ADASS / SCIE Seminar 02 July 2014 ‘Care Act 2014 & Commissioning for Better Outcomes’

ADASS / SCIE Seminar02 July 2014

‘Care Act 2014 & Commissioning for Better Outcomes’

Commissioning for Better Outcomes

Jon Glasby and Catherine Mangan June 2014

Work so far Literature review Interviews with 21 key stakeholders from a range of

perspectives – representatives of national organisations, commissioner, provider and social care users

Two workshops at the ADASS Spring seminar Five stakeholder events: prevention, co-production,

market development, outcomes based commissioning, workforce

Initial findings

Ambiguity of terms– Commissioning– Co-production– People using social care

Findings from literature review

Evidence base for the impact of commissioning is patchy and under-developed.

Wealth of guidance and good practice to drive quality and outcomes for health and wellbeing for people using social care services and their carers.

Often not clear on what basis examples of good practice are being cited.

Conclusions about how commissioning is working to achieve better outcomes is limited.

Wicked issues Financial pressures, increased expectations and demographics Lack of evidence of impact for commissioning Challenge of meaningful co-production with social care users, family, carers

and communities Integrated commissioning and the need to adopt a whole life, whole system

perspective Potential tension between personalisation and population focused

commissioning. Intelligent use of information and data limited by capacity, accuracy of data

held and information sharing issues

Wicked issues

Changing the relationship with providers Prevention or diversion? Tensions around cost and quality Economy of scale or granularity of services? Disproportionate attention given to the needs of particular groups Challenge of equity Outcomes based commissioning – how to do it and likely impact Workforce - commissioner capacity and provider

staffing quality

1. Is supported within local Councils2. Is coproduced with people and their communities3. Promotes health and wellbeing for all4. Focuses on outcomes 5. Is person centred6. Is integrated with other public services

Draft principles – good commissioning……

7. Uses evidence about what works8. Promotes equality9. Delivers social value10. Facilitates the diversity and quality of the market 11. Ensures sustainability 12. Provides value for money

Draft principles – good commissioning……

Developing the standards

Two key areas:

Good commissioning is championed within local councils

Good commissioning is integrated with other public services

Example: Good commissioning is supported through the leadership, values and behaviour of elected members, senior leaders, and commissioners of services. It is underpinned by principles of co-production, personalisation and integration.

Example: Good commissioning coproduced with people and their communities. Co-production is a relationship with social care users; their family carers and communities that is underpinned by the principles of equality, diversity, accessibility and getting something back from putting something in.

Developing the standards

What standards would you want to see?What might excellent/good/acceptable look

like?What evidence would you expect to draw

on? What format would be of most use?How could you use the standards?

Next steps

Development of standards – by end AugustTesting in areas in September –

volunteers??Development of peer challenge approachLaunch at NCAS conference – October

Contact

#commissioning4outcomes

Jon Glasby

[email protected]

Catherine Mangan

[email protected]

Twitter: mangancatherine

ADASS / SCIE Seminar02 July 2014

‘Care Act 2014 & Commissioning for Better Outcomes’