Market Facilitation The Strategic Context

Christina Naismith, JSC ProgrammeManager, JIT

6th August 2013

Joint Strategic Commissioning Health and social care planning increasingly complex and challenging

• Increasing expectations• Demography• Personal outcomes• Tightening public finances • SDS – choice and control• Personalisation

Public Bodies (Joint Working) (Scotland) Bill

> HBs and LAs required to establish integrated partnership arrangements

> Integration Plan> Strategic (Commissioning) Plan> National outcomes for health and

wellbeing> Locality Planning

Review of Older People JSC Plans> Real progress made in planning

processes and analysis of needsBUT further development needed in:> Commissioning for outcomes> Partnership working> Information and analysis – including

market analysis> Locality planning

What is market facilitation?

“Based on a good understanding of need and demand, market facilitation is the process by which strategic commissioners ensure there is diverse, appropriate and affordable provision available to meet needs and deliver effective outcomes both now and in the future.” (NMDF, Think Local, Think Personal Partnership)

Understanding need and demand> Joint strategic needs assessments> Understand consumer preferences> What approaches work best, with whom

and when?> What situations might deteriorate and lead

to poor outcomes?> Where might interventions best be

targeted?

Diverse, appropriate & affordable> Diverse may mean:

• A choice of providers• A choice of different services from one

provider> Appropraie may have a whole range of

interpreations> Affordable is not at any price but should

not = lowest price

Deliver effective outcomes> Substantial work required to move from

a clearer articulation of different forms of outcomes – personal, service, process, strategic

> Commissioning for outcomes and move away form cost and volume contracts

Now and in the future> Need to combine both short and long

term strategic approaches> Day to day issues of supply & demand> Consistency of demand & price> Predictability of how the market will

behave and longevity if new ideas are to mature and develop

Why is market facilitation important? > Crucial aspect of analysis in JSC> Involves ensuring a good understanding of

demand and supply, a clear vision of what good looks like & outcomes it will achieve

> Requires strong co-production approach – involvement and intelligence

> Identify how partnerships intend to perform and behave in influencing the market including stimulating particular aspects