Commissioning the space for recovery 29 April 2014 University of Chester Chris Lee Public Health Specialist Lancashire County Council

Presentation overview Lancashire Commissioning Creating the space for recovery LUF and RRR Challenges

Back to basics A commissioner can be lots of things: –a change agent, a catalyst, a leader, a broker, a pivot, a linchpin, an enabler, an architect, a politician, a fixer –Or: a nuisance, a martinet, a petty bureaucrat, a frustrated service provider, a pushover, an ATM Commissioners are few in number and dedicated substance misuse commissioners are increasingly rare. Commissioning is directing resources wisely and generating a culture of improvement and change. Commissioning is a great responsibility, full of potential and possibilities. Poor commissioning wastes resources and creates disharmony

Here and now Increased competition for resources Commissioners must be pro-active around system change Substance misuse sector must evolve or will start to wither Integration, not disintegration. Systems not lots Providers must develop products and solutions Engage and mobilise the recovery community Must focus on outcomes The need for flexibility.

Lancashire case study In Lancashire

Creating the space for recovery

Challenges Resources Re-distribution of resources My way….. Public Health Local authority based commissioning

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