Commissioning for Personalisation
Physical Disabilities
Sensory Impairments
HIV
Neurological Conditions
Colin Rowett, Senior Manager Commissioning
Commissioning for Personalised Services: Concept
Personalisation is about giving people much more choice and control over their
lives and goes well beyond simply giving personal budgets to people eligible for
council funding.
It means addressing the needs and aspirations of whole communities to ensure
everyone has access to the right information, advice and advocacy to make
good decisions about the support they need.
It means ensuring that people have wider choice in how their needs are met and
are able to access universal services such as transport, leisure and education,
housing, health and opportunities for employment, regardless of age or
disability.
Commissioning: Principles
Work in partnership and commission jointly where it makes sense to do so
Develop service models which are person centred
Ensure equity of access and delivery
Demonstrate value for money
Look for innovation which improves quality and outcomes
Manage performance proportionately
Manage knowledge and share it
Commissioning for Personalised Services: Goals
1.
2.
3.
4.
5.
6.
7.
Correct balance of investment between different services
Developing the market so services are available for personal budget holders
and self funders
Available information and advice
Co-production, including design, delivery and evaluation of services
Local partnerships
Commissioning prevention and wellbeing services
Access to universal community services
Overview
Focus
Implement
Review

Block/ framework contract
2013/14


Block/ framework contract
2013/14



Social enterprise/CIC
2013/14



Social enterprise/CIC
2013/14



Prime contractor
2014/15
Contract
2013/14
JSNA
Analyse
Plan
Visual impairment


Dual sensory loss

Hearing impairment
Deaf BSL
1. Sensory loss (Joint with NHS
Surrey)
2. HIV/ AIDS (Joint with NHS Surrey)
3. Integrated Community Equipment
Service (Joint with NHS Surrey)
4. Neurological conditions
5. Military and Veterans Health

 (draft)
6. Mobility impairment and
Musculoskeletal conditions
TBA
7. Integrated equipment/ adaptation
service
TBA


TBS
Neurological Conditions: Commissioning Intentions
WE NEED LESS:
•
Residential care
•
Standard, 9am to 5pm, Monday to Friday day care services
WE NEED:
•
Equitable and timely access to a wide range of local services
•
Personal budgets and direct payments so people can exercise more choice and control over their
support
•
Opportunities for retraining, vocational rehabilitation, support for returning to work, employment, leisure
pursuits and social participation
•
Improved access to 24-hour specialist care and support for those with complex health and social needs
•
Flexible community services and support, and an increased range of service options to support people
at home
•
Support to navigate the complex health and social care systems and help people achieve their
individual outcomes in life
•
To maximise the use of telecare, telehealth and digital technology
•
One stop shops and information and advice services
•
Clear integrated pathways of care, including timely access to reablement and rehabilitation
Neurological Conditions: Pathway
Stage
Objective
Changes (examples)
1.
Early and accurate. Quality
managed treatment, care
and support
Training, diagnostics, referral routes, telehealth,
information, contact/ advisor/ advocate, access to
‘newly diagnosed’ courses
2. Early treatment
Integrated assessment.
Symptom control.
Treatment
Carers awareness training, planned breaks, specialist
neuro-rehabilitation, self management programmes,
neuropsychology pathway
3. Living with LTNC
Joint health and social care
programmes
Care plans as passport to commissioned services,
Community clinics, planned medication reviews,
rehabilitation, equipment available, in-reach to support
care homes, employment pathway, 24/7 access to
specialist care
4. Emergency and
acute management
Prevent unnecessary
admissions
Proactive response to crises; single point of access for
assessment of need for rehabilitation, care and
support as close to home as possible
5. Palliative and end
of life care
Comprehensive support;
die in dignity in the place of
choice
Within EOL pathway of the relevant organisation,
reflecting personal choice in service contracts
Diagnosis
Neurological Services: Milestones
Action
Timeline
1. JSNA compete and publish
Completed (www.surreyi.gov.uk)
2. Joint strategy
Completed (www.surreyi.gov.uk)
3. NW Surrey Pilot: learning points
November 2012
4. Establish Surrey Neurological Services Partnership
November/ December 2012
5. Implementation plan
December 2012 – March 2013
6. Procurement intentions
April 2013