Joint Strategic Commissioning
A short overview of context, current
position and upcoming challenges
Tony Homer, National Lead,
Christina Naismith, Programme Manager,
Joint Strategic Commissioning
JIT is a strategic improvement partnership between the Scottish Government, NHS Scotland, CoSLA, the Third
Sector, the Independent Sector and the Housing Sector
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Key Drivers for Change
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Demand
Money
Innovation
Quality
Law
Political
Co-production
Tackling
Inequalities
Key National Drivers
Public Bodies (Joint Working)
(Scotland) Bill 2013
Social Care (Self-directed Support) Act
2013
Community Empowerment (Scotland) Bill
Human Rights (SNAP)
Community Planning & SOAs
Reshaping Care for Older People
National Legislation & Strategies inc Criminal
Justice, Learning Disability
Children & Young People’s Bill
EU Procurement Directives
Procurement Reform Activity
The Commissioning Cycle
JIT is a strategic improvement partnership between the Scottish Government , NHS Scotland, CoSLA, the Third Sector, the
Independent Sector and the Housing Sector
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Lessons from the Older People’s Change Fund
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Strong local leadership
A cross sector co-production approach
Local governance arrangements
Effective use of information and evidence
Consistent use of robust option appraisal approaches
Mainstreaming small tests of change
Ensuring effective linkage between commissioning and
procurement
Legislative Requirements
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The Public Bodies ( Joint Working) (Scotland) Bill requires that the new
integrated health and social care partnerships will oversee the development
and delivery of the Strategic Plans, (Joint Strategic Commissioning Plans)
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Strategic Plans, (Joint Strategic Commissioning Plans), which incorporate a
Financial Plan, will be required for all adult care groups by April 2015
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1. Establish a Strategic Planning Group for the purpose of preparing a
Strategic Plan
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2. Establish at least 2 locality areas to drive a ‘bottom up’ planning focus
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3. Take into account the plans of neighbouring areas and the possible impact
of the plan on other plans and planning activity
1. Strategic Planning Group
• Purpose is to prepare a Strategic Plan and to maintain an ongoing role in
reviewing and improving the Strategic Plan
• Membership will include:
– People who use services and unpaid carers
– Third and independent sector providers, representative organisations and
advocacy groups
– Local authority and Health Board nominees
– Social work and social care professionals
– GPs, clinicians, nurses, AHPs and other professional groups
– Housing representatives
– A representative from each locality planning group
– Staff side and/or trade union representatives
2. The Role of Localities
 To feed into the strategic commissioning process a
collective view on what needs to be made available
in respect of their locality
 On an on-going basis decide on proposals from local
professionals, users and communities on ways to
improve the delivery of services for the locality.
 In time, greater responsibility over financial & service
planning, changes and decision making.
3. Levels of commissioning;
National
Regional
Sub-regional
Strategic
Locality
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Individual
Challenges for the future
• Commissioning for outcomes
• From OP to all adult care groups and beyond
• Making the most of locality arrangements
• Providers as ‘strategic partners’
• Enabling national vol orgs to engage effectively
• Different players and different relationships
• Enabling the ‘individual commissioner’
JIT is a strategic improvement partnership between the Scottish Government, NHS Scotland, CoSLA, the Third
Sector, the Independent Sector and the Housing Sector
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