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Laura Akao

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Viewing 9 posts - 1 through 9 (of 9 total)
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  • April 17, 2026 at 6:00 am in reply to: 3 (B). What is Outcomes-based Commissioning? #34544
    Laura Akao
    Participant

      You mentioned that limited provider options make outcome-based commissioning difficult. Would one way around this is to narrow the scope of the contract? For example, when dealing with mental health, could the scope be made to be a small part rather than a large encompassing scope This would assist with making sure more players offer this service. By commissioning a very specific, specialized service rather than a large, all-encompassing system, you make it easier to find multiple vendors. This allows smaller, specialized clinics to compete, which builds the contestability aspect.

      April 16, 2026 at 11:40 am in reply to: 3 (B). What is Outcomes-based Commissioning? #34527
      Laura Akao
      Participant

        Does it make more sense to define a very narrow scope and specific outcomes for this? If the service is specialized and doesn’t require massive resources, it’s easier for new competitors to step in. This prevents a ‘strong incumbent advantage’ and makes it much simpler to maintain contestability once the contract expires.

        April 16, 2026 at 9:29 am in reply to: 2 (B). Fair Trade Towns in Canada #34514
        Laura Akao
        Participant

          One conflict that immediately comes to mind is indeed the ‘best value’ approach to procurement. There are many people who associate ‘best value’ with the most cost effective or bottom-line cost of the product. Many of the Fair-Trade products come at a premium when compared to their non-Fair-Trade equivalents. While I don’t believe that it is as straightforward as that, I can see where this ‘best value’ approach can be seen as conflicting when it comes to procurement.
          As a side note: I live just 5 minutes from Canada’s first Free-Trade Town, Wolfville. It’s a thriving, lively destination, especially in the summer. While I’d need more research to prove a direct correlation between its success and the Fair Trade designation, the town’s identity is certainly tied to these values.

          April 16, 2026 at 6:45 am in reply to: 2 (B). Fair Trade Towns in Canada #34494
          Laura Akao
          Participant

            I think that another benefit that goes along with the ‘social welfare’ aspect of the Fair-Trade products and organizations is that, while there is more equity throughout the supply chain, they are also more aware of how they treat their employees. Often, they provide above the minimum requirements for pay and benefits. Therefore, in a Fair-Trade town, those living and working in the community have access to a stronger employment base, which in turn is of benefit to members in the community.

            April 15, 2026 at 5:40 am in reply to: 3 (B). What is Outcomes-based Commissioning? #34469
            Laura Akao
            Participant

              This sounds like a good example of a service that this could apply to. Similarly to the Sydney Ferry example, the province could lease out equipment/facilities if available to maintain future contestability at the end of the contract. The output of the new organization would be able to be measured in several ways. That would allow the government the ability to assess the success of the contract and what they may want to achieve in future contracts for this service.

              April 15, 2026 at 4:48 am in reply to: 2 (B). Fair Trade Towns in Canada #34468
              Laura Akao
              Participant

                When we discuss the benefits of Fair Trade, this includes more equitable compensation for producers, environmental sustainability, and improved labor standards as has been highlighted. However, there is something we often overlook in our local communities.
                While the ethical impact is significant, the primary financial benefits of Fair Trade are mainly felt at the source of production, often in places a great distance away. For the location where the sale happens, the local benefit is often limited to social awareness rather than local economic growth. While the Fair-Trade Town may attract additional consumers, is it enough to offset the costs associated with the designation?

                April 14, 2026 at 11:33 am in reply to: 3 (B). What is Outcomes-based Commissioning? #34458
                Laura Akao
                Participant

                  A significant service issue in Nova Scotia (and many other regions) is the lengthy medical wait time for common surgeries, such as hip and knee replacements. Outcomes-based commissioning is a strong candidate for this situation because the desired result is easily measured: a reduction in wait times for specific procedures. This model allows for creative and innovative solutions that go beyond the traditional healthcare model, from a focus on volume to a focus on efficiency and results.
                  A critical part of this approach is contestability. To make this work, the province must ensure that the current provider doesn’t have a permanent, unchallenged monopoly. By setting definitive end dates and designing contracts that are time-bound, the government preserves the right to “re-test” the market.
                  While there may be a limited number of specialized organizations in Nova Scotia today, there are providers in other locations or new clinical groups that keep the current provider motivated to innovate.

                  April 14, 2026 at 6:50 am in reply to: 2 (B). Fair Trade Towns in Canada #34456
                  Laura Akao
                  Participant

                    A primary benefit of becoming a Fair-Trade Town is the cultivation of a “community with a conscience.” When a town promotes equitable products, it encourages a shared mission that drives local pride. For the ethically-conscious consumer, such a town becomes a haven—a place where they can shop with confidence. This, in turn, can serve as a powerful tourism draw for those with similar spending priorities.

                    On the other side of the ledger, the very nature of Fair Trade—which ensures fair compensation for producers—often results in higher retail prices. This creates a socio-economic divide: while some can afford to make ethics a priority, others may be priced out of the movement. Additionally, we must consider the “hidden” cost of certification.

                    Maintaining status requires ongoing funding, which risks becoming a tax burden if the designation fails to pay for itself through increased local commerce. To determine if Fair Trade status is truly worth maintaining, a town must look beyond the sentiment and evaluate these conflicting costs and benefits.

                    April 13, 2026 at 4:02 pm in reply to: Introductions #34454
                    Laura Akao
                    Participant

                      Hello,

                      My name is Laura and I work for the Annapolis Valley Regional Centre for Education in NS. I have been with the AVRCE for over 15 years, but only in this position for over a year and a half.

                      I work in a team of two, and we provide support for everything from large renovation tenders, RFPs, ITQs, to helping schools source materials (phys Ed equipment, stationery, etc.), manage vendor relations and contracts and all the purchasing questions in between.

                      I look forward to advancing my procurement knowledge, experience, and understanding.

                      Laura

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