Finance & Funding


Changing systems of care so that they can offer better integration requires initial investment and funding; a degree of operational funding during transition to the new models of care; and on-going financial support until the new services are fully operational and the older ones are decommissioned. Ensuring that initial and on-going costs can be financed is an essential activity that uses the full range of mechanisms from regional/national budgets to ‘stimulus’ funds, European Union investment funds, public-private partnerships (PPP) and risk-sharing mechanisms).

Indicators of maturity:

Use of regional/national stimulus funds; innovative procurement approaches (e.g., PPP, risk-sharing, multi-year contracts for IT service provision).


  1. No special funding allocated or available
  2. Fragmented innovation funding, mostly for pilots
  3. Consolidated innovation funding available through competitions/grants for individual care providers
  4. Regional/national (or European) funding or PPP for testing and for scaling-up
  5. Regional/national funding for scaling-up and on-going operations
  6. Secure multi-year budget, accessible to all stakeholders, to enable further service development.
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