Transcript Durham County Council, Adult & Community Services

Durham County Council,
Adult & Community
Services
Nick Whitton
Head of Commissioning
23rd June 2008
World Class Commissioning from a
Local Authority point of view
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Commissioning in social care
A look at some joint processes in
County Durham
Some current and developing areas
of joint work which touch on the
WCC competencies
What is Commissioning?
The Institute of Public Care’s (IPC) framework for joint commissioning & purchasing
of public care services. http://www.cat.csip.org.uk/_library/eBook/Chap1FRichardson.pdf
Some history
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Arguable that LA’s have been
commissioning for social care since
1993
• Residential and nursing care
• Domiciliary care
• Some day care and specialised services
• Supporting people
Processes/transactions and other
things that help in Durham
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A jointly appointed Locality Director of
Public Health
A public commitment to develop joint
commissioning strategies wherever
possible and where not possible, to align
strategies
Dedicated commissioners who meet
regularly
Joint structures e.g.
• Older Peoples Partnership Board
• Older Peoples Joint Commissioning Group
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Agreements on standard strategy format
Manage knowledge and assess
needs
“Real intelligence needs to be
delivered like a layered wedding cake
with the fairy on the top . . Doesn’t
take up much space … presented in
lots of different formats with a good
understanding of the audiences so
that the depth of the statistical
analysis and methodology is never
lost but is never bombarded at the
wrong people”.
Durham’s JSNA
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Project Board made up from Durham County Council,
County Durham Primary Care Trust, County Durham DAAT
and the Durham Housing Neighbourhood Group
3 workstreams:
• Information management
 Compiling and analysing quantitative and qualitative
information
• Planning and commissioning
 Analysis of key findings and priorities
• Mapping and management
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Processes to be influenced
Communication
Devising a performance management framework
Durham’s JSNA
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Structured around the current LAA
themes:
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Achieve
Enjoy
Economic Well-being
Health & Well-being
Physical place
Positive contribution
Safe
How it links to the
bigger picture…….
National
Dataset
Local
people’s
views and
experiences
Public
Health
Information
Local
Commissioning
Intelligence
Research
and trends
information
Informing
Health and
Social Care
Prevalence
Information
Joint Strategic Needs
Assessment
Informing
Priority Setting
Influencing
Local Area
Agreement
Community
Strategy
Locality
Plans
Children’s /
Young Peoples
Plan
Client Group /
Issue Based
Commissioning
Plans
eg Mental Health,
Older People,
Obesity, Long Term
Conditions
PCT / County
Council
Business Plan
Supporting
People
Housing /
Strategies
JSNA
Structured around key
messages
 Leads to a common analysis
 May lead to a common set of
political realities
 Implementation through the
commissioning strategies
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Durham website
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www.durham.gov.uk/consultation
A few more examples of joint work which illustrates
areas of the competency agenda
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Early adopter on the establishment
of a LINk service
Increasingly trying to approach the
markets together
Moving to contract together
Jointly managing post contractual
monitoring and performance together
Some challenges
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Different perspectives and timescales
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Different accountabilities
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Personalisation