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The PSTA / Commissioning Compass / Reading

Factors that constrain and enable

Aspect of Commissioning 4: citizen, place, and outcome centred. Teaching text from June 2025.

June 2025 teaching template, slide 51

Citizen, place, and outcome centred – Factors in place that constrain and enable (1/2)

How success is defined in your place – supporting citizens, ticking the right boxes, keeping costs down etc

Leadership and bravery of local system leaders

The aspirations of your local leaders, including political leaders at a local, sub-regional or National level.

Political ideology or vision (and interaction between local, regional, national or wider scale ideologies)

How goals and targets are set for interventions, developments or improvements.

Outcome-focused vs time-and-task approaches

Use of technology to support delivery of outcomes

Which of these factors most holds back your ability to work in this space? Which most supports you?

June 2025 teaching template, slide 52

Citizen, place, and outcome centred – Factors in place that constrain and enable

Levels of coproduction – feasible and aspirational

Level of education of community about areas to change, such as inclusion, sustainability, environmental, population, and health improvement.

Focus on supporting wider enabling outcomes, e.g. creating environmental and population health through urban design to improve fitness and healthy weight

How funding is connected to outcomes

Which of these factors most holds back your ability to work in this space? Which most supports you?