Table 1.

Key lessons learnt and potential solutions

Key findings	Potential solutions
The structure put in place (alliancing) itself does not bring about joint working. Relationship building is essential.	Invest in nurturing and maintaining relationships between individuals and institutions.
An expectation of being able to deliver new models of care without provision of dedicated resources is false.	Ensure availability of adequate resourcing and develop agreement regarding the distribution of available resources.
A committed leadership to resourcing and joint working is important.	Ensure a leadership who leads change by sharing common vision and goals, developing teamwork based on trust, relationship and open communication.
It is hard for project leaders to lead the strategic work on top of their day job.	Ensure a dedicated change agent maps out the implementation.
Lack of detailed plan (clarity around roles and responsibilities and scope) and interdependencies made the implementation roadmap vague.	Acknowledge complexity and that transformation of this kind takes time. Develop a detailed and achievable implementation plan with a clear project management approach. Ensure robust staff and stakeholder engagement.
A robust feedback mechanism is needed for quality of implementation and to promote shared learning.	Develop an overall quality improvement approach for the whole strategy and performance measurement framework to track the progress of strategy’s objective.