Plymouth Integrated Commissioning

Commissioning

Commissioning is defined as: “the full set of activities that local authorities and Clinical Commissioning Groups undertake to make sure that services meet the health and social care needs of individuals and communities” Commissioners do ‘buy’ services but also involved in ‘place shaping’Commissioners include:Local Authorities – social care (adults and childrens), public health (health promotion and prevention) housing, economic developmentCCGs – health servicesPolice and Crime Commissioners – social justice, crime reduction and prevention

Co-operative/whole systems CommissioningPlymouth City Council is a Co-operative Council - co-operative commissioning is a new approach to planning and delivering public services which means building trust, building capacity and co-producing solutionsWhole systems commissioning :The various elements of support and services are part of one whole ‘system’System includes both contracted and non-contracted agenciesAim to agree shared outcomes across the systemEnables better use of all available resourcesIncludes the assets and resources of individuals and communities

Commissioning Cycle: Analyse, Plan, Do, Review

Sources of information about what commissioners will buy National health and social care outcomes

frameworks NHS 5 year forward view Local Authority and CCG Strategic plans E.g.:

Health and Wellbeing Strategy Dementia Strategy Carer Strategy Mental Health strategy

Social Care ‘Market Position’ Statements Commissioning Plans/ Commissioning intentions

Cultural Commissioning links to health and social care outcomes Director took an overview of services that could deliver

shared outcomes Libraries commissioned to deliver ‘health zones’ Libraries are experts in information provision and can

contribute to the following health and social care outcomes: Care Act 2014 duty to provide information on social care system Improving self-directed support Reducing health inequalities Improvement programme for long-term conditions Carers and dementia priorities Financial savings from reducing service provision

Libraries benefit from being able to deliver improved services More efficient use of council buildings and staff

Plymouth Strategy: Outcomes for people with dementia Involving people with dementia in agreeing the outcomes – they

want to continue with the things they used to do Taking a strategic approach looking at all the determinants of

health and wellbeing – Dementia Friendly City umbrella driving change

Strategy includes an outcome ‘increased access to arts, culture and leisure’, actions are:

Arts and Minds pilot Reader group for people with dementia Reminiscence and other library based activities Leisure contracts to include people with dementia Increase number of arts, culture and leisure providers on our ‘Day

Opportunities Framework’ Commission Alzheimer’s Society to support people into mainstream

activity

Commissioning Arts and Heritage Arts and Heritage experience of 9 years successful

reminiscence work in care homes but wanting to include people in the community

Failed Arts Council bid led to scaled down pilot 8 people and 8 carers over 52 weeks Workshops designed to use Museum collections to spark

ideas Specialist training for arts facilitators Fine arts/painting/ceramics/dance/drama Cognitive functioning test at start, middle and end Carers questionnaire Demonstrated real improvements in quality of life and

cognition

Market development for arts and culture What do people with dementia want? Many

have interest in arts and culture Plymouth Dementia Friendly City sparked

huge interest in focussing on dementia: Dementia Friendly Arts Centre film showings Arts groups set up Plymouth Marine Aquarium action plan Leisure centres exploring provision

Grant funding/partnership working to try pilots

Arts and Minds feedback

Now there is something to live for This has been my saviour Mum has been talking about the… hats and the portraits

they drew all weekend Thank you so much..we loved the first session..mum

even rang me last night to say how much she enjoyed it which is something she never normally does

We are having such a lovely time here, it is really doing us so much good

Dad’s been remembering more and talking about looking forward to the group. I am so happy.

Mum is having such a wonderful time here, it’s really made her life so much happier and she loves art.

Summary

Look up your Authority or CCG Commissioning Plans/Market Position Statement

Check out Health and Social Care Strategies and Action Plans

Can you deliver any outcomes Find an evidence base or examples of good practice How do your commissioners engage with

communities during the commissioning process? Finding an initial funding source or making a joint

bid with commissioners will help Contact a commissioner!

Arts and Minds

Contact Details