Spotlight: How TACSI is working with PHNs to improve local health outcomes

Over the last 10 years we’ve acted as strategic partners to Primary Health Networks across Australia, bringing social innovation practices to every stage of the commissioning cycle. Here’s how we could work with you and your PHN.

Our experience

As Primary Health Networks (PHNs) embrace their remit to work with local communities and steward local systems, we’re proud to partner with them to bring social innovation practices to the commissioning cycle.

 

Our experience includes working with PHNs to:

  1. Facilitate the development of integrated health care models to bring together community, clinical, and primary health perspectives in co-design, informed by the needs and aspirations of priority populations. 

  2. Collaboratively develop service models,commissioning policies and practices to meet diverse needs.

  3. Support the take-up of peer-to-peer models to support transitions between services and activate latent community capability, including in domestic and family violence, caring, addiction and bereavement.

  4. Build capabilities within PHNs and local systems to embrace co-production at every stage of the commissioning cycle.

 

Across this work we draw on:

  • A strengths-based, trauma-responsive, culturally-sensitive approach to co-design appropriate for engaging priority populations.

  • A structured approach to innovation, including prototyping, as a way to accelerate development of innovation whilst mitigating risks. 

  • Tools and approaches that help us take a systemic perspective.

  • Our extensive experience of developing and implementing the RRR (Recognise Respond Refer) model with Brisbane South, Adelaide PHN, Country SA PHN & Primary Health Tasmania as well as working with a group of  an additional 9 PHNs to support the further scale. 

  • A range of reference points for service design, system design and organisational models that come from outside of healthcare. 

  • Fifteen years of social innovation experience working with marginalised populations.

“Primary Health Tasmania acknowledges the invaluable contribution of The Australian Centre for Social Innovation (TACSI) in conducting the needs analysis for the Supporting the Primary Care Sector Response to Family, Domestic, and Sexual Violence Pilot. TACSI demonstrated exceptional professionalism, care, and a deep commitment to trauma-informed and culturally safe practices. Through fostering respectful and inclusive environments, they ensured that all voices were heard and valued. We commend their dedication to engaging stakeholders across specialist services, primary care, and community organisations which has been instrumental in raising awareness of this important work and creating opportunities for meaningful participation.”

Primary Health Tasmania

Four ways we’re partnering with PHNs

1. Building integrated health care models informed by the needs of priority populations

We’ve supported PHNs to bring together clinical, primary care and community partners in new and different ways to co-design integrated health care models. These are informed by strengths-based, trauma-responsive, culturally-sensitive research into the needs of priority populations. 

“Ash and Carla have beautifully facilitated both online and in-person workshops that have created safe, generative spaces for reflection, learning, and connection. Their approach has enabled a diverse range of service providers—including the PHN—to explore the many ways we can centre healing and recovery for victim-survivors, both in the way we deliver services and in how we design and commission them. Their facilitation has been grounded, thoughtful, and deeply respectful—drawing out the wisdom in the room and helping us challenge assumptions, share vulnerabilities, and shift towards more trauma-informed, human-centred practice.”

Hunter New England & Central Coast PHN

 

Our partnerships include:

  • Alongside Brisbane South PHN, supporting the integration of the RRR (Recognise Respond Refer) model through work with PHNs, primary health, the FDSV workforce, people with lived experience and other intersectional sectors.

  • Alongside Hunter New England & Central Coast PHN, piloting the Supporting FDSV Recovery and Healing pilot across two locations in regional NSW working with a collective of Family Domestic and Sexual Violence (FDSV) and Mental Health services.

  • Alongside Brisbane South PHN, adapting the Supporting FDSV Recovery and Healing pilot with a focus on cultural safety and support for children.

  • Alongside Brisbane South PHN, shaping recommendations for integrated support across mental health and alcohol and other drug services with a PHN, local community, and people with lived/living experience.

  • Alongside Brisbane South PHN, developing a new philosophy of care and service model to better connect mental health, alcohol and other drugs and suicide prevention services, working with a PHN, local community members and people with lived/living experience.

  • Alongside Darling Downs & West Moreton PHN developing an integrated service hub approach to providing place-based mental health, suicide prevention, alcohol and other drugs experiences with a PHN, local community members and people with lived experience, all underpinned by a philosophy of care that cares for the whole person, whole community and whole place.

Bringing community expertise into model design

2. Designing and developing service models, commission policies and practices to meet diverse needs

We’ve supported PHNs to intentionally bring together community, clinical and primary health partners to collaboratively develop new commissioning models that meet diverse needs, overcome inequitable health care outcomes and scale across systems. We pay special attention to enabling organisations and sectors with differing  values, cultures and philosophies to align and lead together. The key to success is creating time to understand each other's strengths, roles and contributions.

“It was a pleasure collaborating with TACSI and other specialist facilitators, LELAN, NINI and Purple Orange, on a novel approach to co-design with community on the Supporting Primary Care response to Family, Domestic and Sexual Violence Pilot. Co-designing a pilot model that works for two different sectors and multiple intersecting communities who all have unique experiences of multiple forms of abuse required working sensitively with many layers of complexity. TACSI led the specialist facilitators to deliver on the vision Adelaide PHN had for the co-design phase of the pilot and we’re excited to move forward with implementing the model designed with community.”

Adelaide PHN

 

Our partnerships have included:

  • Co-designing the initial Recognise, Respond and Refer (RRR) model with Brisbane South PHN and victim/survivors of FDV, General Practitioners(GPs) and FDSV specialists. This model has now  been running in Brisbane South for seven years and has been taken up by an additional 11 PHNs.

  • Designing and adapting the Local Link function of the RRR model alongside Adelaide PHN and Country SA PHN in preparation to commission and pilot, in collaboration with LELAN, NINI and Purple Orange

  • Developing a commissioning model alongside Darling Downs & West Moreton PHN that enables integrated delivery of mental health, suicide prevention and alcohol and other drugs, to overcome the disparities of the metro and regional divide with local community members and services.

From competition (first image) to collaboration (second image)

3. Supporting the development and implementation of peer-to-peer service models

We’ve supported PHNs to pilot, develop and adapt peer-to-peer models for local health care systems. Peer-to-peer models support community members to support community members and are particularly effective in supporting navigation between services, and life transitions. Our experience includes developing and supporting the implementation of peer-to-peer models to address domestic and family violence, caring, addiction and bereavement.

“As a primary health focused organisation, there is a clear commitment and strategic focus on providing appropriate and innovative services that respond to the needs of those requiring care and their carers that improves health and wellbeing outcomes. Weavers capitalises on the knowledge and expertise derived from a lived experience understanding of what it takes to manage the ebb and flow of the caring journey.”

PHN Project Manager

 

Our partnerships have included:

Peer-to-peer support to navigate transitions between services and life-stages

4. Developing co-production capacities and capabilities

"I have definitely shifted my thinking toward more relationship focus, and being mindful of how to let people of diverse backgrounds have their voices heard. I want to work towards implementing more co-planning and co-design processes in my work moving forward, and ensuring that I always consult with members with lived experience in a culturally informed and safe way. There were many [ah-ha moments] throughout the past couple of days, but I think the biggest moment was leading through vulnerability to break down imbalances of power."

Foundations in Co-Design, Course participant

 

Our experience includes:

  • Alongside the collaborative development of health care models, services models and commissioning models, our work with PHNs often includes building capability within the PHN (and sometimes the broader local system) to embrace co-production. This could include co-planning, co-design, co-commissioning, co-implementation, co-delivery (peer-to-peer) and co-evaluation.

  • We also provide training in co-design through the TACSI Learning Hub.

Wrapping ‘co’ around the commissioning cycle: partnering with community, primary health and clinical services to understand needs, plan, procure and evaluate.

To learn more about our work with PHNs, or to connect with Carla Clarence, get in touch here.

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