Backed by experienced senior practitioners with extensive financial and performance management expertise across Australian Health services, we assist Government departments and providers, often collaboratively, to examine root causes of deterioration in performance to present sustainable solution to ameliorate gaps and return them to sustainable results. Our strong operational understanding of health service deliver means that we develop objective analysis and recommendations that are practical and reflective of the direct and indirect effects of recommended changes.

Our long-standing experience in financial and performance reviews means we are able to identify practical and cost-effective improvement opportunities with a clear understanding of the operational and workforce ramifications of proposed solutions. We also assist organisations by working alongside managers in implementing and monitoring proposed improvement strategies.

Our senior team have a strong understanding of the governance issues facing health service boards and executive management teams. We conduct reviews of Board reporting frameworks, risk management, accountability and delegation reviews.  Our advice often involves developing planning frameworks which align the year on year operational planning process and budget setting processes to the organisation’s longer term strategic imperatives, medium term business imperatives and risks management framework.

We assist organisations in strengthening their planning processes with good governance and accountability structures by aligning business plan metrics with devolved performance management reporting tools.

Where possible, we draw from the organisation’s existing reporting and planning systems capabilities to present a workable and cost-effective approach to monitoring and communicating operational, financial and strategic objectives.

We also work with executive, clinical and corporate management teams to assess financial management capability that strengthens governance and accountability practices across the organisation.

Our activity based management experience extends across all Australian jurisdictions in acute, mental health, sub-acute and primary health settings. We work with health funders and providers on development of funding frameworks including funding model definitions, classification frameworks and roll-out of activity based and other funding models. We work with organisations to understand the implications of these reforms on revenue streams and service delivery resource allocation.

With over 20 years’ clinical costing and revenue modelling experience, we assist health services to extend their use of activity based costing and other models to understand costs at health service, facility, service line or procedure levels and provide enhanced management information. We assist organisations to bridge the gap between technical costing elements to providing valuable resource management tools for executives, operational managers and clinicians.

We assist organisations and policy makers in generating evidence that improves understanding of how programs or services are performing within localised and macro-level environments, community service needs, organisational capacity constraints and government policy framework considerations. We are experienced in designing and successfully implementing tailored evaluations, ranging from rapid reviews to complex multi-year and multi-mode evaluations.

Recognising the increasing focus in the public sector on measuring the outcomes of programs and services, we work with our clients and their stakeholders to define what ‘success’ means, develop robust evidence-based indicators and measures to assess performance, and develop tools and processes to support the capture, analysis and reporting of performance information.

Clients engage with us to assess the costs, benefits and risk of entering new service areas or expanding existing ones. We provide strategic and/or in-depth analysis of opportunities, supported by robust multidimensional scenario and sensitivity models that consider the financial, workforce, capital and outcomes derived from the opportunity being tested.

We also work with our clients to develop convincing and robust business cases to support investment in complex service change initiatives and capital investments which consider the political, community and industrial sensitivity likely to affect the investment. We work with our clients to review the financial and operational feasibility of proposed initiatives and to develop benefit realisation frameworks to measure the benefits of implementation. 

We work with clients across all jurisdictions to realise the benefits and manage the risks of contestability and procurement initiatives.  Our experience ranges from assessment of in-house capabilities, development of contestability strategies and sector comparability frameworks. We assist government departments and providers in advising and project managing procurement and tender processes including specification and structured documentation template development, contract management processes and tender governance procedures. We have expertise in the establishment of shared service models, contestability reviews, feasibility assessments of market testing for outsourcing options.

Paxton Partners team includes experts that specialise in assisting Governments, health services and primary care practices to improve the use of health technologies, clinical information management systems and business intelligence systems that improve strategic, operational and clinical decision making. We undertake engagements ranging from targeted system reviews to comprehensive IT and Information Management strategies, covering the potential impacts on the organisation’s services, its people, business processes and interactions with other systems and technology.

Paxton Partners works with providers and investors to assess business opportunities in public and private markets to assess the industry and entity specific benefits risks of proposed entry into new service offerings and market sensitive transactions.  Our work includes providing evidence based advice relating to market assessments of the target industry, pre and post- acquisition due diligence assessments and other industry specific corporate governance, policy, financial sustainability and operational considerations for entering the target market.