slide 1 national treatment agency addiction to medicines: understanding public health commissioning...
TRANSCRIPT
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NATIONAL TREATMENT AGENCY
Addiction to Medicines:Understanding Public Health Commissioning
Beverley Oliver & Corinne HarveyRegional Managers ,NTA North East and Yorkshire and Humber and the East Middlands
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Workshop Programme 45mins:Workshop Programme 45mins:
5mins: Introductions from facilitators and from work shop participants.
10mins: A short presentation to describe the landscape including realistic opportunities and threats - Setting the scene .
30 mins: Small working groups to discuss and raise the poignant points for discussion - each group to feed back.
5mins: Any further questions and close
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Contents:
Understanding Public Health Commissioning
Public Health England and the Health and Care System
Commissioning Process
Opportunities and Support
Discussion and Questions
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Public Health England
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The new health and care system
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Local people and communities
Health and Well-being Board
Parliament
Secretary of State for Health
PHE NHS CB
HealthWatch
PHE Centres
Local Authorities
CCG/NHS CB
Responsible for
publishing data and
supporting delivery of
PHOF
PHOF NHSOF
Police and Crime Commissioners could have
a seat. Up to each LA
Undertake JSNA & develop HWB Strategies setting out
local priorities
Mandate – only means of holding the CB to
account
Commissioning OF – set by the NHS
CB for CCGs
ASCOF
Sets out the indicators that the PH system & DH
understand are the best mechanisms to
improve public health. Up to LAs to
prioritise.
Sets out the indicators that the NHS should seek to achieve through the
Mandate objective of continuous improvement
The evidence in this presentation can inform
the JSNA and HWB Strategies.
Accountability
Oversight
Links
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Commissioning Flowchart
PHE needs assessment dataPHE needs assessment data
Local needs assessmentLocal needs assessment
JSNA & HWBSJSNA & HWBS
HWBBsHWBBs DsPHDsPH
Operational CommissionersOperational Commissioners
Local Performance Management
Local Performance Management
Engagement Opportunitie
s
Engagement Opportunitie
s
Public Health Grant
Public Health Grant
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Commissioning Process and the role of voluntary and statutory providers
ATM services commissioned by local authorities, through Directors of Public Health - supported by and coordinated through Health & Wellbeing BoardsStronger together - describes how Health and Wellbeing Boards can work effectively with local providers is a framework for building health and wellbeing board and provider engagement• A strategic, whole system approach – setting out a clear, strategic vision of how and why providers will be actively engaged in both determining and delivering the board’s priorities..• Clarifying the new commissioning landscape – and the benefits of the new partnerships to local providers and others.• Involving providers in determining engagement approaches – this collaboration will foster better understanding, stronger cooperation and greater enthusiasm for more productive engagement.
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Opportunities and Support – Health and Wellbeing Boards
• Provider-led initiatives – providers themselves have and can devise effective ways of how they can jointly engage with their health and
wellbeing board for mutual benefit.• Providers as board members – this can be applicable where health
and wellbeing boards have been established as strategic bodies rather than direct commissioning structures.
• A new kind of board and provider leadership is needed for all parties to work above their own organisation’s interests for the benefit of the local health and wellbeing system.
• Different approaches and new skills may be required.
•
• Provider representation for groups, not single organisations – sitting on and engaging with health and wellbeing boards can reduce conflicts of interest, as representation is linked to a group not an individual provider, and be an effective way of feeding in provider knowledge and expertise.• Cooperative working with provider forums – health and wellbeing boards can engage with various provider forums but, to ensure proper engagement, partnership rather than consultation will be required to build collaborative working with providers.• Sub-groups of the health and wellbeing board – these groups, made up of commissioners and providers, can be effective at looking in more detail at a particular theme, care pathway or client group.
Opportunities and Support – Health and Wellbeing Boards (continued)
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Opportunities and Support - Relationships
• There is no statutory seat on the Health and Well-being Boards for voluntary and community sector representation, nor for specialist representation for the drug and alcohol sector.
• However, HWBs are being encouraged to involve the VCS in the development of local strategies. The draft guidance on JSNAs and JHWSs published by the Department of Health for consultation in July 2012 explained that the local VCS could be represented on the HWB, and highlighted the potential for additional members, such as the VCS, service providers, health and care professionals, and representatives of criminal justice agencies ‘to bring expert knowledge to enhance JSNAs and JHWSs’.
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Opportunities and Support - Finance
Funding for drug and alcohol misuse treatment: •Drug and alcohol misuse prevention and treatment important part of public health responsibilities
•34% of national spend on public health has been on substance misuse - recognised in the target formula for the public health grants - illustrates significance of the agenda •Budget is the ring-fenced - but may be other local investment in services and local authorities will want to explore opportunities to lever in investment from elsewhere. • Activity and performance on drug treatment has had an impact on how much money an area has received
•LAs required to report spending on an annual basis. There are categories for adult drugs, adult alcohol and YP drug and alcohol spending. Disinvestment will be very evident •Drug treatment continues to be a key priority for the government and this is unlikely to change
Identifying and presenting ‘Need’ to Commissioners
Where can PHE support? •NTA’s/PHE JSNA documents • Evidence base - growing• To work with local PHE Drug and Alcohol teams in how to inform and
influence planning (who, where, how?)• Have your input via JSNA (contributing local data/intelligence)• Support with case studies and local practice examples • Scope and be aware of what contracts/funding may become available
(ads/tenders primarily but could involve prime provider and subs, integrated services, etc.)
• Consider working with other providers to prepare joint tenders where appropriate
• Other solutions such as offering yourself as a sub-contractor• Keeping in mind other relevant sources of funding: mental health
(CCGs), voluntary sector (LA, charitable trusts, Lottery, companies, etc.)
Context: Suite of evidence-based clinical guidance 2007
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Thank you for your time and any questions?
Any Questions?