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Moving towards integrated commissioning of children’s services in Warwickshire. Context.
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Moving towards integrated commissioning of children’s services in Warwickshire
Context • “We need to see every local authority moving from provider to commissioner so that the system acquires a local dynamism responsive to the needs of their communities and open to change and new forms of school provision” Tony Blair 24.10.05
Contracting... • Focuses on the arrangements that are put in place to deliver services for individuals and/or groups.
Procurement • Is about obtaining maximum value for money in contracting for the goods and services that enable the organisation to deliver its business objectives and….. • Is about enhancing the competitiveness of the supply base
Commissioning is…. • “… the process of specifying, securing and monitoring services to meet people’s needs at a strategic level. This applies to all services, whether they are provided by the local authority, NHS, other public agencies or by the private or voluntary sectors.” • (Making Ends Meet, October 2003)
Current Approaches within Warwickshire Predominantly single agency with some exceptions. YOT DAT IDS CAMHS Teenage Pregnancy
NHS • PCT’s as commissioners • Collaborative commissioning between PCT’s • Lead commissioning • Specialist commissioning on a regional basis • Consortium commissioning • Practice based commissioning
Collaborative commissioning • West Midlands Child Care consortium • Children’s Fund
Joint Commissioning Tools • Pooled budgets • Joint Protocols
Analyse Plan Commissioning Gap analysis, Design, Strategy Purpose Market Analysis Resources Population Needs Purchasing / Contracting Specification Contract / SLA Providers Resources User needs Contract Monitoring & Review Contract Mgt Monitor& Review Strategy Budget & Market Mgt Review Do The Commissioning Process CYPP Procurement
What needs to be done 1-Every Child Matters • Moving towards fully integrated budgets across the local sector over a 3 year period • Aligning resource re-engineering to the local organisational change plan [CYPP] • Creating a strategic and resourced priority in respect of preventative services • Mainstreaming of ring fenced grants over a 3 year period
What needs to be done 2- Every Child Matters • Align resources with the local area agreement frameworks Review current services across the sector against priorities and re-commission and de-commission • Integrate capital resources [in particular land,buildings and IT] • Embed the community strategy as the core framework for delivering children’s services priorities
What needs to be done 3 Every Child Matters • Create a 10 year planning timeline • Streamline planning processes and clarify accountabilities • Construct a commissioning strategy, based on assessed need, priorities and gaps in current provision,and which meets national requirements and local expectations • Establish commissioning as a core activity with the children’s partnership
Levels of integration • May be different for each service and each aspect of commissioning