links and commissioning
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LINks and Commissioning. Janet Crampton National Commissioning Lead. Commissioning for innovation, personalisation and outcomes. Commissioners are under pressure to ensure that the best services are secured to meet their local population needs, given - PowerPoint PPT PresentationTRANSCRIPT
Social Care and Health working together
00A – 31 Jan
LINks andCommissioningJanet Crampton
National Commissioning Lead
Social Care and Health working together
00A – 31 Jan
Commissioning for innovation, personalisation and outcomes
Commissioners are under pressure to ensure that the best services are secured to meet their local population needs, given
• ambitions of a challenging government agenda
• the rise of user and carer expectations
• the demographic, financial and environment time-bombs-
Social Care and Health working together
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But how do Commissioners respond to
• Three drivers for strategic shift:
1. people want further improvements to:
meet the way they live their lives now – access issues; meeting their whole needs
put them more in control and
ensure consistency in the quality of services across the country.
Social Care and Health working together
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2. New opportunities (and threats) from current environment (new technologies/economic environment)
New technologies
Personalisation
Economic Environment
3. Facing future demographic challenges
By 2020 twice as many people over 85 –high use/high cost group
15 million people have a long-term condition; LTCs are 50% of GP consultations and 75% of in-patient days, 74% of social care service users. Increased pressure on family carers
People with severe learning disability may increase by 1% p.a. for the next 15 years
Social Care and Health working together
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Demography the population is changing and ageing……
Total English population predicted to grow by just under 7% by 2021.
Average family size expected to level off at 1.75 children.
Single Parent & Single Person Households grow
The proportion of people from ethnic minorities grow.
The number of people over 60 grow by 31% by 2021
The number of people over 75 grow by over 27% by 2021.
Signals increasing demands on health and social care services and informal carers and those who support end-users
Social Care and Health working together
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People want …
A say, and a voice
More choice and control
Services shifted to local communities
Support for user-led support
Better support for those with high level needs
Support for healthier, independent lives
Promotion of well-being
Social Care and Health working together
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Commissioning traditionally …
Buy as they always have done historically
Make decisions based on imperfect data
Try to think local but economies of scale intervene
Revert to thinking the professionals know best
Argue over high cost/high impact services with other statutory bodies
Are judged in good financial management and budget control
Wish they knew how to measure ‘well-being’
Social Care and Health working together
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Context for Commissioners
• Address the expectations of the public:
– Commission for innovation, personalisation, improved outcomes, choice
and control
– shift to outcomes-orientation in reviewing and re-planning ;
– locate more person-centred services in local communities.
– Build on existing programme of reform (including LINks).
• Operating effectively, legally and in the spirit of new policy direction
– Accepting risks of personalisation/choice and control strategies
– Minimising risks by getting it right first time
– Sharing risks across and within sectors
Social Care and Health working together
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Challenges for Commissioners (1)
• How do the new personalisation agendas impact on the relationship between commissioners and those who use the service?
• How do more person-centred service plans impact on the relationship between commissioners and those who provide the service?
• Should risks be shared? How can risks can be shared?
• What do commissioners need to do to change?
Social Care and Health working together
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Challenges to Commissioners (2)
Learning to
• engage with end users and with LINks
• place LINks centrally to service design and reviewing processes
• respond to LINks challenges
• hold dialogue between ‘public services local’ and the people using services may generate more local solutions including ongoing reform that
– reflects public expectations and choices
– puts people firmly in control
– stimulates diverse local provision
– improves health needs in that locality
• co-produce (significant growth of individual commissioners and co-producers in social care)
Social Care and Health working together
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Involvement and engagement strategies that support commissioner’s ability to manage
Social Care and Health working together
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Thank you
Janet Crampton
National Commissioning Lead for the
Department of Health’s Social Care Programmes
07789 653196