Commissioning the space for recovery 29 April 2014 University of Chester

1. Commissioning the space for recovery 29 April 2014 University of Chester Chris LeePublic Health Specialist Lancashire County Council

2. Lancashire Commissioning Creating the space for recovery LUF and RRR Challenges Presentation overview

4. Back to basics • A commissioner can be lots of things: • a change agent, a catalyst, a leader, a broker, a pivot, a linchpin, an enabler, an architect, a politician, a fixer • Or: a nuisance, a martinet, a petty bureaucrat, a frustrated service provider, a pushover, an ATM • Commissioners are few in number and dedicated substance misuse commissioners are increasingly rare. • Commissioning is directing resources wisely and generating a culture of improvement and change. • Commissioning is a great responsibility, full of potential and possibilities. Poor commissioning wastes resources and creates disharmony

5. Here and now • Increased competition for resources • Commissioners must be pro-active around system change • Substance misuse sector must evolve or will start to wither • Integration, not disintegration. Systems not lots • Providers must develop products and solutions • Engage and mobilise the recovery community • Must focus on outcomes • The need for flexibility.

6. Lancashire case study In Lancashire

8. Creating the space for recovery Creating the space for recovery

10. Challenges • Resources • Re-distribution of resources • My way….. • Public Health • Local authority based commissioning

11. Thank you