developing and delivering in partnership gary hazelden – partnership lead (nsft)...

Developing and Delivering in Partnership

Gary Hazelden – Partnership Lead (NSFT)gary.hazelden@nsft.nhs.uk

07798 92590601603 421447

Current and Changing Environment

• Financial Challenge• Trust Service Strategy • Changes in the Commissioning Environment• Payment by Results• Increased Competition

Development Partnerships• What?

Time limited, outcome focused projects Set up to design a particular service/intervention Include a wide range of stakeholders Produce a Service Specification/Operations

• How? Expressions of Interest Reimbursing/paying members Workshops and other tasks

• Why? Deliver in partnership, therefore develop in partnership Separate the Development from the Procurement Phase To establish the best design for service users within the cost

envelope available Engaging with all potential providers in an open and fair way

Adult Alternative to Admission/Discharge

Support (AtA) – Development PartnershipAim:-• To develop a range of effective alternative to admission and discharge support

services for Norfolk and Waveney, within the resources available. Objectives:-• Discuss, debate and decide on:-

cost implications geographical implications feasibility practical operational issues Survey interested parties, as required

Submit proposals to TSS Steering Group for approval before procurement and implementation phases. 

The AtA Service Specification

Currently included:-• Bed based interventions• Non-bed based intervention• Community/Home based interventions

Additional AtA interventions:-• Enhanced Crisis Line• Community Transport• Care and Repair services

And the others!

The AtA Service Specification (contd)

• An electronic/web based ‘Menu of Services’ including latest availability, will provide SUs, carers and NSFT staff with the information required to access AtA services

• Providers will be pre-contracted and accredited• 18+• Highly likely to require an NSFT acute bed• Free at the point of delivery according to need• Ongoing or avoidance of a crisis (up to 72hrs)• Discharge support (up to 6 weeks)• Not a replacement for care as usual

What next?

• Procurement• Implementation phase (cultural and operational

challenges)• Ongoing contract management and review of

service outcomes• Dementia AtA• AtA Programme of work