Social Care and Health working together 00A – 31 Jan LINks and Commissioning Janet Crampton...

Social Care and Health working together

00A – 31 Jan

LINks andCommissioningJanet Crampton

National Commissioning Lead


00A – 31 Jan

Commissioning for innovation, personalisation and outcomes

Commissioners are under pressure to ensure that the best services are secured to meet their local population needs, given

• ambitions of a challenging government agenda

• the rise of user and carer expectations

• the demographic, financial and environment time-bombs-


00A – 31 Jan

But how do Commissioners respond to

• Three drivers for strategic shift:

1. people want further improvements to:

meet the way they live their lives now – access issues; meeting their whole needs

put them more in control and

ensure consistency in the quality of services across the country.


00A – 31 Jan

2. New opportunities (and threats) from current environment (new technologies/economic environment)

New technologies

Personalisation

Economic Environment

3. Facing future demographic challenges

By 2020 twice as many people over 85 –high use/high cost group

15 million people have a long-term condition; LTCs are 50% of GP consultations and 75% of in-patient days, 74% of social care service users. Increased pressure on family carers

People with severe learning disability may increase by 1% p.a. for the next 15 years


00A – 31 Jan

Demography the population is changing and ageing……

Total English population predicted to grow by just under 7% by 2021.

Average family size expected to level off at 1.75 children.

Single Parent & Single Person Households grow

The proportion of people from ethnic minorities grow.

The number of people over 60 grow by 31% by 2021

The number of people over 75 grow by over 27% by 2021.

Signals increasing demands on health and social care services and informal carers and those who support end-users


00A – 31 Jan

People want …

A say, and a voice

More choice and control

Services shifted to local communities

Support for user-led support

Better support for those with high level needs

Support for healthier, independent lives

Promotion of well-being


00A – 31 Jan

Commissioning traditionally …

Buy as they always have done historically

Make decisions based on imperfect data

Try to think local but economies of scale intervene

Revert to thinking the professionals know best

Argue over high cost/high impact services with other statutory bodies

Are judged in good financial management and budget control

Wish they knew how to measure ‘well-being’


00A – 31 Jan

Context for Commissioners

• Address the expectations of the public:

– Commission for innovation, personalisation, improved outcomes, choice

and control

– shift to outcomes-orientation in reviewing and re-planning ;

– locate more person-centred services in local communities.

– Build on existing programme of reform (including LINks).

• Operating effectively, legally and in the spirit of new policy direction

– Accepting risks of personalisation/choice and control strategies

– Minimising risks by getting it right first time

– Sharing risks across and within sectors


00A – 31 Jan

Challenges for Commissioners (1)

• How do the new personalisation agendas impact on the relationship between commissioners and those who use the service?

• How do more person-centred service plans impact on the relationship between commissioners and those who provide the service?

• Should risks be shared? How can risks can be shared?

• What do commissioners need to do to change?


00A – 31 Jan

Challenges to Commissioners (2)

Learning to

• engage with end users and with LINks

• place LINks centrally to service design and reviewing processes

• respond to LINks challenges

• hold dialogue between ‘public services local’ and the people using services may generate more local solutions including ongoing reform that

– reflects public expectations and choices

– puts people firmly in control

– stimulates diverse local provision

– improves health needs in that locality

• co-produce (significant growth of individual commissioners and co-producers in social care)


00A – 31 Jan

Involvement and engagement strategies that support commissioner’s ability to manage


00A – 31 Jan

Thank you

Janet Crampton

National Commissioning Lead for the

Department of Health’s Social Care Programmes

07789 653196

[email protected]

Social Care and Health working together 00A – 31 Jan LINks and Commissioning Janet Crampton...

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