Open Dialogue International Community Forum

Meeting with commissioner

Dear All,
I have a meeting with a commissioner of services in my area to discuss the Open Dialogue Approach in mid January. Does anybody have any experience of setting up a proof of concept pilot for Open Dialogue and how did you present this to the local commissioners?

Warm Regards.

Hello Duncan,
Meeting commissioners of services will not be an easy ride because their primary interest will be economics, and you need to be very aware that the underlying NHS philosophy is privatisation. I looked at this issue in 2016 when I did the introductory programme and was inspired to see if I could take the idea forward. The evidence in Finland was compelling and is worth reviewing again, but it is clear that the early investment was not easy to establish from their commissioners. As the CEO of an NHS Mental Health Trust it would seem I had all the advantages, but the competition amongst the professionals was a significant barrier too as each Professor sought to protect ‘their’ turf. I am in Austria at the moment but will be back in the UK early January. We can speak online and email but I am aware of the tight deadline you have. Do get in touch if I can help. Best wishes, Rex