gill herbert, consultancy & development ltd1 domiciliary care workshop waterfront place,...

Gill Herbert, Consultancy & Development Gill Herbert, Consultancy & Development LtdLtd

11

Domiciliary Care WorkshopDomiciliary Care Workshop

Waterfront Place, ChelmsfordWaterfront Place, Chelmsford11 October 200711 October 2007

Commissioning Commissioning Framework for Health & Framework for Health & Well-beingWell-being

Consultation DocumentConsultation Document

Dept of Health, 6Dept of Health, 6thth March March 20072007

Gill Herbert, Consultancy & Development Ltd. March 2007


33

Key outcomesKey outcomes

Best possible health and well-Best possible health and well-being outcomesbeing outcomes

Best health and social care Best health and social care provisionprovision

Achieve this within best use of Achieve this within best use of available resourcesavailable resources


44

VisionVision

EnablementEnablement Seamless transition between Seamless transition between

servicesservices Quality, Efficiency & ValueQuality, Efficiency & Value Wider range of providers & provision Wider range of providers & provision

that is more innovativethat is more innovative Commissioning at practice & Commissioning at practice &

individual levelindividual level Focus on outputs & outcomesFocus on outputs & outcomes


55

Voice Voice

Easier for people to provide feed-Easier for people to provide feed-backback

Effective advocacy & complaints Effective advocacy & complaints proceduresprocedures

Innovative methods for involving Innovative methods for involving local population – IDeA ledlocal population – IDeA led

LINKs for engagementLINKs for engagement Advocacy approaches – 3Advocacy approaches – 3rdrd Sector Sector

drivendriven


66

Needs assessment Needs assessment

Local area agreements Local area agreements Director of Public Health, Director of Public Health, Director of Adult Social Services, Director of Adult Social Services, Director of Children’s Social Services Director of Children’s Social Services

lead on population needs analysislead on population needs analysis Increased use of actuarial Increased use of actuarial

forecasting, market segmentation & forecasting, market segmentation & cost-benefit analysis – shared cost-benefit analysis – shared between localitiesbetween localities


77

Joined up I.T. and Joined up I.T. and sharing of informationsharing of information Sharing between providers and Sharing between providers and

commissionerscommissioners Shared data-sets Shared data-sets Sharing of info between front line Sharing of info between front line

professionalsprofessionals


88

Assuring high quality Assuring high quality providers for all providers for all servicesservices Community based 3Community based 3rdrd Sector may be Sector may be

more effective at advocacy & more effective at advocacy & engagementengagement

Commissioners to develop their Commissioners to develop their providers to do thisproviders to do this

Commissioning for outcomes & outputsCommissioning for outcomes & outputs Better market intelligence and market Better market intelligence and market

mappingmapping Ensure active choice for providersEnsure active choice for providers Fair & open procurementFair & open procurement Distinction between grants & contractsDistinction between grants & contracts


99

And…And…

Supplement to tariff to encourage new Supplement to tariff to encourage new provision (more paid for new services)provision (more paid for new services)

Guarantees within the contractGuarantees within the contract Reducing capital investment required by Reducing capital investment required by

providerprovider Pump-priming for primary care Pump-priming for primary care

providersproviders Unbundling tariffsUnbundling tariffs Registration & monitoringRegistration & monitoring


1010

Developing incentives Developing incentives for comissioningfor comissioning Individual budgets, direct payments, year of Individual budgets, direct payments, year of

care pilotscare pilots PCTs and practice based commissioners PCTs and practice based commissioners

spending NHS funds on non-health spending NHS funds on non-health interventions & supporting better self-careinterventions & supporting better self-care

Agreement of personalised joint health & social Agreement of personalised joint health & social care planscare plans

Establishment of inter-disciplinary teams Establishment of inter-disciplinary teams across health and social careacross health and social care

Provide more alternatives to hospital Provide more alternatives to hospital admissionadmission

Avoid more expensive interventionsAvoid more expensive interventions


1111

Flexibility in use of Flexibility in use of NHS funds to include:NHS funds to include: Purchase of respite carePurchase of respite care Supporting carers of terminally ill people to enable people to die Supporting carers of terminally ill people to enable people to die

at homeat home Crisis avoidance & interventionCrisis avoidance & intervention Supporting healthy lifestylesSupporting healthy lifestyles Supporting greater independence of people with LTCSupporting greater independence of people with LTC Provision of Citizens Advice, advocacy & return to work adviceProvision of Citizens Advice, advocacy & return to work advice Developing practice based multi-disc, mental health resourcesDeveloping practice based multi-disc, mental health resources Developing social & practical support for isolated older peopleDeveloping social & practical support for isolated older people Anger management for children & young peopleAnger management for children & young people

PCTs to agree appropriateness of funding (for PCTs to agree appropriateness of funding (for things outside the remit of Local Authorities)things outside the remit of Local Authorities)


1212

IncentivesIncentives

Pooled budgets with one lead Pooled budgets with one lead commissionercommissioner

Contracts that include improvement in Contracts that include improvement in health and well-being whatever else they health and well-being whatever else they are forare for

Improving accessImproving access New type of performance framework New type of performance framework

based on local priorities and on outcomes based on local priorities and on outcomes – to apply across health & social care– to apply across health & social care

gill herbert, consultancy & development ltd1 domiciliary care workshop waterfront place,...

Documents