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Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
Westminster Introduction
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Westminster Introduction

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  • 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.
    • Welcome to Day Two of our On-Line Conference
    • Hosted by Westminster City Council,
    • one of the four Strategic Commissioning Beacon authorities
    • We will be addressing three issues:
    • Targeting resources based on understanding of need to reduce inequalities
    • Good practice in sharing of risks and resources with partner agencies
    • Embedding cost/affordability in the strategic commissioning process
  • 3.
    • During the day:
    • 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
    • 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
  • 4.
    • Team Hackney will contribute two sessions on:
    • Supporting the local strategic partnership to prioritise the area based grant
    • The third sector and strategic commissioning
  • 5.
    • Colleagues from Devon will report on the delegation of commissioning budgets to local Children's Trusts
    • 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
    • http://www.communities.idea.gov.uk/c/1505808/doclib/index.do
  • 6.
    • An Introduction to the Issue - prioritising the allocation of resources
    • Addressed through other Beacons, particularly Total Place and Economic Prosperity
    • Also theme of NHS World Class Commissioning - evidence based and efficient
    • Use of Resources assessments of public services
    • Our approach in Westminster…………
  • 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.
    • Targeting resources based on understanding of need to reduce inequalities
    • One information portal - JSNA Health Inequalities Strategy
    • One Involvement Strategy - Local Area Renewal Partnerships
    • Joint performance framework - Comprehensive Area Assessment
    example:
  • 9.
    • Family Recovery Project
    • Complex needs across a range of ‘domains’: parenting, health, employment, debt, housing, education, offending and anti-social behaviour, family functioning and engagement with services.
    • 78% of parents are engaging with the teams and improving how they parent their children.
    • 67% of families are now registered with and engaging with a GP
    • 61% of parents and children, where applicable, are attending treatment at GP or hospital.
    • Support is provided to domestic violence victims in 17% of the families.
    • 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.
    • Benefits have been checked and corrected in over 80% of the families.
    • School attendance has been improved in over 60% of the families.
    • Over half of the cohort have demonstrated no further anti-social behaviour.
    • “ My family has seen a lot of change since we’ve started working with them”
    • “ I have found them very helpful” "It’s working!”
    • Views of FRP parents and participants
  • 10.
    • Good practice in sharing of risks and resources with partner agencies
    • S75 Joint Commissioning Agreement with NHS
    • Safer Westminster Partnership & the Living City
    • Every Older Person Matters
    • Tackling Overcrowding
    • Westminster Carbon Alliance
    example:
  • 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.
    • Embedding cost/affordability in the strategic commissioning process
    • Public finance mapping
    • Application of Total Place approach
    • Involvement of Partnership in prioritisation of whole budget not just LAA resources
    • Cause and effect programme > prioritisation
    • Stronger procurement and governance processes
    • Economic Recovery Plan
    • Whole Council transformation
  • 13.
    • City Council Corporate Changes:
    • Strategic Executive Board
    • Commissioning Team
    • Delivery units (and external providers)
    • Support units
    • 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
  • 14.
    • Transforming Commissioning & Contracting
    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.
    • To find out more about Westminster’s approach follow the link:
    • http://www.youtube.com/westminstercc
    • West End Live
    • Beat the recession
    • Leaders speech - Living City
    • Clean Streets
    • Go Green
    • Sport & Leisure
    • Safe Streets - City Guardians
    • Parking
    • Libraries

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