This is in contradistinction to a sharing economy marketplace model such as Airbnb or Uber who are not burdened with human capital costs, but rather pay transactional commissions on any given home-owner or driver.
However, transactional commissioning was described as depending on prior relational work, with flexibility and reciprocity being crucial in maintaining momentum for change, particularly given the increased demand for long-term condition services and potential financial shortfalls.
Transactional commissioning / contracting is much less fluid, sticking more rigidly to specified timescales and targets (e.g. KPIs) and having the ability to penalise poor performance and ultimately terminate contracts.
New clinical commissioning groups will need to determine how best to balance the relational and transactional elements of commissioning.
This is a mutual-fund aggregator site, which offers both research functions as well as transactional capabilities without charging commissions.
However, our analysis of interviews and documents—as well as observation of the day-to-day activities involved in commissioning confirmed that commissioners tend to focus on the relational rather than transactional aspects of commissioning.
The current analysis examines the extent to which commissioners had adopted a market-oriented (transactional) model of commissioning rather than the relational approach [ 1, 3, 4] that marked NHS community health services in the 1990s [ 5].
We examine the extent to which local commissioners had adopted a market-oriented (transactional) model of commissioning of care for people with long term conditions several years into the latest period of market-oriented reform.
For reasons predicted by the outsourcing literature, many participants felt uncomfortable about outsourcing core commissioning support functions (eg, contract negotiation and monitoring) but were at ease with the idea of outsourcing the transactional type of commissioning functions, like business intelligence and data management.
Mind you, the commission is the least of your transactional costs.
