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