Commissioning for Quality

Exploring how commissioners can provide quality through their commissioning practice

Bev Maybury

www.local.gov.uk

What matters most to people?• The person is at the centre rather than having to fit with services

• People who use services and carers are treated as individuals

• Empowering choice and control for people who use services and their carers

• Setting goals for care and support with people who use services and their carers

• Having up to date accessible information about services

• The importance of the relationship between people who use services, providers and staff

• Listening to people and acting on what is said

• A positive approach, which highlights what people who use services can do and might be able to do with appropriate support – not what they cannot do

Clenton Farquarharson

Co-chair – Think Local, Act Personal

Commissioning – a means of dealing with demand and expectation

Promoting a climate/culture for wellbeing, early prevention and building resilient communities during a time of austerity

Part of the solution – not part of the problem

Care Act 2014

• Safeguarding - promoting wellbeing, duty to cooperate, making enquiries, boards, reviews, advocacy

• Market oversight – sustainable, vibrant and diverse market, quality,choice, engagement,

• Commissioning - information, analysis, planning, workforce, pay,

The Standards

Domain Description StandardsPerson-centred and outcomes-focussed This domain covers the quality of experience

of people who use social care services, their families and carers and local communities. It considers the outcomes of social care at both an individual and population level. 

1. Person-centred and focusses on outcomes

2. Promotes health and wellbeing3. Delivers social value

Inclusive This domain covers the inclusivity of commissioning, both in terms of the process and outcomes. 

4. Co-produced with local people, their carers and communities

5. Positive engagement with providers6. Promotes equality

Well-led This domain covers how well led commissioning is by the Local Authority, including how commissioning of social care is supported by both the wider organisation and partner organisations 

7. Well-led8. A whole system approach9. Uses evidence about what works

Promotes a sustainable and diverse market place

This domain covers the promotion of a vibrant, diverse and sustainable market, where improving quality and safety is integral to commissioning decisions. 

10. A diverse and sustainable market11. Provides value for money12. Develops the workforce

Sector led improvementKey Programmes

• Health and Wellbeing

• Care Act Implementation

• Health Integration, Better Care Fund, Winter Pressures

• Transforming Care

• Individual personalised commissioning

6

Inclusive with people who have lived experience with providers

Adult Social Care Peer Challenge Programmes

Fundamentally different approach…We need providers – profit is not a dirty word

It is about more than just money

• it is sharing risk/reducing bureaucracy creating climate for innovation

• It is turning market position statement aspirations into reality

It is a true partnership co-commissioned with people who use our services.

Co-designed and Co-delivered tosurvive and thrive

Future-proofing our busi-ness together

C H A ICoffee, Hope and Ideas, Innovation, Inspiration

Improved relationships/partnerships Improved, flexible commissioning Responsive, thriving market place Better outcomes

C H A I

“Quality is never an accident. It is always the result of high intentions, sincere effort, intelligent direction and skilful execution. It represents the wise choice of many alternatives.”

Will Foster