FUTURE COMMISSIONING
North Kesteven – Provider Forum
Thursday 25th September 2008
Ken Fairbairn
Head of Commissioning
Provider Relationships & Contracts
Consultation
What people who use our services said they wanted :
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Access to the same activities as everyone else
Real independence – not going cap in hand to social services
Allowed to take risks and make mistakes
Treated as equal citizens – rights, aspirations, choices
Key to our own front doors
Allowed to be part of the local community
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Real jobs
Listened to – not done to
Reliable transport, access to public services & parking
Joined up services
Good quality information and signposting
Creating Effective Care Pathways – How?
• Local commissioning – local solutions
• Information & Markets – who, what, how, when, how
much?
• Integrated commissioning
– PCT, District Councils, Supporting People, Practice –Based
Commissioning (GP’s), Acute Trust,
• Evidence – improving outcomes
• Market development – new entrants, diversification
“I want a life not a service”
Whole Systems Approach
Independence, Well-Being & Choice
Priorities
Financial
Drivers
Service
User
Standards
Culture
Whole Systems Health & Social Care
Acute
Residential
& Nursing
Dentists
Ambulance
Out of Hours
Voluntary &
Community
Services
Pharmacy
Therapists
Dom Care
Older
People
Opticians
Day
Services
Mental
Health
GP’s
Continuing
Care
Whole Systems Health & Well-Being
Housing
Self
management
Assistive
Technology
Access
Prevention
Environmental
Issues
Older
People
More
Control
Engagement
Maintaining
Dignity
Employment
Financial
advice
Advocacy
Leisure
Education
Transport
Increased
Choice
Whole Systems Approach
I have a dream!
Health
Independent
Sector
Service
User
Social
Care
3rd Sector
Two-Way Communication
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Commissioning intentions, plans, and strategies
Local demographic information – JSNA
Demand & Capacity - Laing & Buisson
Unmet & unsatisfied need
Sharing the results of consultation
Develop local workstreams
Presentations by providers
Developing Ideas
• Work with your lead commissioner
– Older People & Long Term Conditions – Nick
Smith
– Mental Health, Learning Disabilities & Physical
Disabilities – Richard Collins
– Performance & Quality – Jo Mead
– Business plans
– New ideas
– Extensions or new build
– Working in partnership with other organisations
Risks & Challenges
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Personalisation
Individual Budgets
Evidencing Prevention
Dementia
Workforce
Inward migration
Continuing Care
Re-ablement services
• Palliative Care
• Contestability
(competition)
• Removing services from
the acute sector
• Reducing emergency
admissions
• Culturally appropriate
services
Summary
• What will commissioners be doing?
– Involving providers in the development of
commissioning strategies, purchasing plans and
specifications
– Involving providers in developing information and
monitoring systems
– Clearly specify what is expected of providers in
contracts and specifications
– Work with providers in helping them meet standards
and outcomes
– Common, and regular, approaches to liaison with
providers
So What?
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Improved efficiency
Collaborative innovation – outcome focussed
Measurable improvements
Long – term sustainable commercial relationships
Person centred – user driven services
Meeting local needs
Anticipating future need & capacity
A range of effective partnerships that deliver what citizens
across Lincolnshire want
Just in case you can’t sleep!
POLICY FRAMEWORK
– Health reform in England: update and next steps (December 2005)
– Independence, Well-being and Choice (March 2005)
– Our health, our care, our say (Jan 2006)
– A Sure Start to Later Life (June 2006)
– A Stronger Voice (July 06)
– Our Health Our Say Our Community: investing in the future of community
hospitals and services (July 2006 )
– Commissioning a Patient Led NHS (July 2005)
– Strong and Prosperous Communities (Oct 2006)
– Commissioning Framework for Health & Well-being (6 March 2007)
– Independence, choice and risk: a guide to best practice in supported
decision making (May 07)