use most recent JSNA
  • Collate service usage data
Involve users in assessing needs and gaps Services are decommissioned that are needed and those that are re-commissioned do not meet needs: leading to unmet need, inefficiency and waste and potentially more, expensive services needing to be accessed later

Users unhappy with the final outcome of decommissioning

Reputational damage

  • Consult existing user groups and panels
  • Look at most recent user feedback data
Involve providers in assessing needs and gaps Providers challenging the final outcome of decommissioning

Innovation in service design may be stifled

Reputational damage

  • Have a conversation with providers
  • Look at any service mapping data available to identify duplication or gaps.
Understanding the current and potential market of providers Destabilising the provider base
  • Have a conversation with providers
  • Look at any provider directories
  • Speak to the local infrastructure bodies
Understanding the costs and benefits of current provision Inaccurate assessments made of the costs/benefits of decommissioning

May lead to more inefficient or expensive service being re-commissioned

  • Re-look at the original submissions from providers following a tender for a service
  • Ask providers what their indirect or other costs may include