Investing in Stockport

Preventative Commissioning Strategy

Part 2

What we’ll cover

• Context and expectations

• Commissioning principles

• Timeline - phasing with description of service areas

• When organisations will hear about decisions

The objective

We want every adult in Stockport to be able to say:

“I am living well and safely in my own home in my own community”

How can we make this work?

• Reducing budgets, increasing demand = step change for all sectors

• We need to change our commissioning behaviour

• Within the voluntary and community sector we are looking for: – innovation & expertise

– partnership & collaborative behaviour

– Adaptation – learning – adjusting

A new commissioning relationship

• We’ll express commissioning requirements in outcomes not detailed specs

• In response, we’ll all need to think differently and more creatively

• We will work together, but we expect the ideas and approaches increasingly to come from you

• We need to tap into your We need to tap into your expertise like never before and expertise like never before and you need to tap into each you need to tap into each others’ by working together others’ by working together and sharing skillsand sharing skills

A new commissioning relationship

• Commissioning will promote social action, peer support, user-led activity, community capacity building

• Want innovation and will support those willing to do things differently

• Not commissioning anything static – flexibility, adaptation and on-going improvement need to be the norm

• We all need to balance aspiration with realism and maintain an open dialogue

Commissioning timeline

PHASE 1

Nov 2014 – Spring 2015•New ‘Targeted Prevention’ for vulnerable adults service

•Advocacy case-work

•Domestic Abuse

PHASE 2

Spring/Summer 2015 – Autumn 2015Support for:

•Carers

•Older people

•People with disabilities

Targeted prevention for vulnerable adults: what will it

include?• To provide proportional information

and advice • To engage the most hard to reach• Offer support for independence and

reduce demand on health and social care services

• Ensure a proactive approach to managing risk positively

• To support community capacity building and grow social action

• To develop housing solutions for the most excluded

• To deliver sustainable outcomes and a community based safety net

Framework

• Expect providers to deliver a ‘core’ offer which will be agreed by all parties to the contract

• Service will also be expected to add value to the core offer by levering in new resources and developing innovative solutions and approaches, which might include:

– General collaboration/trading with wider providers e.g. who are not formally party to the contract

– Additional growth of community capacity

– Resource generation

OutcomesThe general outcomes expected of providers

include securing solutions with service users which:

- Reduce the need for more intensive support and increase the numbers of people living independently

- Improve inclusion, engagement and reduce social isolation

- Improve living environments to reduce known risks and increase personal resilience

- Support better access to services to increase life chances and wellbeing e.g. housing, employment and health

Advocacy case-work

• Want to develop an integrated system to deliver independent advocacy, to include:o Mental health o Care Act advocacy requirements o NHS complaintso General advocacy for complex

social care cases

Domestic abuse

• We are seeking a whole Council approach to commissioning domestic abuse support

• Combining existing budgets and resources

Phase 2• Need to think through the

local offer for carers in light of the Care Act requirements

• The ageing population: need to make sure we focus on the right issues for our preventative offer

• Also need to consider the best options for low-level support to enable people with a wide range of disabilities to remain independent

In practice…next 6 months

• Services for whom contract reductions and renegotiations are needed or which will be decommissioned will be advised by end of November

• For the 3 service areas in phase 1 commissioning, provider / market preparation will commence from mid-November

• Specific market event on 28 November for providers interested in the ‘targeted prevention’ service

In practice…next 6 months

• Aim to have phase 1 services largely in place by April 2015, recognition that this may extend beyond April for targeted prevention service

Medium-term – next 6-12 months

• Council develops & discusses new preventative models of support for carers, older people and people with disabilities

• Recommissioning launched Spring/Summer 2015

Questions and comments welcomed