1. FUTURE COMMISSIONING North Kesteven – Provider Forum Thursday 25 th September 2008 Ken Fairbairn Head of Commissioning Provider Relationships & Contracts

2. Consultation What people who use our services said they wanted : Access to the same activities as everyone else Real independence – not going cap in hand to social services Allowed to take risks and make mistakes Treated as equal citizens – rights, aspirations, choices Key to our own front doors Allowed to be part of the local community Real jobs Listened to – not done to Reliable transport, access to public services & parking Joined up services Good quality information and signposting

3. Creating Effective Care Pathways – How? Local commissioning – local solutions Information & Markets – who, what, how, when, how much? Integrated commissioning –PCT, District Councils, Supporting People, Practice –Based Commissioning (GP’s), Acute Trust, Evidence – improving outcomes Market development – new entrants, diversification “I want a life not a service”

4. Whole Systems Approach Independence, Well-Being & Choice Service User Priorities StandardsCulture Financial Drivers

5. Whole Systems Health & Social Care Older People Acute GP’s Pharmacy Residential & Nursing Dom Care DentistsMental Health AmbulanceOpticians Voluntary & Community Services Out of HoursDay Services Continuing Care Therapists

6. Older People Whole Systems Health & Well-Being HousingEducation Leisure Employment Engagement Prevention Access Maintaining Dignity Increased Choice Transport More Control Assistive Technology Environmental Issues Self management Advocacy Financial advice

7. Whole Systems Approach Health 3rd Sector Independent Sector Social Care Service User

8. Two-Way Communication Commissioning intentions, plans, and strategies Local demographic information – JSNA Demand & Capacity - Laing & Buisson Unmet & unsatisfied need Sharing the results of consultation Develop local workstreams Presentations by providers

9. Developing Ideas Work with your lead commissioner –Older People & Long Term Conditions – Nick Smith –Mental Health, Learning Disabilities & Physical Disabilities – Richard Collins –Performance & Quality – Jo Mead –Business plans –New ideas –Extensions or new build –Working in partnership with other organisations

10. Risks & Challenges Personalisation Individual Budgets Evidencing Prevention Dementia Workforce Inward migration Continuing Care Re-ablement services Palliative Care Contestability (competition) Removing services from the acute sector Reducing emergency admissions Culturally appropriate services

11. Summary What will commissioners be doing? –Involving providers in the development of commissioning strategies, purchasing plans and specifications –Involving providers in developing information and monitoring systems –Clearly specify what is expected of providers in contracts and specifications –Work with providers in helping them meet standards and outcomes –Common, and regular, approaches to liaison with providers

12. So What? Improved efficiency Collaborative innovation – outcome focussed Measurable improvements Long – term sustainable commercial relationships Person centred – user driven services Meeting local needs Anticipating future need & capacity A range of effective partnerships that deliver what citizens across Lincolnshire want

13. Just in case you can’t sleep! POLICY FRAMEWORK –Health reform in England: update and next steps (December 2005) –Independence, Well-being and Choice (March 2005) –Our health, our care, our say (Jan 2006) –A Sure Start to Later Life (June 2006) –A Stronger Voice (July 06) –Our Health Our Say Our Community: investing in the future of community hospitals and services (July 2006 ) –Commissioning a Patient Led NHS (July 2005) –Strong and Prosperous Communities (Oct 2006) –Commissioning Framework for Health & Well-being (6 March 2007) –Independence, choice and risk: a guide to best practice in supported decision making (May 07)