Accelerated Development Programme ADP

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Accelerated Development Programme (ADP)

• The Future of Joint Commissioning in London
  Boroughs

Supported by the Joint Improvement Partnership
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• Supporting People to Shape Services
• Ealing
• Personalisation and integrated commissioning
• Leanda Richardson, Head of Integrated
  Commissioning, NHS Ealing/Ealing Council
• Paul Oppe, Personalisation Programme Manager,
  Ealing Council

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Our context

• Demographic context
• Large West London Borough, mixture of affluence
  and deprivation
• Multi cultural, large Asian community and
  significant Eastern European population
• Background
• Personalisation Programme well established in
  local authority
• Wanted to build on good joint commissioning
  arrangements in context of personalisation

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Our objectives

• Develop a commissioning model for personalisation
  across Ealing Council and NHS Ealing, from which
  a commissioning strategy can be developed
• Review organisational design to ensure that
  integrated commissioning is fit for purpose in
  the future

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What we have achieved

• Successfully increased the understanding and
  engagement of commissioners well established in
  local authority and growing in NHS
• Written commissioning model which defines roles
  and responsibilities of commissioners
• Agreed draft organisational structure designed to
  support commissioning model

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How we got there

• What was doable
• Engaging local authority
• Commissioning model flowed from high level
  operating model which had been developed

• What was challenging?
• Making personalisation a priority for the NHS
  relative to other agendas
• Different cultures and understanding of
  commissioning population vs person based
  commissioning
• Managing transformational change against backdrop
  of increasing budget pressures

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How the ADP project helped

• Provided good quality thinking time for change
  management
• Opportunity to learn from others eg re-ablement
• Helped us resolve our own problems rather than
  having solutions imposed
• Benefited from facilitators networks, analytical
  skills and encouragement

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Lessons for others to be aware of

• Create time to make the change
• Get common understanding and agreement on the
  high level concepts
• Confront your challenges
• Draw on external contacts and networks for
  support

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Where do we go next?

• Implement outline commissioning model
• Set up support planning and brokerage systems for
  local authority individual budgets by April 2010
• Use the framework for Personal Health Budgets by
  August 2010
• Establish 2011-2016 strategic plan for integrated
  commissioning by April 2011