Roles changing in new systems
According to Thinking differently about commissioning, the skills needed by finance staff are changing. Evolving roles are most marked in clinical commissioning group finance and performance teams, where staff are becoming more of a system than organisational resource.
These staff are working with many different departments in local providers, focusing more on quality improvement, including service development, rather than quality monitoring. In one case, a staff member was embedded in a provider to help develop finance and activity reports for the whole system.
The thinking behind staff recruitment was changing, said the report, with systems prioritised over organisations. System-wide recruitment could strengthen new ways of working. Some roles had been redesigned to suit system working, while others were passed to another part of the system. In some cases, recruitment had been postponed while system needs emerged.
The report said finance and performance issues provided the initial impetus for organisations to work as a system. But tight financial positions had dragged some organisations back to focusing on their own bottom line at the expense of system needs.
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