Commissioning An Overview

1
Commissioning An Overview

• Peter Hay
• Strategic Director Adults and Communities
• Birmingham City Council

2
Content

• Economic Context
• Smart Commissioning
• Five Barriers and some approaches
• Language, money, workforce, fears, political and
  corporate
• Conclusions
• Economic context

3
England Population
4
Birminghams costs of care
5
Birminghams Costs

• The options for the Council
• Maintain current budget?
• Fund the demographic projections?
• Transformation?

6
Efficiency Profile

• i

7
Birminghams Story

• LSE review personalisation is about affordable
  system
• The big growth of self funding and what that
  does for market shape
• Population
• Carers
• Fixed cost provision
• And emerging Total Place economy

8
Smart Commissioning

• Balance of whole system investment
• Shaping markets
• Access to information
• Collaboration to Co-production
• Prevention and wellbeing
• Universal services and resources

9
Barrier One A common language

• Joined up commissioning requires one approach
• Inlogov and University of Birmingham
  Commissioning learning set
• Be Birmingham approach
• One language within a whole organisation within a
  joint system

10
Barrier Two Money

• One public pot
• IBs through integrating health monies
• Total Place
• Can IB be a wider answer?
• Inviting citizens to share meeting the challenge
• Success criteria for new joint commissioning
  arrangements

11
Success will be

• A one pot approach to public funding for people
  with learning disabilities or mental health needs
  and their carers.
• A clarity about resources and needs, with a
  transparent approach to designing the way in
  which we will commission services facing rising
  demands and diminishing resources

12
Barrier Three Workforce

• Birmingham staff working with the grain despite
  the personal consequence
• Hearts and Minds
• Care Management becoming commissioners too
• The capacity to stabilise has to be checked
• Commissioning the workforce

13
Barrier Four Fears

• All the routes to taking personal budgets need
  promotion
• Roll out across the city has indicated
  seriousness
• Change is threatening
• Equity is challenging
• Constant engagement

14
Barrier Five Politics and Corporate Life

• Birmingham is about business transformation
• Clear method and governance
• Consequences explicit
• Economic modelling
• Wider use ?
• But do voters see us as commissioners or
  providers?

15
Almost conclusions

• Huge and exciting agenda
• Putting People First has given local government a
  lead role in a co-production model
• Learning from each other
• Whats our stance on collaboration and
  co-production between councils/partners?

16
Its the economy stupid!

• Individualisation must be about rights and
  costs
• If it cant address the costs (supply side) then
  it risks abandonment as an expensive experiment
• In personalisation lies many answers
• We (they?) can not let it fail