Person Centred Commissioning

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Person Centred Commissioning
Martin Routledge National Lead, Self Directed
SupportCare Services Improvement Partnership
(CSIP)
Julia Ross National Programme Lead For Social
Care Care Services Improvement Partnership (CSIP)
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Statements on commissioning and what this means
for outcomes focus

• Good performance in commissioning
• Standards continue to rise
• Councils achieved 200m efficiency gains
• Better understanding of strategic commissioning

State of Social Care in England CSCI 2004/05
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Development Areas

• People still not at the heart
• Profile of services too traditional
• How far does early intervention feature in plans
• Councils commission for procurement not for
• community

State of Social Care in England CSCI 2004/05
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Learning from Others

• Market providers
• Housing
• Childrens Services
• Transport
• Each other

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Independence, Wellbeing and Choice move from
a system where people have to take what is
offered to one where people have greater control
over identifying the type of support or help they
want and more choice about and influence over the
services on offer.

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• Our Health, Our Care Our Say
• Choice and control via
• Better information and signposting
• People at centre of assessment
• More Direct Payments
• Introduction of individual budgets

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Individual budgets part of major system
shift? Individual budgets offer a radical new
approach, giving greater control to the
individual, opening up the range and availability
of services to match needs, and stimulating the
market to respond to new demands from powerful
users of social care This new approach will
require radical changes to the way services are
organised and deliveredwill help shift resources
away from services that do not meet needs or
expectations

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• Shift to real choice and control requires levers
  and mechanisms as well as exhortation and
  guidance
• Key system changes in respect of the
  allocation, control and use of resources
  shifting money power
• Re-balancing of risk/flexibility equation
• Performance assessment based on outcomes linked
  to citizenship
• Demonstrably effective ways of getting
  efficiency via individual design
• Demonstrably effective ways of controlling
  budgets at the same time as shifting power

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Some background

• Cross-Government project Department of Health,
  Department for Work and Pensions (Office for
  Disability Issues) and the Office of the Deputy
  Prime Minister
• Policy commitment to piloting individual budgets
• Improving the Life Chances of Disabled People
  (Strategy Unit, January 2005)
• Opportunity Age (Department for Work and
  Pensions, March 2005)
• Independence, Well-being and Choice (Department
  of Health, March 2005)
• Our health, our care, our say (Department of
  Health, January 2006)

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Might it work? Early findings from In Control
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What is included?

• The pilot project will test the inclusion of a
  range of income streams
• Council provided social care services
• Supporting People
• Disabled Facilities Grants
• the pilots will include all the main groups
  that social care is provided for
• People with physical disabilities
• People with sensory impairments
• People with learning disabilities

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Thirteen Pilot Sites

• Lincolnshire
• Leicester
• Norfolk
• Manchester
• Oldham
• West Sussex
• Kensington Chelsea

• Barnsley
• Barking and Dagenham
• Bath NE Somerset
• Coventry
• Essex
• Gateshead

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Key elements Project plans should show how local
models for IB will

• a) Allocate resources transparently
• b) Streamline assessment processes across
  agencies
• c) Bring together a variety of streams of support
  and/or funding,
• from more than one agency
• d) Give individuals the ability to use the budget
  in a way that
• best suits their own particular requirements
• Allow support from a broker or advocate, family
  or friends, as
• the individual wishes.

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From
To
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Choice of Means Through Which Resources Can Be
Deployed and Managed
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(No Transcript)
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From Local Authority to Individual Commissioning
Local Authority
Needs Analysis
Commissioning and Contracting
Services
Individual Assessment
Match Individual with Services
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From Local Authority To Individual Commissioning
Individual
Brokerage
Individual Care Package/ Circle of Support
Aggregation of services bought
Local Partnership and LAA
Strategic Commissioning