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Strategic Commissioning Intentions

Strategic Commissioning Intentions. Antony Dixon, Strategic Commissioning Manager, Quality and Commissioning, Nottingham City Council. Providers & Voluntary and Community Sector (VCS) 27th July 2011. Purpose.

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Strategic Commissioning Intentions

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  1. Strategic Commissioning Intentions Antony Dixon, Strategic Commissioning Manager, Quality and Commissioning, Nottingham City Council Providers &Voluntary and Community Sector (VCS) 27th July 2011

  2. Purpose • Provides background and rationale to Strategic Commissioning Intentions (SCIs) • Details year 1 SCI priorities • Outlines the “Commissioning Pathway” to be used to turn these intentions into improved outcomes on the ground • Sets out where, how and when Providers/VCS will potentially be involved in the process of applying the Pathway

  3. SCIs – origins Improved outcomes for citizens Reduced costs Greater investment in prevention and EI Greater citizen choice/local jobs Commissioning Pathway Strategic Commissioning Intentions

  4. SCIs – why they are important • Will deliver improved outcomes for citizens at reduced cost and drive a shift towards greater investment in prevention • Drive market development, early intervention, citizen engagement, commissioning, contracting, procurement activity • Influence what VCS and providers need to be preparing for • Help embed commissioning framework throughout the city

  5. Defining SCIs • Starting point headline outcomes for adults & children in Nottingham Plan, CYPP and emerging Vulnerable Adults Plan • “Sub-outcomes” defined for each to give a more specific focus – then assessed against four key criteria (“demand factors” [need and finance], links to priorities, quality of outcome, council influence) • Year 1 about improving outcomes which relate to Children, Families and Adults where Council has a strong degree of influence on outcome. Plan for Year 2 is to focus on wider set of city priorities

  6. Emerging “yr 1” SCI priorities • Based on assessments following priorities identified: • More effective and sustainable approach to whole-life disability • Vulnerable older citizens enabled to live independently in their own homes • People with learning disabilities supported more effectively and sustainably, and better enabled to live independently in the community • Improving the quality of life and independence of citizens with poor mental health • Effective support for school-age children in our care  • First two reviews (whole-life disability & older citizens living independently) are commencing now

  7. Vulnerable Adults Plan (VAP) • First ever comprehensive plan to meet needs of growing number ofvulnerable adults in the city • Draft plan built up from extensive range of existing knowledge and to be presented to Council Executive early July • It will need to be subject to extensive consultation and joint work including VCS to shape it further, and vitally get ownership for way forward • It does however : • set out key action strands and underpinning principles • help inform priorities over the short-term: and: • positions connection with other plans and how we need to work in future with partners and with citizens

  8. VAP …. in a slide People Radical change of approach underpinned by greater investment in prevention & EI Improved outcomes for Vulnerable Adults Personalisation Be safer, healthier, aspirational and live longer lives Productivity Build Community Capacity, Personalisation & Choice Have support to live with choice and dignity, in a setting which best meets individual needs Have advice and information to make informed choices Collaborative Working with providers, citizens & partners Partnership & Plurality Protection Prevention

  9. Commissioning Pathway - outline • Commissioning Pathway provides method by which SCIs turned into improved outcomes • Pathway (derived directly fromcity’s Commissioning Model) provides a programmed approach to application of Analyse, Plan, Do, Review. • To recognise key contribution of VCS, identified where, how and when VCS will potentially be involved in different parts of Pathway • Provides indicative timescales for each stage – which will be vital, for example, to VCS and other providers in planning for future

  10. Draft Commissioning Pathway

  11. Pathway – VCS/Provider elements

  12. Pathway timelines - yr 1 priorities Analyse Plan Do A P D A P D A P D

  13. Next steps – SCIs and Pathway • Build in feedback from today into SCIs and Commissioning Pathway • SCIs and Pathway now agreed by Council’s Executive Board Commissioning Sub-Committee in July • Agreed intentions and pathway communicated to VCS and other providers • First two reviews using Commissioning Pathway commencing now – with other year 1 reviews scheduled to start in October • Determine year 2 & 3 SCI’s

  14. Key Questions • Does the level of involvement/engagement feel appropriate? If not how could it be improved? • How can diversity of providers interests be represented in the Pathway? • What is the best method of engagement during each stage of the reviews? • What does the Pathway mean for the future of the Provider Forum – how may it evolve?

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