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The demand you can’t see is costing you. Leading and Commissioning for Outcomes in Complexity — Convening Systems Change can help!

2 min readAug 19, 2025

Complexity — Convening Systems Change can help! https://www.linkedin.com/posts/antlerboy_management-leadership-complexity-activity-7363470956125671425-ElJ0 If your system could stop answering the wrong demand, where would you reinvest the freed capacity first?

The demand you can’t see is costing you. Leading and Commissioning for Outcomes in Complexity — Convening Systems Change can help!

If you cover elements of #management, #leadership, transformation, outcomes focus in #complexity — and you want systemic results rather than more activity, (and if you work more than 50% of your time for an English organisation), come to our webinar tomorrow at 12:30pm to hear about this work-based Level 7 apprenticeship. It’s also a smart next step for #careers in #commissioning and #transformation.

Amongst other powerful models — the Viable Systems Model, Soft Systems Methodology, Patterns of Strategy — we’ll dig into seven practical ways to understand and reshape demand — prevention, channel design, failure demand, and more — and show how to turn the noise into insight.

Some examples of the kind of work we’ve helped people to do:
- reframe statutory advocacy around a citizen promise — ‘I can contribute to, and make decisions about, my care’ — this led to contract reviews switched to meaningful measures, with dip-sampling and local benchmarking of activity and outcomes, clearer reporting, better dialogue with providers, and better long-term thinking.

- map resident and provider journeys for community equipment, then co-designed fixes to the collections process with drop-off options — alongside a cost-avoidance model to shift prescribing towards strength-based practice. This led to higher collection volumes, better user experience, and an investible business case.

- a musculoskeletal access service was drifting, focused on activity data; reinstated outcome-focused contract management with regular provider–commissioner reviews. Reports now track patient journeys and quality, and the provider helps improvement work across primary and secondary care.

- convene, commissioners and families to redesign ADHD pathways, keeping partners engaged while shifting from ‘diagnose first’ to ‘support now’ while partners stayed engaged. The result was a costed, integrated model, with diagnostic, support and medication routes tested across boroughs.

If your system could stop answering the wrong demand, where would you reinvest the freed capacity first?

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