Commissioning for Recovery

Diana Powell

Commissioning Manager

Barnsley DAAT

‘You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete’ – R. Buckminster Fuller (1895-1983)

Some personal reflections

• Our local context in Barnsley

• Our findings from the annual Needs Assessment

• What service users told us

• Raising aspirations and hope

• Antennae alerted to debates such as the recovery agenda – what does it mean?

• Associated research, reading and visits

A pivotal question: ?To undertakea radicalreorganisation

• Consultative time-limited stakeholder group with identified task groups

• Looked across the Pennines and the Atlantic!

• Commissioned facilitation from The Alliance and the IPC

• Market awareness day for networking and sharing of ideas as we gradually moved towards an agreed model

•Monthly formal Options Appraisal Group

T4 Supported Accommodation

Art ProjectLocal

connections

Community Pharmacies

Carer Support

PrescribingPrimary+Specialist

Harm Reduction

StructuredActivity

Care Navigation

OutreachBBV

Resettlement Conserv

ation

Hep Cpilot

Move- on

General principles identified in tenderAlthough each Lot has an outline specification, these are purposely general in order to allow for creative input from prospective providers.

This input should elucidate the means by whichthe provider will develop innovation and an outcome focused delivery that will look ahead to the impacts of the programme on the lives of service users and the communities in which they live.

The DAAT wishes to see providers embracing the ideas of Resilience and Recovery in their interactions with clients.

Our underpinning principles

•There is no one pathway to recovery

•Recovery is an individual journey involving understandingof one’s own health, well-being and relationship with one’s community

•Recovery gathers momentum

•Recovery is not a single event to be considered ata particular point in time, the thread runs through allinterventions.

Care Navigation

• The pivot, the hub, the umbrella, the wraparound and thread running through the

system!• Central focus on recovery planning• Includes criminal justice and alcohol• Incorporates assertive outreach, brief andstructured interventions• Individualised support through the system

Considerations

Change of culture forservice users and practitioners

Supportivecommunitystructures

Developingcommunitiesof recovery

Developing recoveryoutcomes

Nuggets ofDelight –Art Project

Taking a holisticview of a serviceuser’s journey

Bedfellows -abstinenceand harm reduction

Long termthinking requires jointapproach

Long termthinking requires jointapproach

Diana Powell

dianapowell@barnsley.gov.uk