1. Social Care and Health working together 00A – 31 Jan LINks and Commissioning Janet Crampton National Commissioning Lead

2. Social Care and Health working together 00A – 31 Jan Commissioning for innovation, personalisation and outcomes Commissioners are under pressure to ensure that the best services are secured to meet their local population needs, given ambitions of a challenging government agenda the rise of user and carer expectations the demographic, financial and environment time-bombs-

3. Social Care and Health working together 00A – 31 Jan But how do Commissioners respond to Three drivers for strategic shift: 1.people want further improvements to:  meet the way they live their lives now – access issues; meeting their whole needs  put them more in control and  ensure consistency in the quality of services across the country.

4. Social Care and Health working together 00A – 31 Jan 2.New opportunities (and threats) from current environment (new technologies/economic environment)  New technologies  Personalisation  Economic Environment 3.Facing future demographic challenges  By 2020 twice as many people over 85 –high use/high cost group  15 million people have a long-term condition; LTCs are 50% of GP consultations and 75% of in-patient days, 74% of social care service users. Increased pressure on family carers  People with severe learning disability may increase by 1% p.a. for the next 15 years

5. Social Care and Health working together 00A – 31 Jan Demography the population is changing and ageing…… Total English population predicted to grow by just under 7% by 2021. Average family size expected to level off at 1.75 children. Single Parent & Single Person Households grow The proportion of people from ethnic minorities grow. The number of people over 60 grow by 31% by 2021 The number of people over 75 grow by over 27% by 2021. Signals increasing demands on health and social care services and informal carers and those who support end-users

6. Social Care and Health working together 00A – 31 Jan People want …  A say, and a voice  More choice and control  Services shifted to local communities  Support for user-led support  Better support for those with high level needs  Support for healthier, independent lives  Promotion of well-being

7. Social Care and Health working together 00A – 31 Jan Commissioning traditionally …  Buy as they always have done historically  Make decisions based on imperfect data  Try to think local but economies of scale intervene  Revert to thinking the professionals know best  Argue over high cost/high impact services with other statutory bodies  Are judged in good financial management and budget control  Wish they knew how to measure ‘well-being’

8. Social Care and Health working together 00A – 31 Jan Context for Commissioners Address the expectations of the public: –Commission for innovation, personalisation, improved outcomes, choice and control –shift to outcomes-orientation in reviewing and re-planning ; –locate more person-centred services in local communities. –Build on existing programme of reform (including LINks). Operating effectively, legally and in the spirit of new policy direction –Accepting risks of personalisation/choice and control strategies –Minimising risks by getting it right first time –Sharing risks across and within sectors

9. Social Care and Health working together 00A – 31 Jan Challenges for Commissioners (1) How do the new personalisation agendas impact on the relationship between commissioners and those who use the service? How do more person-centred service plans impact on the relationship between commissioners and those who provide the service? Should risks be shared? How can risks can be shared? What do commissioners need to do to change?

10. Social Care and Health working together 00A – 31 Jan Challenges to Commissioners (2) Learning to engage with end users and with LINks place LINks centrally to service design and reviewing processes respond to LINks challenges hold dialogue between ‘public services local’ and the people using services may generate more local solutions including ongoing reform that –reflects public expectations and choices –puts people firmly in control –stimulates diverse local provision –improves health needs in that locality co-produce (significant growth of individual commissioners and co- producers in social care)

11. Social Care and Health working together 00A – 31 Jan Involvement and engagement strategies that support commissioner’s ability to manage

12. Social Care and Health working together 00A – 31 Jan Thank you Janet Crampton National Commissioning Lead for the Department of Health’s Social Care Programmes 07789 653196 janet.crampton@dh.gsi.gov.uk