Health and social care services

FCG’s experienced specialists understand health and social care management end to end, from workforce planning to data-informed decision-making. Our team knows the day-to-day reality of professionals in the field, as many of our experts have worked in provider organisations. Alongside solid practical experience, our work is grounded in research evidence and collected data, which enables development initiatives that deliver real impact.

We help both wellbeing services counties and private providers to build effective workforce wellbeing and capability management, improve staff retention, and allocate resources optimally. Our services include leadership assessments, change support for staff and management, and the implementation of new service-delivery models. By developing strategic workforce wellbeing and capability management, organisations can achieve significant cost savings as absences and disability retirements fall. Studies indicate that every euro invested in workplace wellbeing can return up to six euros.

We also provide advanced tools for data-informed management. With our PYLL index (Potential Years of Life Lost), we make premature mortality visible and help wellbeing services counties target wellbeing and health-promotion (HYTE) work where it has the greatest impact. With the RAFAELA patient-classification system, we optimise nursing workforce allocation by producing continuously updated data on patient acuity and nursing workload. These tools support patient safety and improve staff wellbeing because resourcing is based on accurate information about actual care needs.

FCG develops and maintains client and patient classification systems in partnership with health and social care organisations. Our specialists have long experience of patient- and client-level costing using the cost per patient/client (CPP) model. We provide systems for both wellbeing services counties and private-sector providers.

Client and patient classification systems create the information base for developing operations by combining routinely recorded service-delivery data with cost data. They enable data-informed management by producing reliable, comparable information on patient pathways and their costs. This information supports planning, evaluation and decision-making, and provides a basis for measuring outcomes.

Our product family covers all services from primary care to specialised care. The EPR system examines the whole patient pathway by linking all services received into episodes, regardless of organisation. pDRG® focuses on primary-care outpatients, dDRG® on oral health care, and NordDRG® on specialised care, enabling comparisons between hospitals. All systems draw on data routinely recorded in the patient record, without extra reporting work for clinical staff.

FCG has long experience of close collaboration with health and social care providers. Our strength is a deep understanding of professionals’ daily work and of process development needs; many of our experts have worked in provider organisations. Within one organisation we offer strategy, leadership development, financial consultancy and service-network reviews, which allows us to support even the most demanding county-level development programmes holistically.

We cover the full breadth of strategic management for wellbeing services counties. FCG is Finland’s leading partner for public-sector strategy work, with experience from more than 200 strategy projects at every administrative level. In leadership development, we have the country’s broadest expertise in the management questions facing municipalities, municipally owned companies and wellbeing services counties. Our services include management-system benchmarking, self-assessment surveys for decision-making bodies, strategic management, and the development of both elected-member and executive leadership. Every strategy process is co-designed with the client, from analysis of the operating environment to concrete implementation and follow-up.

In financial consultancy, we know the varied starting points and future challenges of wellbeing services counties in detail. Our methods, refined over decades and hundreds of partnerships, support county finances from analysing demographic change to identifying funding risks and finding adjustment measures. In renewing service networks we use our ART foresight model to create evidence-based scenarios that support well-managed change. We help assess the current network and plan sensible changes across health and social care, education and support services.

FCG has developed and represents several scientifically constructed instruments for assessing functional capacity and care needs. They are suitable for both wellbeing services counties and private providers. The instruments produce structured information about a client’s or patient’s functioning and service needs, which enables client-centred service planning. With a shared assessment method, the overall process stays in control and work is cost-effective and transparent for all parties.

The instruments support professionals in daily practice. The TUVA instrument assesses five domains of functioning for mental-health clients using 25 criteria, and rates the severity of 15 psychiatric symptoms. It can be completed in under an hour and strengthens client involvement through a self-assessment form. The FIM instrument assesses an adult with disabilities across 18 activities in motor and cognitive domains, and is suitable for many impairment groups from stroke to developmental disability. The RAVA instrument focuses on assessing the functional capacity and care needs of older people across 15 basic, instrumental and psychosocial activities.

The instruments support both client work and organisational management. At individual level they help assess functioning, design the most appropriate package of services and track outcomes. At organisational level they enable workforce planning, data-informed management and service improvement. The reporting applications – TUVATAR, RehabFIM and RAVATAR – produce client- and organisation-level reporting that makes the work visible and clarifies the evaluation of effectiveness.