Lyn Frith

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Joint Commissioning Units
Lyn Frith Lyn.frith_at_highfields21.fslife.co.uk 0797
4 344616
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• Joint Commissioning Units
• National Policy Context
• What local authorities are
• doing on the ground
• Contributions from workshop participants

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Leadership at every level
Performance Management
Involvement of children, young people parents
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• Integrated Strategy
• CYPP
• Joint Planning and
• Commissioning
• Local Area Agreements

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Joint Commissioning Units

• It will be important for childrens trusts to
  have a single joint commissioning unit.
• The unit may be made up of several teams
• It will take several years.

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• Key issues for Local Authority JCUs
• Governance
• Accountability
• Function

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• Governance
• Joint Commissioning Groups
• Scope general or specific
• May decide on criteria
• Where there are genuinely shared stakes and
  priorities amongst relevant partners
• The potential results of commissioning new or
  changed services are likely to make a significant
  impact on outcomes
• The amount of resources make it worthwhile
• Evidence of need

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• Emerging Role of Joint Commissioning Groups
• Set Priorities
• Strategic Service Delivery
• Links with LAA and CYPP
• Commissioning/decommissioning
• Commit budgets
• Links to regional/sub regional commissioning

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• Joint Commissioning Units developments so far
• Mainly health and local authority
• May have Section 10 (Children Act 2004)
  agreement Duty to Co-operate
• Joint Commissioning Managers, joint/single
  agency funded
• Co-located/virtual
• Joint/single agency reporting

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Budgets Grant and mainstream e.g. teenage
pregnancy, childrens fund, substance misuse,
maternity, parenting, CAMHS, health visiting,
school nursing.
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• Function
• Size between 2.8 and 16 (both large counties)
• Skills and experience procurement, market
  analysis, service remodelling, financial
  management, legal awareness, negotiating, people
  skills, human resources, participation,
  evaluation and data analysis, partnership
  working, project management, leadership.
• Incremental approach, developed from joint
  commissioning in adult services

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Common structure
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Large County Joint Commissioning Unit Structure
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Dedicated JCU London Borough
 
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Local Strategic Partnership Executive
CHANGE FOR CHILDREN BOARD
Childrens Executive Group
Children and Young Peoples Strategic Partnership
Safeguarding Children Board
Engaging Children and Young People
Planning, Resources and Commissioning Group
Integrated Performance Management
Integrated Strategy and Commissioning London
Borough
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  The Joint commissioning Team have direct
responsibility for a range of budgets in the
region of 8 million.  
London Borough
   
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Large County Joint Commissioning Arrangements
Local Strategic Partnership (LSP)
Joint Member Board
Local Safeguarding Childrens Board
National Service Framework Operational Group
Childrens Trust
Partnership Priorities Reducing harmful effects
of alcohol among young people Reducing
bullying Developing Childrens Centres across
the county inc. targeting increases in Foundation
Stage achievement Reducing offending among young
people Reducing homelessness among young people
and provide housing for teenage
parents Increasing support for parents and
carers Further reducing the number of vulnerable
young people not in education, employment or
training Improve response to and services of
agencies to children and families suffering
domestic violence Improve access and
co-ordination of services/support for children
with disabilities Increasing children and young
peoples involvement in the decision making
process for development of relevant
services
Integrated Service/Joint Commissioning
Priorities CAMHS Children with
Disabilities Health of Looked After
Children Integrated prevention (childrens fund,
parenting support) Information Sharing and
Assessment/Multi-agency Teams Childrens
Centres/Extended Schools Teenage
Pregnancy Substance Misuse Youth Offending
Support Functions Involvement of CYP, parents
carers Performance Management Workforce
Development Communications
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Needs Analysis Performance Management Head of
Performance Management Public Health Analyst
(PCT)
Communication and Involvement Communications
Officer Children and Young Peoples Democracy
worker
JOINT COMMISSIONING TEAM Head of CT and Joint
Commissioning Joint Commissioning Managers (2
fte)
Key Virtual Team
Dedicated Team
Finance Assistant Director of Finance Finance
Officer Legal Services Legal Services Solicitors
Human Resources (HR) HR Manager HR Manager
Workforce Development HR Manager Workforce
Development Manager
Contracts Contracts Officer (LA) Contracts
Officer (PCT) Assistant Director of Joint
Commissioning (LA/ PCT)
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The total commissioning budget for the joint
commissioning team is in the region of 18m.
This represents service to the approximate
value ofPCT 9,230,000County Council
4,000,000Childrens Fund 500,000Maternity
Services (from 07) 4,000,000
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Unitary Authority Locality Based Commissioning
Director of Childrens Services
Head of Childcare Services
Childrens Trust Manager Strategy and
Commissioning
Head of Strategy and Operations
Locality Co-ordinator
Multi-agency Locality Managers (Virtual
Integrated Management Teams)
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Impact of Joint Commissioning Units

• Focus on prevention
• Streamlining contracting arrangements
• Regional arrangements, efficiencies
• Supporting integration
• Co-location, improved relationships, efficiencies

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Thank you
Lyn Frith Lyn.frith_at_highfields21.fslife.co.uk 0797
4 344616