The PSTA / Commissioning Compass / Reading
Factors that constrain and enable
Aspect of Commissioning 1: Whole system design. Teaching text from June 2025.
June 2025 teaching template, slide 33
Whole system design – Factors in place that constrain or enable (1/2)
Population needs assessment, including levels of health, well-being and age distribution of the population
Wage rates and employment market, relative and absolute poverty
Levels of community safety and crime.
Other geo-demographics of your place – characteristics, location, and density of population
Understanding the underlying need and what is actually shaping behaviour or demand.
What matters to people and communities – local views about wellbeing and care.
Geographical marginality and isolation.
Transport ease and accessibility.
Which of these factors most holds back your ability to work in this space? Which most supports you? (Remember to look at the next slide as well)
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June 2025 teaching template, slide 34
Whole system design – Factors in place that constrain or enable (2/2)
Levels of deprivation.
Population changes
Amount, quality, and accessibility of green spaces
Urban design
Funding and structures of the council and partners (and how they link together, or don’t)
Degree of health and care integration, and at what spatial level
Land value and planning issues
Workforce and workforce planning
Pressure to provide standardised services (discussion of ‘postcode lotteries’, etc.)
National funding and payment funnelled through individual organisations or providers, not place.
Which of these factors most holds back your ability to work in this space? Which most supports you? (Remember to look at the previous slide as well)
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