A Beginners Guide to Climbing the right mountain…

Strategic Commissioning and key challenges

Des McCart, Julie HaslettJoint Improvement Team

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1. People are able to look after and improve their own health and wellbeing and live in good health for longer.

2. People, including those with disabilities or long term conditions or who are frail are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community.

3. People who use health and social care services have positive experiences of those services, and have their dignity respected.

4. Health and social care services are centred on helping to maintain or improve the quality of life of people who use those services.

5. Health and social care services contribute to reducing health inequalities.

6. People who provide unpaid care are supported to look after their own health and wellbeing, including to reduce any negative impact of their caring role on their own health and wellbeing.

7. People using health and social care services are safe from harm.

8. People who work in health and social care services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide.

9. Resources are used effectively and efficiently in the provision of health and social care services.

National Outcomes

Key National Drivers

Public Bodies (Joint Working) (Scotland) Act 2014

Children and Young People (Scotland)Act 2014

Social Care (Self-directed Support) Act 2013 Procurement Reform (Scotland) Act 2014 Community Empowerment (Scotland) Bill Community Planning & SOAs NHS Quality Strategy & 20:20 Vision Care Group Strategies Human Rights – Scotland's National Action

Plan Impending legislation, including for Carers

and Criminal Justice

3 Key pieces of legislation

• Integration - Public Bodies (Joint Working)

(Scotland ) Act 2014

• Choice and Control- Social Care (Self-directed

Support) Act 2013 & wider framework

•Securing Service and Support – Procurement

Reform (Scotland) Act 2014

The Commissioning Cycle

7Model originally developed by Institute of Public Care, Oxford Brookes University, 2003.

Adopted by SWIA 2009, and Scottish Government 2012

Analyse

Plan

Do

Review

The

Challenge!

Changing Relationships - relationship between commissioners and providers with individuals and communities.

Also a change in how commissioners and providers work together.

Experts -Individuals and communities are considered experts in their own lives.

Control - Commissioners and providers are required to support communities and people to make decisions and have more control over their lives and services.

Facilitators not fixers- commissioners and providers are not fixers of problems but facilitators who work with people to find solutions.

From Personal... To Strategic