Commissioning the space for recovery
29 April 2014
University of Chester
Chris Lee
Public Health Specialist
Lancashire County Council
Presentation overview
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Lancashire
Commissioning
Creating the space for recovery
LUF and RRR
Challenges
Back to basics
• A commissioner can be lots of things:
– a change agent, a catalyst, a leader, a broker, a pivot, a linchpin, an
enabler, an architect, a politician, a fixer
– Or: a nuisance, a martinet, a petty bureaucrat, a frustrated service
provider, a pushover, an ATM
• Commissioners are few in number and dedicated substance misuse
commissioners are increasingly rare.
• Commissioning is directing resources wisely and generating a culture of
improvement and change.
• Commissioning is a great responsibility, full of potential and
possibilities. Poor commissioning wastes resources and creates
disharmony
Here and now
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Increased competition for resources
Commissioners must be pro-active around system change
Substance misuse sector must evolve or will start to wither
Integration, not disintegration. Systems not lots
Providers must develop products and solutions
Engage and mobilise the recovery community
Must focus on outcomes
The need for flexibility.
Lancashire case study
In Lancashire
Creating the space for recovery
Creating the space for recovery
Challenges
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Resources
Re-distribution of resources
My way…..
Public Health
Local authority based commissioning
Thank you