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Commissioning intentions and market development in Herefordshire Wendy Fabbro- Acting Director Adult Social Care

National direction..where to find it. Coalition government proposals3 White Papers (with greenish tinge)Andrew Lansleys' commitmentsPatient centred serviceImproving health outcomesAutonomy, Accountability and democratic legitimacy (joining up)Cutting bureaucracy and improving efficiencyPublic health.

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Commissioning intentions and market development in Herefordshire Wendy Fabbro- Acting Director Adult Social Care

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    1. Commissioning intentions and market development in Herefordshire Wendy Fabbro- Acting Director Adult Social Care

    2. National direction..where to find it Coalition government proposals 3 White Papers (with greenish tinge) Andrew Lansleys’ commitments Patient centred service Improving health outcomes Autonomy, Accountability and democratic legitimacy (joining up) Cutting bureaucracy and improving efficiency Public health

    3. National direction..the different paradigm People (citizens) making better choices for themselves Community capacity building and the third sector Joined up, for efficiency and democratic legitimacy Eliminating waste Doing things differently Right people served? Right service provided? Right price? Redesign!

    4. The 25% in Herefordshire... Reduce demand Charging? Self assessment? Community action eg community networks vs day opportunities Volunteering Fair price

    5. Part 2 Maximising Independence Telecare Frail elderly care pathway Reablement Extra care housing

    6. Part 3- efficiencies Fair pricing Procurement and open competition Staffing savings Electronic monitoring Personal budgets Insourcing

    7. So what next Market intelligence- analysis, what works to deliver outcomes Market structuring- new culture and practice Market intervention- support for enterprise and innovation Measure of success=more, richer, less public services, lower unit costs, less unmet need

    8. Where to find the local guidance Joint Strategic needs assessment World class commissioning strategy Adult social care business plan Commissioning intentions Commissioning strategies

    9. Detailed Programme Structure Herefordshire NHS & Social Care – Programme Approach to Commissioning

    10. Commissioning Intentions-3rd Sector More community action? Review all low to moderate level service to ensure preventive outcomes are being achieved All contracts to be accountable to the individual service user Whole costs and whole unit costs to be used in benchmarking Other funding sources explored, and volunteering expanded

    11. Commissioning intentions- living in the community SP – awaiting funding details, but..based on eligibility and controlled access Directed at ‘demonstrable’ maximising independence Home care- careful pricing Emphasis on reablement

    12. Commissioning intentions- Care Homes Emphasis and financial incentive on getting people back home Relatively stable market- demographic growth balanced by increased success in reablement Focus on dementia and reablement

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