1. Durham County Council, Adult & Community Services Nick Whitton Head of Commissioning 23rd June 2008

2. World Class Commissioning from a Local Authority point of view • Commissioning in social care • A look at some joint processes in County Durham • Some current and developing areas of joint work which touch on the WCC competencies

3. The Institute of Public Care’s (IPC) framework for joint commissioning & purchasing of public care services.http://www.cat.csip.org.uk/_library/eBook/Chap1FRichardson.pdf What is Commissioning?

4. Some history • Arguable that LA’s have been commissioning for social care since 1993 • Residential and nursing care • Domiciliary care • Some day care and specialised services • Supporting people

5. Processes/transactions and other things that help in Durham • A jointly appointed Locality Director of Public Health • A public commitment to develop joint commissioning strategies wherever possible and where not possible, to align strategies • Dedicated commissioners who meet regularly • Joint structures e.g. • Older Peoples Partnership Board • Older Peoples Joint Commissioning Group • Agreements on standard strategy format

6. Manage knowledge and assess needs

7. “Real intelligence needs to be delivered like a layered wedding cake with the fairy on the top . . Doesn’t take up much space … presented in lots of different formats with a good understanding of the audiences so that the depth of the statistical analysis and methodology is never lost but is never bombarded at the wrong people”.

8. Durham’s JSNA • Project Board made up from Durham County Council, County Durham Primary Care Trust, County Durham DAAT and the Durham Housing Neighbourhood Group • 3 workstreams: • Information management • Compiling and analysing quantitative and qualitative information • Planning and commissioning • Analysis of key findings and priorities • Mapping and management • Processes to be influenced • Communication • Devising a performance management framework

9. Durham’s JSNA • Structured around the current LAA themes: • Achieve • Enjoy • Economic Well-being • Health & Well-being • Physical place • Positive contribution • Safe

10. How it links to the bigger picture…….

11. National Dataset Public Health Information Local people’s views and experiences Local Commissioning Intelligence Health and Social Care Prevalence Information Research and trends information Informing Joint Strategic Needs Assessment Informing Priority Setting Influencing Local Area Agreement Community Strategy Locality Plans PCT / County Council Business Plan Client Group / Issue Based Commissioning Plans eg Mental Health, Older People, Obesity, Long Term Conditions Children’s / Young Peoples Plan Supporting People Housing / Strategies

12. JSNA • Structured around key messages • Leads to a common analysis • May lead to a common set of political realities • Implementation through the commissioning strategies

13. Durham website • www.durham.gov.uk/consultation

14. A few more examples of joint work which illustrates areas of the competency agenda • Early adopter on the establishment of a LINk service • Increasingly trying to approach the markets together • Moving to contract together • Jointly managing post contractual monitoring and performance together

15. Some challenges • Different perspectives and timescales • Different accountabilities • Personalisation