Joint Commissioning Oxfordshire County Council

1. Joint Commissioning Oxfordshire County Council Alan Sinclair – Lead Commissioner 17th November 2011

2. New Structures in OCC • Children Education and Families – Director Meera Spillet • Social and Community Services – Director John Jackson Social Care for Adults – Deputy Director John Dixon Joint Commissioning – Deputy Director Sara Livadeas

3. Joint Commissioning (1) Brings together Commissioning&Contracting • Older People • People with Physical Disabilities • People with Learning Disabilities • Children • Carers Plus • Public Engagement • Strategy and Performance

4. Joint Commissioning (2) • Separating out operational aspects of social care from commissioning responsibilities • Outcome focussed Commissioning Strategies • Flexibility and more delegated authority to front line staff – closer to people who use our services • Managing and supporting the market

5. Joint Commissioning (3) • Improved working and communication with providers • Assuring that all providers are delivering quality services • Engaging and involving people in decisions that affect them • Services that based on needs analysis and on evidence of what works • Transparency of commissioning decisions

6. What is Commissioning An OCC Definition ‘The Strategic activity involved in preparing/orchestrating resources to enable outcomes to achieve best value’ And covers all of the stages of the commissioning cycle in next diagram

8. Institute of Public Care – What is Commissioning Strategic Commissioning – using a good understanding of demand and supply the activities the LA and other partners take to ensure that people receive or can obtain the care and support they need. Procurement or purchasing - the arrangements made to take one or more particular services. Contracting – the legal agreement or contract which specifies the amount and volume of given services

9. Developing a market position statement • A short succinct analytical document. • Should bring together data from the JSNA, from commissioning strategies, from market and customer surveys into a single document. • Will be market facing – will contain information the authority believes would be of benefit to providers.

10. Developing a market position statement • Cover the whole market, not just the section that the Council funds. • Indicate how the Council intends to behave towards the market in the future • Be evidence-informed, in that each statement it makes has a rationale that underpins it, based on population estimates, market surveys, research etc.

11. Working relationships Dept of Health National commissioning Board Public Health England Health and Wellbeing Board Public health in local authority SHA clusters Adult H&SC Board CYP Board H Imp Board PCT clusters Social care Public Involvement Board Children’s Services Clinical commissioning groups Healthwatch Joint Health Overview & Scrutiny Potential NHS structures following Future Forum report Potential NHS structures following Future Forum report National Commissioning Board Public Health England Including HPA, NTA National Commissioning Board Public Health England Including HPA, NTA Strategic Health Authority clusters x4 by Oct 2011 (localities to be confirmed, one is London) “Subnational” NCB? To become sub National NCB? Strategic Health Authority clusters x4 by Oct 2011 (localities to be confirmed, one is London) “Subnational” NCB? To become sub National NCB? Clinical networks Clinical Senates (Subnational? Local?) Clinical networks Clinical Senates (Subnational? Local?) PCT clusters Already formed x50 To become “local arm” of NCB? Commissioning support unit? PCT clusters Already formed x50 To become “local arm” of NCB? Commissioning support unit? Social care in local authority Public Health in local authority Social care in local authority Public Health in local authority Health and Wellbeing Board Health and Wellbeing Board Clinical commissioning Groups (formerly GP consortia) Have to be authorised by H&WB and others before taking statutory responsibility Clinical commissioning Groups (formerly GP consortia) Have to be authorised by H&WB and others before taking statutory responsibility Healthwatch Healthwatch

12. New Developments and Existing Experience • Lots of local experience and good practice • Pooled budgets • Partnership working • Measuring progress • New structures and duties • Clinical Commissioning Groups • Public Health move to Local Authority • Health and Wellbeing Board

13. New Statutory Duties • Joint Strategic Needs Assessment • Duty of H&WB to develop comprehensive JSNA • Joint Health and Wellbeing Strategy • To set the local framework for commissioning of health care, social care and public health services • Take into account wider ranging local interventions to support health and wellbeing across the “life course” (e.g. planning and leisure policies, community safety partnerships etc.) • Strong local public involvement

14. Timetable for next steps