Commissioning for Better Outcomes Dr Karen Newbigging Health Services Management Centre

Commissioning for Better Outcomes  Commissioned by Local Government Association (LGA) and ADASS and funded by DH  To develop standards to improve quality of commissioning  Timescale: January 2014 – Early 2015

Context: The Care Act  Promotion of health and wellbeing and provision of preventative services  The duty to carry out their care and support functions with the aim of integrating services  A new duty for local authorities to promote diversity and quality in the market of care and support providers

Process  Literature review of research evidence and good practice  Interviews with a range of key actors  Development events and ADASS workshops  Testing draft standards  Launch of draft standards for self-assessment and peer review: 30/30 th October 2014 Extensive involvement of key stakeholders in design More information at

Wicked issues  Current financial pressures  Evidence of impact for commissioning scant  Co-production an aspiration but challenging  Integrated commissioning complicated by different approaches, systems and cultures  Tension between personalisation and population focused commissioning  Intelligent use of information and data

Purpose of the standards To support a local dynamic process of continuous improvement, to strengthen and innovate to achieve improved outcomes for people using social care, their carers, families and communities Dialogue Challenge Improvement Better outcomes

Overview Well led Person- centred and outcomes focused

Inclusive Overview Well led Person- centred and outcomes focused

Inclusive Overview Well led Person- centred and outcomes focused Sustainable and diverse market

Good commissioning: 1. Is well led by Local Authorities 2. Demonstrates a whole system approach 3. Uses evidence about what works Well led

4. Is person centred and focuses on what people say matters most to them 5. Promotes health and wellbeing for all 6. Delivers social value Good commissioning: Person- centred and outcomes focused

Good commissioning: 7. Is coproduced with people and their communities 8. Promotes positive engagement with providers 9. Promotes equality

Good commissioning: 10. Ensures diversity, sustainability and quality of the market 10. Provides value for money 11. Develops the commissioning and provider workforce Sustainable and diverse market

Key documents and plans Local viewsGood practice and innovation Local Authority strategies for finance, performance, care groups and other service strategies e.g. Housing, culture and leisure Health and Wellbeing Board Strategies Joint Strategic Needs Assessment Local Accounts Market Position Statements Top up agreements TLAP partnerships at a local level Experiences of social care users, carers, families and communities of social care provision Evidence from local people and commissioning partners on their views of commissioning Complaints/compliments CQC inspection reports Healthwatch reports Other reports or correspondence raising issues Judicial reviews or other legal challenges Evaluations of local services, including locally commissioned evaluations Good practice promoted by ADASS, SCIE, LGA, MDF and TLAP and other national bodies NICE guidelines Information about promising innovations from a range of sources including Local Authorities, local people, providers, think tanks and academic sources Examples of evidence to assess commissioning effectiveness against the standards

1-2 Identified key areas for further work 3-4 Meeting some standards 5-6 Reached most standards and agreed action to address 7-8 Fully meet all standards 9-10 Planning to go further Score your progress against each of the ‘what does good look like?’ statements on the arrow

Questions? #commissioning4outcomes