Joint Improvement Team

Joint Strategic Commissioning and Co-production

A look at the priorities for each and the synergies between the two

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.

The Commissioning cycle – key tasks

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

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

Commissioning – understanding the roles involved and the skills required

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

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

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

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)

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

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.

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)

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)

Commissioning for Joint Outcomes

Self-directed

support

Market

Facilitation

Co-production

Service User

Engagement

Joint commissioning for

better outcomes