DEVELOPING STRATEGIC COMMISSIONING
WORKSHOP

OBJECTIVES

By the end of the workshop you will have:

• Been introduced to a strategic commissioning framework
• Applied the framework using local examples
• Identified the benefits of joint commissioning
• Agreed some actions

OUTLINE PROGRAMME

• A Strategic Commissioning Framework
• Evidenced based Commissioning Strategies
• Beginning to Identify Aims, Objectives and Commissioning Priorities
• Benefits of Joint Commissioning
• Agreeing Next Steps

APPROACH

• Participative
• Active
• Some input
• Group tasks
• Can you note things down and this will inform future work

DEFINITIONS

STRATEGIC COMMISSIONING
A process of analysing needs and current services and developing a strategy to make best use of the resources available.

PROCUREMENT

This refers to the overall process of securing a service. This will involve addressing a number of questions, including:

• Who is best placed to provide the services required?
• Do you provide it yourself?
• Do you purchase the service from another agency

COMMISSIONING STRATEGY

ANALYSE
What is happening now - how you are investing your resources currently and what you are getting in return.

PLAN
Where you want to be – how you plan to invest your resources in the future and what will be different.

STRATEGIC COMMISSIONING PROCESS

Stage 1: IDENTIFY KEY STAKEHOLDERS & DECIDE HOW THEY WILL BE INVOLVED
Stage 2: ANALYSE NEEDS & BE CLEAR ABOUT NATIONAL PRIORITIES
Stage 3: MAP SERVICES & ANALYSE FINANCE & ACTIVITY DATA
Stage 4: AGREE STRATEGIC AIMS, OBJECTIVES & PERFORMANCE TARGETS
Stage 5: DEVELOP COMMISSIONING PRIORITIES
Stage 6: PROCUREMENT & PURCHASING PLANS
Stage 7: PRODUCE IMPLEMENTATION PLANS including monitoring & evaluation

FEATURES OF THE FRAMEWORK

• Needs led ie. focus on client group not individual services
• Holistic ie. about assessment & care management resources as well as services
• Clear and easy to engage with
• Ongoing process

REFLECTION & FEEDBACK

• For 5 minutes:
• What do you think of it so far……..?
• Will take feedback and any questions

IDENTIFYING STAKEHOLDERS

• Developing social care commissioning strategies
• Who are the key stakeholders who need to be involved?
• General and for specific client groups

STAKEHOLDER ANALYSIS

Level of Interest
	LOW	HIGH
POWER Low	A Minimal Effort	B Keep Informed
High	C Kep Satisfied	D Key Players

STAKEHOLDER ANALYSIS

Stakeholder	How they will be involved in each stage of the process	Key dates	Who is responsible for making sure this happens	Comments

NATIONAL PRIORITIES

• Not going to dwell on today
• Focus on implications for the commissioning strategy ie. implications on use of resources

ANALYSING NEEDS

• Overall Population
• Trends and projections
• Population and Deprivation by District/Ward
• Ethnicity
• Health
• Social Inclusion Factors
• Geography
• Information from Assessments and Reviews
• Information from Complaints and Compliments
• Views of Key Stakeholders on Needs

ANALYSING NEEDS

KEY FACTS	IMPLICATIONS FOR THE COMMISSIONING STRATEGY

ANALYSING NEEDS

• Remember to record discussions
• 5 key facts about local need
• And note implications for the commissioning strategy
• Take 10 minutes for this
• Will then take feedback on this

MAPPING SERVICES

PRO-FORMA
Budget for the service
Unit costs
Details of the services provided
Staffing levels and current vacancy rates
Activity information on performance & quality
Views of stakeholders on the service
Information from monitoring or inspections

MARKET ANALYSIS

Analysis will include:

• Overall, what does the market look like?
• Are there current or future risks to supply?
• Is the market growing or shrinking?
• Are there new providers who could be encouraged or supported to enter the local market?
• Are there particular factors which affect the local market?
• Is best value being achieved? Is there any potential for achieving better value?
• (Make sure on same client group tables)
• Select a social care market
• Take about 20 minutes to begin a market analysis using the questions as a guide
• Brief feedback from each group summarising the market including is it “provider led” or “purchaser led” ?
• But also remember to record discussions

KEY FACTS	IMPLICATIONS FOR THE COMMISSIONING STRATEGY

 FINANCIAL & ACTIVITY INFORMATION

Group task:

• Highlight 5 finance and/or activity issues
• And note implications for the commissioning strategy
• Take 10 minutes for this. Will take some feedback on this

AIMS, OBJECTIVES & TARGETS

Must relate to use of resources

AIMS & OBJECTIVES

• Aim – overall what the commissioning strategy is trying to achieve
• Objectives - assist you to meet your aims
• Try and pass the SMART test

TODAY – FOCUS ON AIM/S

• Begin to develop aim/s for the commissioning strategy for your particular client/service user group
• Focus on use of resources and overall strategic shifts or changes you might want to make & what this will mean for service users
• You have xxx for this

COMMISSIONING PRIORITIES

• Stop doing something
• Do it differently – eg. type of service, price or the purchasing method
• Do more or do less
• Start doing something

COMMISSIONING PRIORITIES

• Now begin to focus on services
• What needs to change

PROCUREMENT & PURCHASING PLANS

• Clear service specifications
• Options appraisal
• Who is best placed to provide?
• What is the best purchasing method?
• How will you select providers?

IMPLEMENTATION

• Detailed project plans
• Communicating the strategy
• Responsibility for monitoring progress
• Maintenance tasks such as market management
• Evaluate the process

REFLECTION

• What are the benefits of strategic commissioning?
• What needs to happen for us to get the most out of this process?
• Take xxxx for this

WHERE NEXT

• How will you take this work forward

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