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This presentation delves into the essence of effective commissioning in the realm of public health, focusing on creating space for recovery and addressing challenges in substance misuse sectors. It explores the role of commissioners as pivotal change agents and the need for wise resource allocation to foster improvement and integration within systems. The Lancashire case study sheds light on overcoming hurdles and maximizing outcomes through innovative commissioning approaches.
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Commissioning the space for recovery 29 April 2014 University of Chester Chris LeePublic Health Specialist Lancashire County Council
Lancashire Commissioning Creating the space for recovery LUF and RRR Challenges Presentation overview
Back to basics • A commissioner can be lots of things: • a change agent, a catalyst, a leader, a broker, a pivot, a linchpin, an enabler, an architect, a politician, a fixer • Or: a nuisance, a martinet, a petty bureaucrat, a frustrated service provider, a pushover, an ATM • Commissioners are few in number and dedicated substance misuse commissioners are increasingly rare. • Commissioning is directing resources wisely and generating a culture of improvement and change. • Commissioning is a great responsibility, full of potential and possibilities. Poor commissioning wastes resources and creates disharmony
Here and now • Increased competition for resources • Commissioners must be pro-active around system change • Substance misuse sector must evolve or will start to wither • Integration, not disintegration. Systems not lots • Providers must develop products and solutions • Engage and mobilise the recovery community • Must focus on outcomes • The need for flexibility.
Lancashire case study In Lancashire
Creating the space for recovery Creating the space for recovery
Challenges • Resources • Re-distribution of resources • My way….. • Public Health • Local authority based commissioning