This session will look at the Joint Commissioning Framework developed by the Scottish Government’s Joint Improvement Team and the Institute of Public Care at Oxford Brookes University. It will also describe the improvement support programme for Joint Strategic Commissioning that is planned to support the integration of health and social care. A second focus for the session will be on how best to support and embed approaches on ‘Co Production’ building on the work the Team has been involved in with Governance International. Contributor: Joint Improvement Team

1. Joint Improvement Team
Joint Strategic Commissioning and
Co-production
A look at the priorities for each and the
synergies between the two

2. Joint strategic commissioning –
what is it?
In 2012 the Scottish Government’s Strategic Commissioning National
Steering Group set out what it understood the phrase to mean:
> Commissioning is the term used for all the activities involved in
assessing and forecasting needs, linking investment to agreed
desired outcomes, considering options, planning the nature, range
and quality of future services and working in partnership to put
these in place.
> Joint commissioning is where these actions are undertaken by two
or more agencies working together, typically health and local
government, and often from a pooled or aligned budget.

3. The Commissioning cycle –
key tasks

4. Joint Strategic Commissioning
Learning Development Framework
> Designed to help those responsible for improving joint
commissioning capacity in local Partnerships to achieve
this
> Focuses on joint commissioning by Community Health and
Social Care Partnerships and their partners - local
authorities, NHS boards, third and independent sectors
> Particular it explores the skills needed to deliver effective
joint strategic commissioning of older people’s services
> Equally applicable for other adult and children’s services

5. Joint commissioning culture
> Joint commissioning needs to develop different ways of
interacting with service users, patients and their carers. We also
need a more holistic and mature perspective about the
contribution of individuals and agencies involved
> 5 key themes that the framework focuses upon in changing the
culture are:
• Joint commissioning for better outcomes
• Commissioning based on co-production
• Maximising service user and patient engagement in
commissioning
• Commissioning for self-directed support
• Market facilitation

6. Commissioning – understanding the
roles involved and the skills required

7. Joint Strategic Commissioning National
Improvement Support Programme 2013-15
> a programme that encompasses contributions by national
partners
> facilitates and co-ordinates dialogue between the national
partners to develop effective channels of communication
and shared learning between the national partners
> Provides improved clarity about available support for
partnerships in order to maximise take-up and improvement

8. Early priorities for the JIT
> Improvement review of JSC Plans for OP
> 14 May national launch event
> JSC Course
> Developing links to improve the capacity
of community planning and support
emerging integration arrangements

9. More about the importance of
co-production.......

10. What is it?
> The public sector and citizens making
better use of (and developing) each
others assets, resources and
contributions to achieve better outcomes
or improved efficiency.
> (Governance International)

11. Why is it important?
> ‘... co-production is essentially about the delivery
of public services being shared between the
service provider and the recipient ... co-
production is nothing new ... what makes ... (it) ...
topical in the current financial crisis is the
expectation that effective user and community
involvement may help to improve outputs,
service quality and outcomes and reduce
costs ...’
> Barker, Adrian., 2010, Co-production of Local Public Services, LARCI

12. Benefits and Risks (1)
> Citizens/Communities/Third Sector know things
Professionals and Managers don’t!
> They have capabilities and assets they can
contribute.
> Greater service satisfaction is achieved when
services are based on people’s needs.
> More innovative ideas for service redesign
> Savings by de-commissioning or redesigning
services that citizens see as either failing or
needing improvement.

13. Benefits and Risks (2)
> Expectations!
> ‘… asking everyone what services
should be developed (or cut) can
lead to situations where people are
encouraged to provide views on
services about which they know little
and care less…’ (Governance International)

14. The Challenge
‘…when commissioning is undertaken
jointly …activities have to be redesigned to
ensure they are fit for purpose in a new
multi- agency environment…’
(Institute of Public Care, 2013)

15. Commissioning for Joint Outcomes
Self-directed
support
Joint commissioning for
Market Co-production
better outcomes
Facilitation
Service User
Engagement