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TRANSCRIPT
CIPS Best in Procurement event Presented by:
Neli Garbuzanova - Procurement Manager Paul Fradgley - Head of Marketing
Commissioning history
Pre Health and Social Care Act 2012
• 151 Primary Care Trusts • Large, self-sufficient
organisations • In-house resources
Clinically/GP led commissioning
• 220 Clinical Commissioning Groups established
• 25 Commissioning Support Units established to deliver ‘at-scale’ support
Lead Provider Framework • Competitive market for
Commissioning Support Services
• 5 * CSUs and 3 * private sector suppliers
• Need for commercialisation
April 2013
June 2012
February 2015
Setting the scene
A colleague recognised the potential of the project and the project leads!
Why we entered the CIPS Awards • Recognise best procurement practice
• Acknowledge the efforts of all collaborators
• Position Arden & GEM as a lead provider of procurement services
• Increasing the profile and reputation of the profession
“It was really important that we got the opportunity to have our voices heard and to ensure that everyone
was working towards delivering the outcomes that families
have asked for. Families were involved every step of the way
from creating the families statement of expectations
to marking the tender.”
Nottinghamshire Community Services Project
Over 70% satisfaction rate
Clinical Commissioning Groups
Parent of service user
National Recognition
Service Users
The national context • NHS Five Year Forward view • Health and social care
integration
• Value for money through efficiencies and improved patient care
Transformation of services to address:
• Fragmented community services • Lack of coordination between providers • Inconsistent care for patients • Patients often travelling far from home to receive the treatment
required • The need to deliver efficiency savings
The local challenge
Our procurement approach
Meticulous
planning, execution and stakeholder
engagement
Co-production
involving stakeholders and
service users
Innovative
procurement approaches
Contract
management and continuous
improvement
Working together
Robust governance Patients and providers engagement Co-production approach Engagement helped us develop outcomes based commissioning
Governance and engagement
A full procurement cycle approach Effective use of technology – defining the requirement, e-procurement and e-evaluation Impartiality, independence and training Feedback throughout the whole process Selected providers that deliver innovations
Innovative procurement solution
Innovation breeds innovation
Documents Expectations
Improve contract management Outcomes based commissioning Create learning and best practice
What we learned
Contract management and continuous improvement
1 2 Training
3
The outcomes
Reduced length of stay in short term rehabilitation beds from
32 to 17 days
Over £12m in savings
Improved patient experience
Easier to navigate pathways
Simplified alliance contract
Successful reconfiguration of
services
Care closer to home
Improved relationships
between multiple stakeholders
Why we won ‘Best Public Procurement’
1
2
3 Our procurements approach has delivered cost savings
of over:
£12 million
Patients receive better quality community services
designed around their needs and delivered closer to home
Effective collaboration and coproduction across six CCGs, local authorities,
providers, service users and the CSU
Innovation
What it means to win…
Recognition for a job well done Learning and
expertise for the future Brings the project
team together
External validation of our work Enhanced
reputation New potential
customers Opened new
opportunities
Example of best practice Replicable
approach to engagement Demonstrable use
of alliance contracts
For the team For Arden & GEM For the sector
www.ardengemcsu.nhs.uk @ardengem
Thank you for listening Any questions?