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Reorganising Health Care Delivery through a Value-Based Approach SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Reorganising Health Care Delivery through a Value-Based Approach


Set in 2014, this case study examines the development and ongoing transition to value- and outcomes-based commissioning for diabetes care across North Central London (NCL). With the aim of improving health outcomes among their local populations, Clinical Commissioning Groups (CCGs) in NCL set out to tranform the delivery and funding of services. This involves incentivize providers to deliver on specific health outcomes that are important to patients via an integrated platform encompassing multiple entry points - primary, secondary, social care and community services.

Authors :: Ridhima Aggarwal, Stephen E. Chick

Topics :: Strategy & Execution

Tags :: , SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Reorganising Health Care Delivery through a Value-Based Approach" written by Ridhima Aggarwal, Stephen E. Chick includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Ncl Commissioning facing as an external strategic factors. Some of the topics covered in Reorganising Health Care Delivery through a Value-Based Approach case study are - Strategic Management Strategies, and Strategy & Execution.


Some of the macro environment factors that can be used to understand the Reorganising Health Care Delivery through a Value-Based Approach casestudy better are - – technology disruption, cloud computing is disrupting traditional business models, increasing household debt because of falling income levels, increasing commodity prices, increasing transportation and logistics costs, talent flight as more people leaving formal jobs, central banks are concerned over increasing inflation, there is increasing trade war between United States & China, there is backlash against globalization, etc



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Introduction to SWOT Analysis of Reorganising Health Care Delivery through a Value-Based Approach


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Reorganising Health Care Delivery through a Value-Based Approach case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Ncl Commissioning, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Ncl Commissioning operates in.

According to Harvard Business Review, 75% of the managers use SWOT analysis for various purposes such as – evaluating current scenario, strategic planning, new venture feasibility, personal growth goals, new market entry, Go To market strategies, portfolio management and strategic trade-off assessment, organizational restructuring, etc.




SWOT Objectives / Importance of SWOT Analysis and SWOT Matrix


SWOT analysis of Reorganising Health Care Delivery through a Value-Based Approach can be done for the following purposes –
1. Strategic planning using facts provided in Reorganising Health Care Delivery through a Value-Based Approach case study
2. Improving business portfolio management of Ncl Commissioning
3. Assessing feasibility of the new initiative in Strategy & Execution field.
4. Making a Strategy & Execution topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Ncl Commissioning




Strengths Reorganising Health Care Delivery through a Value-Based Approach | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Ncl Commissioning in Reorganising Health Care Delivery through a Value-Based Approach Harvard Business Review case study are -

Operational resilience

– The operational resilience strategy in the Reorganising Health Care Delivery through a Value-Based Approach Harvard Business Review case study comprises – understanding the underlying the factors in the industry, building diversified operations across different geographies so that disruption in one part of the world doesn’t impact the overall performance of the firm, and integrating the various business operations and processes through its digital transformation drive.

Strong track record of project management

– Ncl Commissioning is known for sticking to its project targets. This enables the firm to manage – time, project costs, and have sustainable margins on the projects.

High switching costs

– The high switching costs that Ncl Commissioning has built up over years in its products and services combo offer has resulted in high retention of customers, lower marketing costs, and greater ability of the firm to focus on its customers.

Successful track record of launching new products

– Ncl Commissioning has launched numerous new products in last few years, keeping in mind evolving customer preferences and competitive pressures. Ncl Commissioning has effective processes in place that helps in exploring new product needs, doing quick pilot testing, and then launching the products quickly using its extensive distribution network.

High brand equity

– Ncl Commissioning has strong brand awareness and brand recognition among both - the exiting customers and potential new customers. Strong brand equity has enabled Ncl Commissioning to keep acquiring new customers and building profitable relationship with both the new and loyal customers.

Digital Transformation in Strategy & Execution segment

- digital transformation varies from industry to industry. For Ncl Commissioning digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Ncl Commissioning has successfully integrated the four key components of digital transformation – digital integration in processes, digital integration in marketing and customer relationship management, digital integration into the value chain, and using technology to explore new products and market opportunities.

Ability to lead change in Strategy & Execution field

– Ncl Commissioning is one of the leading players in its industry. Over the years it has not only transformed the business landscape in its segment but also across the whole industry. The ability to lead change has enabled Ncl Commissioning in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

Superior customer experience

– The customer experience strategy of Ncl Commissioning in the segment is based on four key concepts – personalization, simplification of complex needs, prompt response, and continuous engagement.

Ability to recruit top talent

– Ncl Commissioning is one of the leading recruiters in the industry. Managers in the Reorganising Health Care Delivery through a Value-Based Approach are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Learning organization

- Ncl Commissioning is a learning organization. It has inculcated three key characters of learning organization in its processes and operations – exploration, creativity, and expansiveness. The work place at Ncl Commissioning is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Reorganising Health Care Delivery through a Value-Based Approach Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Highly skilled collaborators

– Ncl Commissioning has highly efficient outsourcing and offshoring strategy. It has resulted in greater operational flexibility and bringing down the costs in highly price sensitive segment. Secondly the value chain collaborators of the firm in Reorganising Health Care Delivery through a Value-Based Approach HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Innovation driven organization

– Ncl Commissioning is one of the most innovative firm in sector. Manager in Reorganising Health Care Delivery through a Value-Based Approach Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.






Weaknesses Reorganising Health Care Delivery through a Value-Based Approach | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Reorganising Health Care Delivery through a Value-Based Approach are -

Workers concerns about automation

– As automation is fast increasing in the segment, Ncl Commissioning needs to come up with a strategy to reduce the workers concern regarding automation. Without a clear strategy, it could lead to disruption and uncertainty within the organization.

Lack of clear differentiation of Ncl Commissioning products

– To increase the profitability and margins on the products, Ncl Commissioning needs to provide more differentiated products than what it is currently offering in the marketplace.

Increasing silos among functional specialists

– The organizational structure of Ncl Commissioning is dominated by functional specialists. It is not different from other players in the Strategy & Execution segment. Ncl Commissioning needs to de-silo the office environment to harness the true potential of its workforce. Secondly the de-silo will also help Ncl Commissioning to focus more on services rather than just following the product oriented approach.

Low market penetration in new markets

– Outside its home market of Ncl Commissioning, firm in the HBR case study Reorganising Health Care Delivery through a Value-Based Approach needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Ncl Commissioning is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Reorganising Health Care Delivery through a Value-Based Approach can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Reorganising Health Care Delivery through a Value-Based Approach, it seems that the employees of Ncl Commissioning don’t have comprehensive understanding of the firm’s strategy. This is reflected in number of promotional campaigns over the last few years that had mixed messaging and competing priorities. Some of the strategic activities and services promoted in the promotional campaigns were not consistent with the organization’s strategy.

No frontier risks strategy

– After analyzing the HBR case study Reorganising Health Care Delivery through a Value-Based Approach, it seems that company is thinking about the frontier risks that can impact Strategy & Execution strategy. But it has very little resources allocation to manage the risks emerging from events such as natural disasters, climate change, melting of permafrost, tacking the rise of artificial intelligence, opportunities and threats emerging from commercialization of space etc.

High operating costs

– Compare to the competitors, firm in the HBR case study Reorganising Health Care Delivery through a Value-Based Approach has high operating costs in the. This can be harder to sustain given the new emerging competition from nimble players who are using technology to attract Ncl Commissioning 's lucrative customers.

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Reorganising Health Care Delivery through a Value-Based Approach HBR case study still accounts for major business revenue. This dependence on star products in has resulted into insufficient focus on developing new products, even though Ncl Commissioning has relatively successful track record of launching new products.

Skills based hiring

– The stress on hiring functional specialists at Ncl Commissioning has created an environment where the organization is dominated by functional specialists rather than management generalist. This has resulted into product oriented approach rather than marketing oriented approach or consumers oriented approach.

Slow to strategic competitive environment developments

– As Reorganising Health Care Delivery through a Value-Based Approach HBR case study mentions - Ncl Commissioning takes time to assess the upcoming competitions. This has led to missing out on atleast 2-3 big opportunities in the industry in last five years.




Opportunities Reorganising Health Care Delivery through a Value-Based Approach | External Strategic Factors
What are Opportunities in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The opportunities highlighted in the Harvard Business Review case study Reorganising Health Care Delivery through a Value-Based Approach are -

Manufacturing automation

– Ncl Commissioning can use the latest technology developments to improve its manufacturing and designing process in Strategy & Execution segment. It can use CAD and 3D printing to build a quick prototype and pilot testing products. It can leverage automation using machine learning and artificial intelligence to do faster production at lowers costs, and it can leverage the growth in satellite and tracking technologies to improve inventory management, transportation, and shipping.

Increase in government spending

– As the United States and other governments are increasing social spending and infrastructure spending to build economies post Covid-19, Ncl Commissioning can use these opportunities to build new business models that can help the communities that Ncl Commissioning operates in. Secondly it can use opportunities from government spending in Strategy & Execution sector.

Reconfiguring business model

– The expansion of digital payment system, the bringing down of international transactions costs using Bitcoin and other blockchain based currencies, etc can help Ncl Commissioning to reconfigure its entire business model. For example it can used blockchain based technologies to reduce piracy of its products in the big markets such as China. Secondly it can use the popularity of e-commerce in various developing markets to build a Direct to Customer business model rather than the current Channel Heavy distribution network.

Reforming the budgeting process

- By establishing new metrics that will be used to evaluate both existing and potential projects Ncl Commissioning can not only reduce the costs of the project but also help it in integrating the projects with other processes within the organization.

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Strategy & Execution industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. Ncl Commissioning can take advantage of these changes in consumer behavior to build a far more efficient business model. For example consumer regular ordering of products can reduce both last mile delivery costs and market penetration costs. Ncl Commissioning can further use this consumer data to build better customer loyalty, provide better products and service collection, and improve the value proposition in inflationary times.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Ncl Commissioning in the field of marketing communication. It will bring down the cost of doing business, provide technology platform to build new products in the Strategy & Execution segment, and it will provide faster access to the consumers.

Using analytics as competitive advantage

– Ncl Commissioning has spent a significant amount of money and effort to integrate analytics and machine learning into its operations in the sector. This continuous investment in analytics has enabled, as illustrated in the Harvard case study Reorganising Health Care Delivery through a Value-Based Approach - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Ncl Commissioning to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Use of Bitcoin and other crypto currencies for transactions

– The popularity of Bitcoin and other crypto currencies as asset class and medium of transaction has opened new opportunities for Ncl Commissioning in the consumer business. Now Ncl Commissioning can target international markets with far fewer capital restrictions requirements than the existing system.

Redefining models of collaboration and team work

– As explained in the weaknesses section, Ncl Commissioning is facing challenges because of the dominance of functional experts in the organization. Reorganising Health Care Delivery through a Value-Based Approach case study suggests that firm can utilize new technology to build more coordinated teams and streamline operations and communications using tools such as CAD, Zoom, etc.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Ncl Commissioning can build a diversified supply chain model across various countries in - South East Asia, India, and other parts of the world. This reconfiguration of global supply chain can help, as suggested in case study, Reorganising Health Care Delivery through a Value-Based Approach, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Developing new processes and practices

– Ncl Commissioning can develop new processes and procedures in Strategy & Execution industry using technology such as automation using artificial intelligence, real time transportation and products tracking, 3D modeling for concept development and new products pilot testing etc.

Finding new ways to collaborate

– Covid-19 has not only transformed business models of companies in Strategy & Execution industry, but it has also influenced the consumer preferences. Ncl Commissioning can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Learning at scale

– Online learning technologies has now opened space for Ncl Commissioning to conduct training and development for its employees across the world. This will result in not only reducing the cost of training but also help employees in different part of the world to integrate with the headquarter work culture, ethos, and standards.




Threats Reorganising Health Care Delivery through a Value-Based Approach External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Reorganising Health Care Delivery through a Value-Based Approach are -

Technology acceleration in Forth Industrial Revolution

– Ncl Commissioning has witnessed rapid integration of technology during Covid-19 in the Strategy & Execution industry. As one of the leading players in the industry, Ncl Commissioning needs to keep up with the evolution of technology in the Strategy & Execution sector. According to Mckinsey study top managers believe that the adoption of technology in operations, communications is 20-25 times faster than what they planned in the beginning of 2019.

Stagnating economy with rate increase

– Ncl Commissioning can face lack of demand in the market place because of Fed actions to reduce inflation. This can lead to sluggish growth in the economy, lower demands, lower investments, higher borrowing costs, and consolidation in the field.

Aging population

– As the populations of most advanced economies are aging, it will lead to high social security costs, higher savings among population, and lower demand for goods and services in the economy. The household savings in US, France, UK, Germany, and Japan are growing faster than predicted because of uncertainty caused by pandemic.

Environmental challenges

– Ncl Commissioning needs to have a robust strategy against the disruptions arising from climate change and energy requirements. EU has identified it as key priority area and spending 30% of its 880 billion Euros European post Covid-19 recovery funds on green technology. Ncl Commissioning can take advantage of this fund but it will also bring new competitors in the Strategy & Execution industry.

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Ncl Commissioning can face downward pressure on margins from increasing competition from international players. The international players have stable revenue in their home market and can use those resources to penetrate prominent markets illustrated in HBR case study Reorganising Health Care Delivery through a Value-Based Approach .

New competition

– After the dotcom bust of 2001, financial crisis of 2008-09, the business formation in US economy had declined. But in 2020 alone, there are more than 1.5 million new business applications in United States. This can lead to greater competition for Ncl Commissioning in the Strategy & Execution sector and impact the bottomline of the organization.

High level of anxiety and lack of motivation

– the Great Resignation in United States is the sign of broader dissatisfaction among the workforce in United States. Ncl Commissioning needs to understand the core reasons impacting the Strategy & Execution industry. This will help it in building a better workplace.

Consumer confidence and its impact on Ncl Commissioning demand

– There is a high probability of declining consumer confidence, given – high inflammation rate, rise of gig economy, lower job stability, increasing cost of living, higher interest rates, and aging demography. All the factors contribute to people saving higher rate of their income, resulting in lower consumer demand in the industry and other sectors.

Increasing wage structure of Ncl Commissioning

– Post Covid-19 there is a sharp increase in the wages especially in the jobs that require interaction with people. The increasing wages can put downward pressure on the margins of Ncl Commissioning.

Instability in the European markets

– European Union markets are facing three big challenges post Covid – expanded balance sheets, Brexit related business disruption, and aggressive Russia looking to distract the existing security mechanism. Ncl Commissioning will face different problems in different parts of Europe. For example it will face inflationary pressures in UK, France, and Germany, balance sheet expansion and demand challenges in Southern European countries, and geopolitical instability in the Eastern Europe.

High dependence on third party suppliers

– Ncl Commissioning high dependence on third party suppliers can disrupt its processes and delivery mechanism. For example -the current troubles of car makers because of chip shortage is because the chip companies started producing chips for electronic companies rather than car manufacturers.

Backlash against dominant players

– US Congress and other legislative arms of the government are getting tough on big business especially technology companies. The digital arm of Ncl Commissioning business can come under increasing regulations regarding data privacy, data security, etc.

Technology disruption because of hacks, piracy etc

– The colonial pipeline illustrated, how vulnerable modern organization are to international hackers, miscreants, and disruptors. The cyber security interruption, data leaks, etc can seriously jeopardize the future growth of the organization.




Weighted SWOT Analysis of Reorganising Health Care Delivery through a Value-Based Approach Template, Example


Not all factors mentioned under the Strengths, Weakness, Opportunities, and Threats quadrants in the SWOT Analysis are equal. Managers in the HBR case study Reorganising Health Care Delivery through a Value-Based Approach needs to zero down on the relative importance of each factor mentioned in the Strengths, Weakness, Opportunities, and Threats quadrants. We can provide the relative importance to each factor by assigning relative weights. Weighted SWOT analysis process is a three stage process –

First stage for doing weighted SWOT analysis of the case study Reorganising Health Care Delivery through a Value-Based Approach is to rank the strengths and weaknesses of the organization. This will help you to assess the most important strengths and weaknesses of the firm and which one of the strengths and weaknesses mentioned in the initial lists are marginal and can be left out.

Second stage for conducting weighted SWOT analysis of the Harvard case study Reorganising Health Care Delivery through a Value-Based Approach is to give probabilities to the external strategic factors thus better understanding the opportunities and threats arising out of macro environment changes and developments.

Third stage of constructing weighted SWOT analysis of Reorganising Health Care Delivery through a Value-Based Approach is to provide strategic recommendations includes – joining likelihood of external strategic factors such as opportunities and threats to the internal strategic factors – strengths and weaknesses. You should start with external factors as they will provide the direction of the overall industry. Secondly by joining probabilities with internal strategic factors can help the company not only strategic fit but also the most probably strategic trade-off that Ncl Commissioning needs to make to build a sustainable competitive advantage.



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