ECDP, NCODP, NCC 8 June 2010

1. Commissioning for ULOs Eastern Region Development Programme Study Day ECDP, NCODP, NCC 8 June 2010

2. Overview of presentation • Policy context • ULOs: the voice-business model • An effective ULO: NCODP • Typical barriers ULOs face

3. Policy context • Improving the Life Chances of Disabled People report (2005) • Recommendation 4.3: • By 2010, each locality should have a User-led Organisation modelled on existing CILs

4. Wider policy context • A Stronger Local Voice Framework (LINks, 2006) • Our Health, Our Care, Our Say (2006) • Independent Living Strategy (2008) • Carers Strategy (2008) • Social Care Green / White Papers • Right to Control (2009)

5. Putting People First (2007) • The key agenda • Concordat document (2007) • Local Authority Circulars (2008, 2009) • PPF Milestones (2009) • What’s required? • A lot required of Local Authorities • A lot of opportunities for ULOs • IAG, Support, Advocacy and Brokerage • Universal Services

6. + Campaigning Contracts only 0 - + Business ULOs: the voice-business model Voice

7. Having an impairment is normal Being excluded is not

8. Member Groups

10. Campaign 2008 Our 2008 campaign was about the human rights of all disabled people

11. Services

12. ncodp • 75 staff • 200 volunteers • Over 50% staff disabled people • Work county wide through outreach services in local communities

13. Joint Commissioning Strategy NCODP in the lead of Norfolk’s groundbreaking commissioning strategy

14. To go in a hot air balloon The Aspirations of Disabled People in Norfolk 2008/09

15. Norfolk Centre for Independent Living

16. Norfolk Specialist Partnership Voluntary Sector Forum – Norfolk Improving the lives of Children, Young People and their Families

17. Norfolk ASS/ncodpExamples of co-production • Direct Payments • Individual Budgets pilots • Support planning • Joint Commissioning Strategy • Personal health budgets

18. Benefits / Issues • We can tell the difference from positive experiences • Always produces better product if co-produced from beginning • Violation of ‘nothing about us, without us’ and ‘professionals on tap, not on top’ principles • Projects set running with no upstream engagement of disabled people/users • Downstream tokenism – not acceptable

19. Typical barriers ULOs face • Governance • Business readiness and sustainability • Wider engagement

20. Commissioning with ULOs

21. Overview • First principles: co-production • The stages of commissioning cycle • What each one involves • How this relates to procurement • ULOs and the voice-business approach

22. First principles: co-production • Putting People First • Sustainable and meaningful change depends on our capacity to empower service users • The first reform programme to recognise real change will be delivered through involvement of users at every stage • Principles: • People know best themselves when support works • Should be an equal partnership, contributing equally to the process • Co-design, co-decision, co-implementation, co-evaluation

23. Making co-production work • People are not passive recipients • They have assets and expertise which can help improve services • Co-production is potentially transformative • A way of thinking about power, resources, partnerships, risks and outcomes • It isn’t an off-the-shelf model of provision • To act as partners, both users and providers must be empowered • Involving citizens in collaborative relationsihps with more empowered frontline staff • All confident to share power and accept user expertise • Staff can be trained in the benefits of co-production, positive risk-taking and identifying new opportunities for collaboration

24. The commissioning cycle