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Some background Suffolk Information on prescription began life as DoH pilot project Very successful 3 years funding from ACS to mainstream the project Then used commissioning approach to assess need, define outcomes, set targets, establish appropriate governance and to review these in an on-going cycle
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Commissioning in action Health Information for You
Alison WheelerSue Nicholson
Introductions
• CommissionerAlison WheelerHead of Service [email protected]
• ProviderSue Nicholson Information on prescription coordinator [email protected]
Some background
• Suffolk Information on prescription began life as DoH pilot project
• Very successful• 3 years funding from ACS to
mainstream the project• Then used commissioning
approach to assess need, define outcomes, set targets, establish appropriate governance and to review these in an on-going cycle
Commissioning and contracting framework
Plan
Do
Analyse
Review
The commissioning cycleMarket supply Needs and choices
Local priorities
National requirements
Provider views
Service objectives
Capacity for change
Commissioning partners
Capacity building
De-commissioning and re-commissioning
Performance Monitoring
Contracting strategy
Option appraisal
How does this look and feel in practice?
• Needs analysis- using JSNA, forecast health issues around long term conditions, and demographics to identify criteria for us to choose our priorities
• Agree priorities (and these have changed over the three years)
• Establish expectations and targets (described in a service profile)
• Governance to review and monitor progress
• Ongoing review of impact and of success in meeting targets and recently to agree a change of direction around diversion.
The IOP perspective What its like to be commissioned?• Structure and focus • How• Authority
What are the challenges and the learning?• Working differently• Focused on targets• Capturing evidence • Influencing others outside your organisation
What’s different about this to core service delivery ?
• Local needs and national priorities • Regional and national recognition
What opportunities are offered?• Recognition of your service• Leads for future service development• Staff development in other areas
What is IOP• Prescription service for information • Health conditions • Signposting to support • Issued by - health professional - information advisors - voluntary sector• Knowledge and informed choices• Carers and people with health conditions• Timing valuable• Impact can be huge
Sue’s Deep Dive • Signposting to universal services• Befriending • Support – Financial and
emotional• Equipment• Interests – hobbies and social
interaction• Opportunities do exist• Resulting in:• Reduced help from social care• May remain independent for
longer
What are the challenges for universal (culture and sports ) services in this new environment?
• Fast changing context, with increasing emphasis on diversion rather than promoting good public health and wellbeing
• Can you reconfigure your offer quickly?
• How do you target the right people?
• How do you prove you have got to the right people and made a difference?
conclusions• Role of universal services is
even more important than ever• Conventional care packages
and over reliance on the council will have to be replaced by cheaper, more diverse and more community based solutions
• Real opportunity for you to establish your instrumental worth and role
• Carpe diem- seize the day
Thank you
