The Joint Commissioning of Children, Young People’s and Pediatric Tertiary Audiology Service

Key areas for discussion Legislative requirements Joint commissioning arrangements with Bromley and Greenwich and improved outcomes for our families Consultation and communication

Legislative and Policy requirements Children and Families Act 2014 and SEND Reform 2016 EHC Plans replace statements Plans for 0-25 year olds DMO/DCO role in CCGs Local Offer PHBs Mediation and Advocacy Duty to jointly commission TRANSITION Our Healthier South East London and the Sustainability and Transformation Plan Five Year Forward View The NHS Five Year Forward View is reshaping the commissioning and provider landscape, with more emphasis on prevention, new flexible models of service delivery tailored to local populations and their needs, and integration between services delivered closer to people’s homes. A “one size fits all” model of delivery is no longer suitable and the drive is to encourage people to take far greater control of their own care to get the right treatment at the right time, leading to improved outcomes.

Joint commissioning arrangements The beginning of our journey……. Current local service delivery at community clinic for Bexley, Bromley and Greenwich CCG’s Capacity and recruitment issues for provider Estate issues at community clinic Discussions took place between commissioners and providers on potential ways forward Communication to parents Transport main issue

Commissioning cycle

Joint Commissioning Arrangements what was the approach by Commissioners to address the closure of the community provision as they were served only 3 months notice Engage providers Procurement waiver and CCG approvals Present options and proposals to parents/carers & key stakeholders Microsoft project Mobilisation process and interim arrangements (CHEARS) Communication and engagement

Engagement and Participation Parents and Children National Deaf Children's Society CHSWG Teacher of the Deaf GP’s and acute professionals Universal health professionals CCG and the Local authority ……

“Parents would like more information about hearing problems” What do our families say…… “Informing us about all steps in a procedure and the doctors are really interactive and patient” “The communication between the staff and the patients is fantastic and very welcoming” “Brilliant approach to child. Very, very happy about service. Thank you!” “Parents would like more information about hearing problems” “For our Bexley patients, satellite clinic locations are not always convenient to reach”

Quarterly contract monitoring meetings Outcome measures Contract management Quarterly contract monitoring meetings Outcome measures Experience of a parent who had transitioned from St Georges to GSTT Upgraded facilities and equipment Forefront of new thinking Improved referral pathways and appointment system Improved Speech and language Service user feedback

Lessons learned Adhere to legislative requirements Robust contract arrangements in place Effective use of a range of tools Good communication Effective and proactive engagement with families – do you really know your population and their needs Measurable KPIs and outcomes Evaluation and continuous improvement

A new local development Improved joint commissioning arrangements Single Point of Access (SPA) Child Development Centre at Queen Mary’s – ACORNS Co-located one-stop shop for SEND Former Elmstead Unit

Jacqueline Leaver Head of Children, Young People and Maternity Commissioning