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National direction..where to find it. Coalition government proposals3 White Papers (with greenish tinge)Andrew Lansleys' commitmentsPatient centred serviceImproving health outcomesAutonomy, Accountability and democratic legitimacy (joining up)Cutting bureaucracy and improving efficiencyPublic health.
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1. Commissioning intentions and market development in HerefordshireWendy Fabbro- Acting Director Adult Social Care
2. National direction..where to find it Coalition government proposals
3 White Papers (with greenish tinge)
Andrew Lansleys commitments
Patient centred service
Improving health outcomes
Autonomy, Accountability and democratic legitimacy (joining up)
Cutting bureaucracy and improving efficiency
Public health
3. National direction..the different paradigm
People (citizens) making better choices for themselves
Community capacity building and the third sector
Joined up, for efficiency and democratic legitimacy
Eliminating waste
Doing things differently
Right people served?
Right service provided?
Right price?
Redesign!
4. The 25% in Herefordshire...
Reduce demand
Charging?
Self assessment?
Community action eg community networks vs day opportunities
Volunteering
Fair price
5. Part 2
Maximising Independence
Telecare
Frail elderly care pathway
Reablement
Extra care housing
6. Part 3- efficiencies Fair pricing
Procurement and open competition
Staffing savings
Electronic monitoring
Personal budgets
Insourcing
7. So what next Market intelligence- analysis, what works to deliver outcomes
Market structuring- new culture and practice
Market intervention- support for enterprise and innovation
Measure of success=more, richer, less public services, lower unit costs, less unmet need
8. Where to find the local guidance Joint Strategic needs assessment
World class commissioning strategy
Adult social care business plan
Commissioning intentions
Commissioning strategies
9. Detailed Programme StructureHerefordshire NHS & Social Care Programme Approach to Commissioning
10. Commissioning Intentions-3rd Sector More community action?
Review all low to moderate level service to ensure preventive outcomes are being achieved
All contracts to be accountable to the individual service user
Whole costs and whole unit costs to be used in benchmarking
Other funding sources explored, and volunteering expanded
11. Commissioning intentions- living in the community SP awaiting funding details, but..based on eligibility and controlled access
Directed at demonstrable maximising independence
Home care- careful pricing
Emphasis on reablement
12. Commissioning intentions- Care Homes Emphasis and financial incentive on getting people back home
Relatively stable market- demographic growth balanced by increased success in reablement
Focus on dementia and reablement