Jane Shuttleworth Consultancy and Training THE SCIENCE AND ART OF COMMISSIONING COMMISSIONING AS A DESIGN PROCESS JUNE 2006

Jane Shuttleworth Consultancy and Training CONTENT Some definitions The science & art of commissioning Step by step through the design process Key messages

Jane Shuttleworth Consultancy and Training WHAT IS COMMISSIONING? Deciding what you want and who should do it Delivering value for money services which make a difference and enable children and young people to fulfil their potential

Jane Shuttleworth Consultancy and Training WHAT DOES COMMISSIONING INVOLVE Understanding the current position Strategic planning Procurement Performance management & review

Jane Shuttleworth Consultancy and Training FOUR STAGE PROCESS SERVICE USER & other stakeholder involvement including providers & IMPROVING OUTCOMES 1.UNDERSTANDING THE CURRENT POSITION Need, the market, use of resources 4.PERFORMANCE MANAGEMENT & REVIEW Plans, contracts, SLAs Priorities, targets, outputs, outcomes. 2. STRATEGIC PLANNING Analysing information, setting priorities, planning for service, workforce and/or culture change 3. PROCUREMENT – designing services, developing specifications, make or buy decisions, letting contracts

Jane Shuttleworth Consultancy and Training COMMISSIONING IS A DESIGN PROCESS Science - using technical skills Art - being creative Use an illustration which combines art and science

Jane Shuttleworth Consultancy and Training COMMISSIONING IS A SCIENCE Using data Analysing patterns Setting targets Monitoring progress Contracting Use scientific picture eg experiment/labor atory

Jane Shuttleworth Consultancy and Training COMMISSIONING IS AN ART Developing & shaping services Managing culture change Ensuring ownership Use picture/art work

Jane Shuttleworth Consultancy and Training THE SCIENCE AND ART OF UNDERSTANDING THE CURRENT POSTION Benchmarking Getting into the detail Understanding trends & making predictions Using research Using qualitative data Understanding where the money goes and what you get in return Who are the scientists in your authority? Are they listened to? How do you use information?

Jane Shuttleworth Consultancy and Training THE ART OF STRATEGIC PLANNING Co-ordination & making connections Making complexity appear simple A few clear priorities with budgets & targets Promoting ownership & involvement Translating ideas into realistic plans Who are the artists? Who are the strategic thinkers? Are your top 3 priorities clear to everyone?

Jane Shuttleworth Consultancy and Training THE SCIENCE & ART OF PROCUREMENT Much more than buying services Designing services Having a consistent framework for in-house & external services Making cost effective decisions Clear outputs and outcomes Shaping & influencing the market Using purchasing power Who works on the procurement of children ’ s services? (not only about contracting) Who understands and shapes the market? Are there specifications for ALL services regardless of provider?

Jane Shuttleworth Consultancy and Training THE SCIENCE & ART OF PERFORMANCE MANAGEMENT & REVIEW Using the same system for all services Monitoring progress on strategic priorities Developing evidence base Everyone knowing how well they are doing Being flexible & able to adapt Who monitors progress against priorities? Do individual teams & services know how they are doing? Are you flexible & able to adapt to changing circumstances?

Jane Shuttleworth Consultancy and Training KEY MESSAGES Agreement on the commissioning process Using the evidence – science Getting to grips with strategic thinking and service design – art Matching finance & activity information Understanding the depth of change required at all levels It ’ s easy to take some new steps in the right direction

Jane Shuttleworth Consultancy and Training SELF ASSESSMENT ARTSCIENCE Understanding current position Strategic planning Procurement Performance management & review