LINks%20and%20Commissioning

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LINks andCommissioning

• Janet Crampton
• National Commissioning Lead

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Commissioning for innovation, personalisation
and outcomes

• Commissioners are under pressure to ensure that
  the best services are secured to meet their local
  population needs, given
• ambitions of a challenging government agenda
• the rise of user and carer expectations
• the demographic, financial and environment
  time-bombs-

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• But how do Commissioners respond to
• Three drivers for strategic shift
• people want further improvements to
• meet the way they live their lives now access
  issues meeting their whole needs
• put them more in control and
• ensure consistency in the quality of services
  across the country.

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• 2. New opportunities (and threats) from current
  environment (new technologies/economic
  environment)
• New technologies
• Personalisation
• Economic Environment
• 3. Facing future demographic challenges
• By 2020 twice as many people over 85 high
  use/high cost group
• 15 million people have a long-term condition
  LTCs are 50 of GP consultations and 75 of
  in-patient days, 74 of social care service
  users. Increased pressure on family carers
• People with severe learning disability may
  increase by 1 p.a. for the next 15 years

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Demography the population is changing and
ageing
Total English population predicted to grow by
just under 7 by 2021.
The number of people over 75 grow by over 27 by
2021.
Average family size expected to level off at 1.75
children. Single Parent Single Person
Households grow
The number of people over 60 grow by 31 by 2021
The proportion of people from ethnic minorities
grow.
Signals increasing demands on health and social
care services and informal carers and those who
support end-users
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People want

• A say, and a voice
• More choice and control
• Services shifted to local communities
• Support for user-led support
• Better support for those with high level needs
• Support for healthier, independent lives
• Promotion of well-being

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Commissioning traditionally

• Buy as they always have done historically
• Make decisions based on imperfect data
• Try to think local but economies of scale
  intervene
• Revert to thinking the professionals know best
• Argue over high cost/high impact services with
  other statutory bodies
• Are judged in good financial management and
  budget control
• Wish they knew how to measure well-being

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Context for Commissioners

• Address the expectations of the public
• Commission for innovation, personalisation,
  improved outcomes, choice and control
• shift to outcomes-orientation in reviewing and
  re-planning
• locate more person-centred services in local
  communities.
• Build on existing programme of reform (including
  LINks).
• Operating effectively, legally and in the spirit
  of new policy direction
• Accepting risks of personalisation/choice and
  control strategies
• Minimising risks by getting it right first time
• Sharing risks across and within sectors

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Challenges for Commissioners (1)

• How do the new personalisation agendas impact on
  the relationship between commissioners and those
  who use the service?
• How do more person-centred service plans impact
  on the relationship between commissioners and
  those who provide the service?
• Should risks be shared? How can risks can be
  shared?
• What do commissioners need to do to change?

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Challenges to Commissioners (2)

• Learning to
• engage with end users and with LINks
• place LINks centrally to service design and
  reviewing processes
• respond to LINks challenges
• hold dialogue between public services local and
  the people using services may generate more local
  solutions including ongoing reform that
• reflects public expectations and choices
• puts people firmly in control
• stimulates diverse local provision
• improves health needs in that locality
• co-produce (significant growth of individual
  commissioners and co-producers in social care)

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Involvement and engagement strategies that
support commissioners ability to manage
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Thank you

• Janet Crampton
• National Commissioning Lead for the
• Department of Healths Social Care Programmes
• 07789 653196
• janet.crampton_at_dh.gsi.gov.uk