1. Commissioning Process and Intentions;
Sexual Health Commissioning in Public Health
Tri-Borough Sexual Health Providers Forum
26 Jun 2013

2. Contracting Process (WCC)
Many similarities with NHS Procurement (legislative framework)
Governed by Standing Orders (Financial regulations, Procurement code)
Competitive process is the default position

3. Contracting Process (WCC)
Approach determined by value
Anything over £100,000 is strategic and must go to competitive tender
Strategic procurement against defined specification
Evaluation (MEAT)
Award processes vary (thresholds for Officer or Member decision)

4. Contracting Process (WCC)
Category Management
3. Generating options, testing hypotheses and deciding on the sourcing strategy
4. Buying activity – e.g. Issue tender
3. Develop
Category
Strategy
4. Approach the
Market
5. Evaluate the offers , choosing the supplier and contracting
2. Defining our needs and the supply market position
2. Develop Category
Profile
5. Select Best
Option and
Contract
6. Post Award Contract Management
1.Project Setup
6. Ongoing contract and relationship management
1. High level category planning and setting up project activity

5. Commissioning Intentions
Total contract review
Internal service mapping – impact of Public Health on other Local Authority directorates and vice versa
Continued development of strategy following publication of JSNA
HIV Service Review
Focus on young people
Actual commissioning intentions for expected by September / October 2013

6. Public Heath Outcomes Health improvement:
Chlamydia diagnosis (15 – 24 year olds)
Under 18 Conceptions
People presenting with HIV at a late stage of infection
Improving the wider determinants of health:
Violent crime (including sexual violence)

7. Local Authority Opportunities
Better synergy between departments e.g. youth services, housing, arts and leisure, planning, licensing; ‘Whole Council’ approach
Health and Wellbeing Board structures
Tri-borough; coherent services across a wider footprint
Review and refresh services commissioned

8. Systemic Challenges
Public Health to be delivered from within a ring fenced grant
Ability to directly influence commissioning of whole system e.g. abortion services
Decision making processes working within a democratically accountable structure

9. Other priorities JSNA proposals Third sector commissioning framework
Developing external relationships e.g. PHE, NHSE, CCGs, Healthwatch

10. Questions and Discussion
Ewan Jenkins
Sexual Health Commissioner
Tri-Borough Public Health Service
(Hammersmith & Fulham | Kensington & Chelsea | Westminster)
Westminster City Council