August 2018 marked a one-year milestone in Lancashire and South Cumbria’s journey towards a new commissioning system. This article describes that journey, focusing on the lessons learnt in the first year of what will ultimately be a long-term plan for change.

Key to Lancashire and South Cumbria’s experience is the importance of putting the right people alongside the best processes and using the most honest approach to get reform in a complex and multi-faceted system successfully off the ground. We talk about the importance of buy in and co-production as well as the need for clear project design and the incorporation of bespoke ways to make decisions based on data and evidence as well as passion and governance.

 

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