Affiliate:
Empowering and enabling charities to
become trusted partners in the
commissioning process
Charlie Peel
Project Manager
Neurological Commissioning
Support
• A unique partnership of three neurological organisations:
a broad commitment to effective commissioning
– MS Society
– Parkinson’s UK
– MND Association
• Work extends to other conditions
– 2011 - affiliate partnership with Epilepsy Society
– Ad hoc partnership work in locality projects
• A consultancy service to health and social care
• Wide expertise – customise services and transfer
‘solutions’
Neurological Commissioning
Support
• Enabling commissioners to have access to core resources
for neurology commissioning
• Empowering professionals, volunteers and service users at
a local level to work together for the benefit of the
neurological community
• Promoting cross-sector working and partnerships
• Highlighting areas where service
improvement and efficiencies could be made
• Redesigning services for better quality and
value BUT from a service user perspective
NCS…
– Reactive – as consultancy to commissioners
wanting help to redesign neurology services
– Proactive in areas of poor performance
providing solutions for engagement with
commissioners
– Demonstrating innovation with DH IESD
grants
Discussion
• What do you think of when someone says
‘commissioning’?
• Is it a familiar concept to your organisation, or not?
• What, if anything, have
you done within service
development, influencing
or commissioning in the past?
• Do you feel ‘up to speed’ with
the changes in health and social
care commissioning?
What we provide
• Time limited consultancy
for H&SC commissioners
• JSNA with local public
health department
• Mapping, audit and gap
analysis based on user
opinion
• Interpretation of findings
• Mining data and
interpretation of finding
• Service redesign that
might include de-
commissioning
• Unbundling neurology
spend
• Project management to
facilitate change
• All from a service user
perspective
Case study: Cornwall
Gaining understanding: • QN audit of services
• Examination of data
• Unbundling of spend
Resulting in: • Educational events – at
capacity
• Design and rollout of info
booklet
• Appointment of 2 x Neuro care
advisors
• Jointly commissioned service
for Huntington’s
• Targeted exercise programmes
• Neuro hub on Isles of Scilly
Inputted into by: • CAN-DO local service user group
• Health and social care
professionals
• Local and national voluntary sector
• Existing evidence of service
efficacy
Prompting further
investigation: • Use of telehealth for neuro
patients
• In-depth NICE audit for epilepsy
• ‘Get it on Time’ audit for
Parkinson’s re medication
management in acute
Case study: Surrey
Prompting further investigation: • Identification of ‘complex’ patients and
using telehealth
• In-depth NICE audits for Parkinson’s
and epilepsy
Gaining understanding: • QN audit of services
• Examination of data
• Unbundling of spend
Resulting in: • Development of JSNA for
neurology
• Design of integrated plans for
people living with MND
JSNA sets out: • Level of need juxtaposed with available services
• Evidence base – what works and what doesn’t
• Areas of unmet need
• At risk groups within demographic
• Key recommendations for further investigation
• Key recommendations for commissioning
Voluntary sector innovation
• Headway Cornwall set up a rehabilitation programme dramatically
aiding recovery
• Diabetes UK have produced an simple app to help people log levels
of blood glucose, carbohydrates and calories
• The James Parkinson Centre in Cornwall is enabling self care and
better access to information
• Voluntary organisation Gloucestershire Neurological Alliance
created a booklet that captures all local neurology service
information in one place
• An intervention from Epilepsy Society has significantly reduced
seizure rates.
• The PSP Association have researched and created a care pathway,
guide and educational material for PSP and are rolling out a
masterclass to improve professional understanding
Voluntary sector innovation
• The Mental Health Strategic Partnership, a collaboration of a number of mental health charities has produced a series of leaflets for the different bodies involved in localised commissioning:
‘No Health without Mental Health’
There are leaflets for each of the
following:
• Clinical Commissioning Groups
• Directors of Public Health
• Health and Wellbeing Boards
• Local Authorities
• Local Healthwatch
• Overview and Scrutiny Committees
VSCS programme
• Voluntary sector has so much experience and expertise
currently untapped
– Not used effectively in health and social care commissioning in
the past
– Shift towards localised commissioning provides real opportunity
to change that
• NCS historically worked ad hoc with individual charities
• VSCS programme designed to provide (individual/partnering)
charities
– Mentoring and shadowing
– Support and training
– Resources and guidance on tool creation
– Professional links and opportunities
VSCS projects
Individual charities:
Groups of charities: • The Rheumatology Commissioning Support Alliance
• The Spinal Injuries Coalition
Why do it?
• People affected by a given condition are the true
experts
• Giving service users choice and control over their own
treatments and consulting them in decision-making
leads to improved outcomes and greater service
efficiency
• Charities are:
– one of the strongest vehicles to service user
involvement
– Repositories of qualitative data, best practice
evidence and innovative ideas
So what do you have to offer?
• What are the different groups/bodies you could engage with
• How could you engage with them – what do you have to
offer?
• Are there other voluntary sector agencies
you could partner with to increase your
influence – either in a formal or informal
arrangement?
• Do you have a ‘commissioning toolkit’
or tools which could be geared towards
commissioners?
What will be your first step into commissioning?
Affiliate:
Thank you
[email protected] 07803 504125
For more information on the VSCS programme, and to access our
resources visit www.ncssupport.org.uk