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Commissioning for Sufficiency and Affordability

Commissioning for Sufficiency and Affordability. Katy Burch, Commissioning Support Programme. Commissioning Support Programme. Aims to support CTs to deliver improved outcomes for CYP through more effective commissioning Sponsored by DoH and DCSF 2 year programme Includes: Universal offer

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Commissioning for Sufficiency and Affordability

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  1. Commissioning for Sufficiency and Affordability Katy Burch, Commissioning Support Programme

  2. Commissioning Support Programme Aims to support CTs to deliver improved outcomes for CYP through more effective commissioning Sponsored by DoH and DCSF 2 year programme Includes: Universal offer Bespoke support to individual CTs

  3. Commissioning Support Programme Offer Includes: • Capability building around commissioning: • Programme for Lead Members • Programme for senior commissioners in CTs • Accredited Commissioning Skills Training • Commissioning Development Materials • Regional events, action learning and SIGs • Access to on-line resources and support • Bespoke consultancy support for Children’s Trusts based on Self Analysis and Planning

  4. The role of the Commissioning Champion Commissioning Champions Children’s Trust Commissioning Support Programme PULL DRIVE • Provides strategic leadership for change across Children’s Trust • Core commissioning team co-ordination • Informing the Children’s Trust board • Agrees a programme of support with CSP • Identifies good practice • National/regional/sub regional input/sharing/development • Informs colleagues of opportunities for training / collaborative learning

  5. Change IN Commissioning

  6. Commissioning for LAC – drivers • Increased referrals - increased number of children in care • Southwark ruling • Sufficiency Requirement for Local Authorities • New Regs • Chief Exec savings targets for children’s services • Ongoing patchy performance re: placement stability + outcomes for looked after children and care leavers • Concerns about market sustainability • Personalisation

  7. What do commissioners want? • Quality + good outcomes • Best match to need as possible • Low cost as possible

  8. What’s required? • Improved understanding of need + evidence base + matching with provision *CHALLENGE* • Improved dialogue with providers throughout the commissioning cycle • Better understanding of impact + VFM • Better embedded and systematised ways of doing things (e.g. stop the spot!; regional and local commissioning; brokerage; involvement of CYP and families)

  9. What’s required? • More refined techniques for purchasing including to assure a level playing field and market sustainability as well as efficiency and quality • More joined up commissioning e.g. across Housing + Social Care; across Health + Social Care; across SEN + Health + Social Care. • Improvements in assessment and care planning

  10. Ways in… • Sufficiency Guidance and Good Practice Case Studies • Training materials for use with commissioners in Children’s Trusts • Work with CT commissioner groups to agree frameworks and principles • Challenge element to our bespoke consultancy in Trusts • Regional workshops and events • On line materials + links to others

  11. Sufficiency Duty Statutory Guidance • Key gaps identified by LAC commissioners and providers are addressed by statutory guidance for consultation in five commissioning standards: • Individual assessment • Commissioning decision • Strategic needs assessment • Market management • Securing services

  12. Commissioning Support Programme guide to commissioning Sets out the sector’s view of commissioning and identifies the 18 most important components to get right

  13. Work with providers to innovate Procurement Tips Consider sustainability issues where appropriate and relevant Aim to identify the best value for money proposal All procurements should be fair, open and transparent Manage procurements as projects Apply the European Procurement Directive All procurements should be subject to competition unless in very exceptional circumstances Collaborate and aggregate Involve the stakeholders Identify your requirements before starting a procurement exercise Involve the contract manager in the procurement exercise Involve procurement early Speak to the market Don’t sign up to a provider’s terms and conditions Streamline the procurement process Minimise spot purchasing Know contract law

  14. A Commissioning Framework Should Include the following… • Definition and scope of commissioning, including locality arrangements • Commissioning process • Commissioning principles or standards • Toolkits for commissioning activities

  15. Outcomes focused – decisions Evidence based -decisions Transparentand fair – processes Contestability – where appropriate to drive innovation and select the best in-house or external provider Challenge – to in-house and external practitioners Value for money – of all services Performance management – for all services • Commissioning Principles may include…

  16. Commissioning Support Programme • www.commissioningsupport.org.uk • Katy.burch@commissioningsupport.org.uk

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