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Using Co-Commissioning to Deliver Integrated Care: The Hunter New England Diabetes Alliance Model of Care


Catherine Turner ,

Hunter New England Central Coast Primary Health Network, AU
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Jay Rebbeck

Rebbeck Consulting, AU
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Background: Healthcare commissioning provides an opportunity to bring about the reform the health system needs.Commissioning provides us with a toolkit to re-orientate the health system away from acute / episodic care towards prevention, self-care and greater coordination between the hospital and primary care sectors.

Co-commissioning provides an innovative way to deliver integrated patient centric models of care.The Hunter New England Diabetes Alliance Model of Care is an excellent and proven example of co-commissioning in practice.

Aims and Objectives: Explain how commissioning can bring about meaningful change to health systems, with or without competitive procurement.

Explain how co-commissioning across primary and acute care settings can deliver innovative and patient centric models of care that wrap services around patients seamlessly and deliver the outcomes that really matter for patients.

Describe the Diabetes Model of Care that is funded jointly by the HNECC and the Hunter New England Local Health District and developed with their partners Hunter Primary Care and Calvary. Explain how the model delivers true integrated care for patients by moving specialist services that usually happen in a hospital outpatient clinic to the GP.

Explain the significant benefits and outcomes of this model, for patients, clinicians and for the acute and primary care systems.

Stimulate a lively discussion as to how co-commissioning can drive increased integration of health services across Australia.

Format: Jay Rebbeck -15m- How co-commissioning can enable integrated care for patients.

Catherine Turner -15m- How the HNEDA MOC delivers integrated care through co-commissioning.

Group Discussion -15m- Applying the learnings of co-commissioning to deliver integrated care across Australia.

Target audience: Clinicians and Administrators, Primary Health Networks and Acute setting

Learnings: Through the shared governance offered by an alliance model, co-commissioning provides a unique opportunity for primary care and secondary care funders to jointly commission healthcare services to deliver integrated services delivering improved patients outcomes.

The Diabetes Alliance has successfully used co-commissioning to deliver integrated health services.

These learnings have wide applicability for accelerating integrated care across Australia.

How to Cite: Turner C, Rebbeck J. Using Co-Commissioning to Deliver Integrated Care: The Hunter New England Diabetes Alliance Model of Care. International Journal of Integrated Care. 2018;18(s1):18. DOI:
Published on 12 Mar 2018.


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