Intelligent Commissioning and how to work in Partnership

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Intelligent Commissioning and how to work in
Partnership
Nigel Walker National Programme Lead -
Commissioning
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Policy framework for commissioning

• White Paper Our Health, Our Care, Our Say
• Health Commissioning Framework DH July 2006
• Joint Commissioning Framework for Health and
  Wellbeing due December 2006

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Commissioning discussions including...
Investing in Change conferences 2006 funded
through CSIP and Better Commissioning LIN with
ECCA and UKHCA http//changeagentteam.org.uk/index
.cfm?pid40catalogueContentID1319 Relentless
Optimism CSCI (Sept 06) http//www.csci.org.uk/
about_csci/publications/relentless_optimism.aspx
A Guide to Fairer Contracting CSIP (Dec
05) http//changeagentteam.org.uk/index.cfm?pid63
Surer Funding ACEVO (Sept 05) (not available
online) Building Bridges CAT Better
Commissioning LIN (Jan 05) http//changeagentteam.
org.uk/index.cfm?pid63
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3 questions?

• If the direction of travel is greater
  self-determination and individually funded
  services how will commissioners act in the
  market?
• If the direction of travel is greater
  self-determination and individually funded
  services how will providers know what to provide?
• Whats the difference between macro and micro
  commissioning and how will it fit together?

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Intelligent Commissioning - 1
Commissioning at a cross-roads More complexity
Differing markets More self-funders Known future
difficulties Preventative and well-being
agenda Community involvement Need to seek
improved outcomes
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Intelligent commissioning - 2
With acknowledgements to the Institute of Public
Care for this framework
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Intelligent Commissioning - 3
Mapping Demand
From Key Activities for Social Care
Commissioning CSIP Better Commissioning Network
and IPC Available December 06
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Intelligent Commissioning - 4
Mapping Supply
From Key Activities for Social Care
Commissioning CSIP Better Commissioning Network
and IPC Available December 06
1. Quantitative analysis
2. Qualitative analysis
4. A cost benefit analysis of current future
demand
3. Mapping best practice for the future
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Market development - 1

• Clear, long term commissioning strategies and
  medium term (more detailed) plans.
• Market development needs to be driven by some
  clear data about demand forecasting of
  population, current service usage and service
  mapping. This would include data of changes in
  service patterns that might be occurring and
  clear information about service user needs and
  service preferences.
• Commissioners need some good knowledge about both
  actual and potential providers.
• Clear specifications and contracts (agreed
  broadly with providers)

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Market development - 2

• Commissioners need to have clarity about the
  provider types they would wish to work with
  profit, voluntary, third sector etc.
• Establish fora for regular and meaningful
  communications with all providers for the
  purposes of signalling intentions.
• Commissioners need ability to listen to providers
  and vice versa!
• Clear knowledge of the outcomes people need and a
  shift towards outcome funding. (four levels of
  strategic, community, communities of interest and
  personal).
• Meaningful engagement of service users in the
  process.

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Market development - 3

• Encouraging providers to get into knowledgeable
  alliances and collaborations of strength (but not
  partnerships)
• Meaningful monitoring and review of services
• Flexibility in contractual framework
• Clear risk sharing between commissioners and
  providers as a part of the financial and
  contractual framework
• Having structures to rid the market of inadequate
  providers.

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A full and proper partnership...
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Theres a need to avoid this feeling....
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Micro v Macro
Micro requires more individual approach with
better information, greater degree of advocacy,
and more involvement of community in monitoring
of provision. Buying actuality and intentions
need to feed into..... Macro needs improved
long term planning for whole communities across
all areas of activity that signals developments
to the market with clear commissioning and
de-commissioning messages that allow investment
in areas that people need developing.
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Contact details
Nigel Walker National Programme Lead for
Commissioning nigel.walker_at_dh.gsi.gov.uk
www.cat.csip.org.uk/commissioningebook
www.changeagentteam.org.uk www.integratedcare.gov
.uk