DEVELOPING STRATEGIC COMMISSIONING
WORKSHOP

OUTLINE

• Developing common understanding of strategic commissioning
• Taking things forwards – benefits, the joint agenda and local examples
• Organising strategic commissioning in the future

Break 3.15pm
Finish 5pm

APPROACH

• Independent facilitator – task & time
• Busy, active & participative
• Opportunity to reflect & share views
• Writing things up – maximise sharing of views & ideas
• Provided with some resources

WHY COMMISSIONG?

“The primary purpose of a Children’s Trust is to secure integrated commissioning leading to more integrated service delivery and better outcomes for children and young people.”
Every Child Matters Next Steps

FIVE YEAR STRATEGY FOR CHILDREN AND LEARNERS
Managing the Transformation - chapter 9, para. 15

• Strong strategic leadership for children’s services and education
• Children’s Trusts brokering the interests of key stakeholders
• Commissioning and developing services eg. extended schools & “educare”
• Championing the needs of parents and pupils
• LA role in Building Schools for the Future a good example of this strategic role

NATIONAL SERVICE FRAMEWORK

• Implementation of the NSF part of the ECM programme
• Children’s Trusts will have a key role to play in co-ordinating and integrating the planning, commissioning and delivery of health, social care and education

DEVELOPING THE INTEGRATED AGENDA

• Integrated Governance
• Integrated Planning and Strategic Commissioning
• Integrated Processes
• Integrated Services
• Improved Outcomes

DEVELOPING A COMMON UNDERSTANDING

Group task:

• Define Strategic Commissioning – key words, phrases or a few sentences
• You have 10 minutes. Can you record your responses
• Feedback – will build up group definition

DEVELOPING A GROUP DEFINITION

• Can you decide on a couple of key words or phrases to share

ADAPTED FROM DOH DEFINITION

STRATEGIC COMMISSIONING
Process of assessing needs, resources and current services and developing a strategy to make best use of the current and future resources which will be available.

ADAPTED FROM AUDIT COMMISSION DEFINITON

The process of specifying, securing and monitoring services to meet needs. It covers the purchasing process as well as a more strategic approach to shaping the market for care to meet future needs.

ECM SEMINAR ON JOINT COMMISISONING

Strategic planning together in order to achieve better outcomes and cost effective solutions which meet the diverse needs of children, young people and their families. This will involve:

• A local needs assessment
• Analysing gaps
• Making evidenced based decisions on priorities
• Developing clear service specifications with standards
• Deciding who is best placed to provide services

TELFORD AND WREKIN PATHFINDER CHILDREN’S TRUST

Commissioning Cycle

• Issue Identification
• Population Needs Assessment
• Joint Strategy planning
• Gap Analysis
• Service Redesign
• Service specification
• Implement and Contract
• Monitor and Review

STRATEGIC COMMISSIONING FRAMEWORK

• Identify Key Stakeholders
• Analyse Needs and Be Clear About National and Local Priorities
• Make Use of Financial and Activity Information and Analyse the Market
• Agree Strategic Aims, Objectives and Performance Targets

STRATEGIC COMMISSIONING FRAMEWORK

Use analysis of needs and services and assess this against aims, objectives & targets then DEVELOP COMMISSIONING PRIORITIES

Undertake options appraisals to inform PROCUREMENT & PURCHASING PLANS including developing service specifications and plans for letting any contracts.

PRODUCE IMPLEMENTATION PLANS including communicating the strategy and monitoring and review.

DORSET – WORK  IN PROGRESS

SUMMARISE

• AND NOTE DOWN
• WHERE ARE YOU WITH YOUR THINKING ON STRATEGIC COMMISSIONING? - consensus and issues for further discussion
• ANY MODELS YOU LIKE?

DEVELOPING A STRATEGIC COMMISSIONING FRAMEWORK

You have 20 minutes:

• Further work on your definition
• Initial thoughts on developing a strategic commissioning framework
• Use and amend the examples or come up with something different

TAKING THINGS FORWARD

You will initially be allocated 1 of the following to work on for 10 minutes:

• What are the benefits of integrating strategic commissioning?
• What is the joint agenda?
• Are there local examples of good practice to learn from? Please note down some details
• (You will  then swap flip chart stands and questions)

DEVELOPING INTEGRATED COMMISSIONING

• Getting the foundations in place
• Agreeing a common vision
• Setting up Joint Commissioning Unit

PATHFINDERS AND PILOTS

• Integrated teams and services - special needs and disabilities
• Early Years
• Locality and area based approaches
• Over 16s
• Integrated 14s – 19s teams and services
• (Take the framework and try it out)

GETTING THE FOUNDATIONS IN PLACE SOUTH TYNESIDE CHILDREN’S TRUST

4 BALANCED SCORECARD GROUPS

• Local Strategic Partnership
• Children's Trust Board
• Children's Trust Joint Commissioning Group (CYPSP)
• Commissioning Sub-Groups

PERFORMANCE MANAGEMENT - A “BALANCED SCORECARD” for the CHILDREN’S TRUST

Management Information
Needs, Activity & PIs

Children and Young People's Consultation & Involvement
Overview, Co-ordination & Promoting Good Practise

Financial Planning & Management
including budget monitoring

Organisational Development and Workforce Planning

GETTING THE FOUNDATIONS IN PLACE - KNOWSLEY

• Resource Group
• Performance Management Group
• Planning Group

GETTING THE FOUNDATIONS IN PLACE - DORSET

Joint Commissioning and Co-ordinating Group – 4 sub-groups:

• Participation and Involvement
• Finance and Activity
• Workforce Planning
• Models for the Future

VISION OF THE FUTURE

• Imaginable
• Desirable
• Feasible
• Focused
• Flexible
• Communicable - in under 5 minutes

J.P. Kotter
Leading Change

TELFORD & WREKIN

• Joint commissioning team
• Resourced from health, social services and education
• CAMHS, Teenage Pregnancy, developing integrated disabilities service
• “Stateless”
• “Work impartially across partner organisations to specify and if necessary change the provision of care services to deliver a better experience and best value for money”

ESTABLISHING INTEGRATED COMMISSIONING

Group task:

• What tasks or functions need to take place?
• Who will do this?
• Where should we start?
• Any questions, queries or comments?

Click here to download Developing Your Model of Strategic Commissioning