1. “CO-OPERATIVE COMMISSIONING- DEVELOPING A FAIR CITY WHERE EVERYONE DOES THEIR BIT” ”

2. What is co-operative commissioning  Cooperative commissioning is a new approach to planning and delivering public services  Part of a rebalancing of the relationship between the citizen and council.  Involves devolving far greater rights and responsibilities to citizens and communities.  Means building trust, building capacity and co- producing solutions

3. Co-operative Commissioning Cycle Understanding the strengths and needs of the community Understand what needs to change and what is to be achieved Agree priorities and resources Look at the different ways to deliver the outcomes Deliver services and outcomes Are the services delivering the required outcomes Citizens, Communities & Councillors

4. Key Elements of Co-operative Commissioning  Puts citizens at the heart of commissioning  Starts from an asset based approach seeing Customers as innovators Customers as resources and asset holders Customers as community developers  Commissioning is co-developed, co-designed, co- produced and co-evaluated.  Puts greater emphasis on social value not just cost

5. Co-operative Commissioning Values and Principles

6. A Co-operative Market  Diverse market, with services provided by a range of partner organisations, regardless of organisational form, with a mixture of both smaller and larger organisations.  Sustainable market, with services commissioned on the basis of achieving value for money and promoting social value so that services are sustainable and capable of delivering the quality and outcomes required.  Quality market, with services that are responsive to customer needs and focused on delivering outcomes  Fair market, with the provision of services from local suppliers who prevent abusive employment practices by championing the rights of staff, including offering the living wage and offering contracts to locally employed staff on a basis wanted by the workforce  Collaborative market, with citizens, commissioners, providers and stakeholders actively working together  Transparent market, with information on the market’s performance and quality made accessible to citizens and communities

7. Achieving better outcomes through cooperative commissioning  Helps prevent poor outcomes by understanding what people want  Promotes choice and control through citizen commissioning  Manages demand by utilising the natural assets of citizens and communities  Builds levels of engagement and trust in public service delivery

8. Achieving better outcomes through cooperative commissioning  Builds capacity to develop a high quality cost effective market  Helps develop a sustainable and fair market  Develop new forms of provision such as ‘mutuals’  Drives social innovation and social value in public services  Promotes partnership working and makes the best use of partners strengths  Values of cooperative commissioning promotes a fair Plymouth where everyone does their bit.

9. Co-production of services  Co-production is a much more collaborative, broad and deep process than consultation  It takes much longer and starts at the very beginning i.e. the ‘vision’ is co-produced with patients, relatives, communities, commissioners, services etc  It uses a variety of methods – focus groups of various kinds, 1:1 meetings, surveys, interviews, internet, use of evidence  The process varies from issue to issue, there isn’t a template eg substance misuse, supported housing

10. Complex Needs example  Substance misuse, Mental Health, Homelessness, Offending  Process started 2012 with lottery bid – involved over 70 services, 400 people using services and their carers, elected reps, key decision makers  Meetings, themed groups, market events, twitter, webpage, 1:1, published evidence.  Produced a very rounded picture of the problems and a very comprehensive vision of the best way to overcome them

11. example  There were uncomfortable truths for commissioners and for services  Challenged commissioners and services to work together and in collaboration with people using services  An iterative process checking back with stakeholders regularly through the commissioning process  Prospect of a whole system of service designed around the needs of people, rather than a fragmented market built around the needs of commissioners and services