Westminster Introduction


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Westminster Introduction

  1. 1. Strategic commissioning - prioritising the allocation of resources Introduction from Cath Attlee Assistant Director Joint Commissioning Care & Health Westminster City Council and NHS Westminster November 2009
  2. 2. <ul><li>Welcome to Day Two of our On-Line Conference </li></ul><ul><li>Hosted by Westminster City Council, </li></ul><ul><li>one of the four Strategic Commissioning Beacon authorities </li></ul><ul><li>We will be addressing three issues: </li></ul><ul><li>Targeting resources based on understanding of need to reduce inequalities </li></ul><ul><li>Good practice in sharing of risks and resources with partner agencies </li></ul><ul><li>Embedding cost/affordability in the strategic commissioning process </li></ul>
  3. 3. <ul><li>During the day: </li></ul><ul><li>Mike More, Chief Executive of Westminster City Council, will discuss the recent transformation of the Council and our approach to prioritisation and the targeting of resources </li></ul><ul><li>Councillor Ed Argar, Cabinet Member for Health & Adults Services, will report on the development of Unified Public Services in the City as a way of maximising value and achieving better outcomes </li></ul>
  4. 4. <ul><li>Team Hackney will contribute two sessions on: </li></ul><ul><li>Supporting the local strategic partnership to prioritise the area based grant </li></ul><ul><li>The third sector and strategic commissioning </li></ul>
  5. 5. <ul><li>Colleagues from Devon will report on the delegation of commissioning budgets to local Children's Trusts </li></ul><ul><li>The Communities of Practice Library will also hold a range of reference material relating to this subject, in case you want to find out more </li></ul><ul><li>http://www.communities.idea.gov.uk/c/1505808/doclib/index.do </li></ul>
  6. 6. <ul><li>An Introduction to the Issue - prioritising the allocation of resources </li></ul><ul><li>Addressed through other Beacons, particularly Total Place and Economic Prosperity </li></ul><ul><li>Also theme of NHS World Class Commissioning - evidence based and efficient </li></ul><ul><li>Use of Resources assessments of public services </li></ul><ul><li>Our approach in Westminster………… </li></ul>
  7. 7. Identifying needs and priorities of the community Specifying a service or range of services to meet those needs Monitoring/evaluating the quality/quantity of service provided; and the impact of the service on meeting the identified needs. Procuring a service or range of services through service agreement(s) or contract(s) against the specification Strategic Commissioning Cycle Finance - Financial Parameters Legal - Statutory Duties Members / SEB - set Strategic Priorities Resources available: property; people; IT
  8. 8. <ul><li>Targeting resources based on understanding of need to reduce inequalities </li></ul><ul><li>One information portal - JSNA Health Inequalities Strategy </li></ul><ul><li>One Involvement Strategy - Local Area Renewal Partnerships </li></ul><ul><li>Joint performance framework - Comprehensive Area Assessment </li></ul>example:
  9. 9. <ul><li>Family Recovery Project </li></ul><ul><li>Complex needs across a range of ‘domains’: parenting, health, employment, debt, housing, education, offending and anti-social behaviour, family functioning and engagement with services. </li></ul><ul><li>78% of parents are engaging with the teams and improving how they parent their children. </li></ul><ul><li>67% of families are now registered with and engaging with a GP </li></ul><ul><li>61% of parents and children, where applicable, are attending treatment at GP or hospital. </li></ul><ul><li>Support is provided to domestic violence victims in 17% of the families. </li></ul><ul><li>In housing and debt we have now put a plan in place or cleared housing arrears in over half the families. Debt has been resolved in 39% of the families. </li></ul><ul><li>Benefits have been checked and corrected in over 80% of the families. </li></ul><ul><li>School attendance has been improved in over 60% of the families. </li></ul><ul><li>Over half of the cohort have demonstrated no further anti-social behaviour. </li></ul><ul><li>“ My family has seen a lot of change since we’ve started working with them” </li></ul><ul><li>“ I have found them very helpful” &quot;It’s working!” </li></ul><ul><li>Views of FRP parents and participants </li></ul>
  10. 10. <ul><li>Good practice in sharing of risks and resources with partner agencies </li></ul><ul><li>S75 Joint Commissioning Agreement with NHS </li></ul><ul><li>Safer Westminster Partnership & the Living City </li></ul><ul><li>Every Older Person Matters </li></ul><ul><li>Tackling Overcrowding </li></ul><ul><li>Westminster Carbon Alliance </li></ul>example:
  11. 11. Improving the quality of life for older residents in Westminster Proportion of respondents who said that going to (or being in receipt of) a particular preventive service helped them ‘A very great deal’ or ‘A great deal’ in the way they felt about four Quality of Life dimensions (with 95% CI for 2006)
  12. 12. <ul><li>Embedding cost/affordability in the strategic commissioning process </li></ul><ul><li>Public finance mapping </li></ul><ul><li>Application of Total Place approach </li></ul><ul><li>Involvement of Partnership in prioritisation of whole budget not just LAA resources </li></ul><ul><li>Cause and effect programme > prioritisation </li></ul><ul><li>Stronger procurement and governance processes </li></ul><ul><li>Economic Recovery Plan </li></ul><ul><li>Whole Council transformation </li></ul>
  13. 13. <ul><li>City Council Corporate Changes: </li></ul><ul><li>Strategic Executive Board </li></ul><ul><li>Commissioning Team </li></ul><ul><li>Delivery units (and external providers) </li></ul><ul><li>Support units </li></ul><ul><li>Strategic Commissioning takes the high level objectives of the City and commissions across departmental and agency boundaries to meet the needs of the community and achieve City priorities </li></ul>
  14. 14. <ul><li>Transforming Commissioning & Contracting </li></ul>Outcomes Based User Led Identifying the needs of the local community, and what works? Specifying a service or range of services to meet those needs Monitoring and evaluating the quality and quantity of the service provided; and the impact of the service on meeting the identified needs. Implementing a service development, or procuring a service or range of services through a service agreement or contract The NEW Commissioning Cycle Outcomes based – flexible – quick to respond to changing needs. User led – more direct relation-ship with providers. Emphasis on user input – self assessment by individuals and communities – market surveys – forecasting – predictive modelling – capturing unmet needs via GIS – tracking DP use – what works? Wider, more flexible market. Outcome based contracts – new models – higher risks. User feedback showing outcomes achieved. Aggrega-tion of individual outcomes to indicate overall service outcomes
  15. 15. <ul><li>To find out more about Westminster’s approach follow the link: </li></ul><ul><li>http://www.youtube.com/westminstercc </li></ul><ul><li>West End Live </li></ul><ul><li>Beat the recession </li></ul><ul><li>Leaders speech - Living City </li></ul><ul><li>Clean Streets </li></ul><ul><li>Go Green </li></ul><ul><li>Sport & Leisure </li></ul><ul><li>Safe Streets - City Guardians </li></ul><ul><li>Parking </li></ul><ul><li>Libraries </li></ul>