commissioning for sufficiency and affordability katy burch, commissioning support programme
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Commissioning Support Programme
●Aims to support CTs to deliver improved outcomes for CYP through more effective commissioning
●Sponsored by DoH and DCSF●2 year programme●Includes:
Universal offer Bespoke support to individual CTs
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Commissioning Support Programme Offer Includes:
●Capability building around commissioning: Programme for Lead Members Programme for senior commissioners in
CTs Accredited Commissioning Skills Training Commissioning Development Materials
●Regional events, action learning and SIGs●Access to on-line resources and support●Bespoke consultancy support for Children’s
Trusts based on Self Analysis and Planning
The role of the Commissioning Champion
Commissioning Champions
Children’sTrust
CommissioningSupportProgramme
• Agrees a programme of support with CSP• Identifies good practice• National/regional/sub regional input/sharing/development• Informs colleagues of opportunities for training / collaborative learning
•Provides strategic leadership for change across Children’s Trust
•Core commissioning team co-ordination
• Informing the Children’s Trust board
DRIVE PULL
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Commissioning for LAC – drivers● Increased referrals - increased number of children
in care● Southwark ruling● Sufficiency Requirement for Local Authorities● New Regs ● Chief Exec savings targets for children’s services● Ongoing patchy performance re: placement
stability + outcomes for looked after children and care leavers
● Concerns about market sustainability ● Personalisation
What do commissioners want?
●Quality + good outcomes●Best match to need as possible●Low cost as possible
What’s required?
● Improved understanding of need + evidence base + matching with provision *CHALLENGE*
● Improved dialogue with providers throughout the commissioning cycle
●Better understanding of impact + VFM●Better embedded and systematised ways of
doing things (e.g. stop the spot!; regional and local commissioning; brokerage; involvement of CYP and families)
What’s required?
●More refined techniques for purchasing including to assure a level playing field and market sustainability as well as efficiency and quality
●More joined up commissioning e.g. across Housing + Social Care; across Health + Social Care; across SEN + Health + Social Care.
●Improvements in assessment and care planning
Ways in…●Sufficiency Guidance and Good Practice
Case Studies●Training materials for use with
commissioners in Children’s Trusts●Work with CT commissioner groups to agree
frameworks and principles●Challenge element to our bespoke
consultancy in Trusts●Regional workshops and events●On line materials + links to others
Sufficiency Duty Statutory Guidance● Key gaps identified by LAC commissioners and
providers are addressed by statutory guidance for consultation in five commissioning standards:
1. Individual assessment2. Commissioning decision3. Strategic needs assessment4. Market management5. Securing services
● Commissioning Support Programme guide to commissioning
● Sets out the sector’s view of commissioning and identifies the 18 most important components to get right
Procurement TipsAll
procurements should be fair, open and transparent
All procurements should be fair, open and transparent All procurements should be
subject tocompetition unless in very exceptional
circumstances
All procurements should be subject to
competition unless in very exceptionalcircumstances
Involve the stakeholde
rs
Involve the stakeholde
rsInvolve the
contract manager in
theprocurement exercise
Involve the contract
manager in the
procurement exercise
Apply the
European
Procurement
Directive
Apply the
European
Procurement
Directive
Work with providers to
innovate
Work with providers to
innovate
Aim to identify the best value for money proposal
Aim to identify the best value for money proposal
Collaborate
and
aggregateCollaborate
and
aggregateIdentify your requirements
before starting
a procurement
exercise
Identify your requirements
before starting
a procurement
exercise
Streamline the
procurement process
Streamline the
procurement process
Involve
procureme
nt early
Involve
procureme
nt early
Minimise spot purchasing
Minimise spot purchasing
Consider
sustainabilit
y issues
where
appropriate
and
relevant
Consider
sustainabilit
y issues
where
appropriate
and
relevant
Speak to the marketSpeak to
the marketDon’t sign
up to a provider’s terms and conditions
Don’t sign up to a
provider’s terms and conditions
Know contract law
Know contract law
Manage
procurement
s as projectsManage
procurement
s as projects
A Commissioning Framework Should Include the following…
• Definition and scope of commissioning, including locality arrangements
• Commissioning process• Commissioning principles or
standards• Toolkits for commissioning
activities
● Outcomes focused – decisions● Evidence based - decisions● Transparent and fair – processes● Contestability – where appropriate to drive
innovation and select the best in-house or external provider
● Challenge – to in-house and external practitioners
● Value for money – of all services● Performance management – for all services
–Commissioning Principles may include…