Commissioning in action Health Information for You

Alison WheelerSue Nicholson

Introductions

• CommissionerAlison WheelerHead of Service Developmentalison.wheeler@suffolk.gov.uk

• ProviderSue Nicholson Information on prescription coordinator sue.nicholson@suffolk.gov.uk

Some background

• Suffolk Information on prescription began life as DoH pilot project

• Very successful• 3 years funding from ACS to

mainstream the project• Then used commissioning

approach to assess need, define outcomes, set targets, establish appropriate governance and to review these in an on-going cycle

Commissioning and contracting framework

Plan

Do

Analyse

Review

The commissioning cycleMarket supply Needs and choices

Local priorities

National requirements

Provider views

Service objectives

Capacity for change

Commissioning partners

Capacity building

De-commissioning and re-commissioning

Performance Monitoring

Contracting strategy

Option appraisal

How does this look and feel in practice?

• Needs analysis- using JSNA, forecast health issues around long term conditions, and demographics to identify criteria for us to choose our priorities

• Agree priorities (and these have changed over the three years)

• Establish expectations and targets (described in a service profile)

• Governance to review and monitor progress

• Ongoing review of impact and of success in meeting targets and recently to agree a change of direction around diversion.

The IOP perspective What its like to be commissioned?• Structure and focus • How• Authority

What are the challenges and the learning?• Working differently• Focused on targets• Capturing evidence • Influencing others outside your organisation

What’s different about this to core service delivery ?

• Local needs and national priorities • Regional and national recognition

What opportunities are offered?• Recognition of your service• Leads for future service development• Staff development in other areas

What is IOP• Prescription service for information • Health conditions • Signposting to support • Issued by - health professional - information advisors - voluntary sector• Knowledge and informed choices• Carers and people with health conditions• Timing valuable• Impact can be huge

Sue’s Deep Dive • Signposting to universal services• Befriending • Support – Financial and

emotional• Equipment• Interests – hobbies and social

interaction• Opportunities do exist• Resulting in:• Reduced help from social care• May remain independent for

longer

What are the challenges for universal (culture and sports ) services in this new environment?

• Fast changing context, with increasing emphasis on diversion rather than promoting good public health and wellbeing

• Can you reconfigure your offer quickly?

• How do you target the right people?

• How do you prove you have got to the right people and made a difference?

conclusions• Role of universal services is

even more important than ever• Conventional care packages

and over reliance on the council will have to be replaced by cheaper, more diverse and more community based solutions

• Real opportunity for you to establish your instrumental worth and role

• Carpe diem- seize the day

Thank you