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The Market…

Explore challenges and strategies in shaping responsive services in the context of funding, workforce, and alignment issues. Learn about market mapping, obstacles, and co-production for improved outcomes. Discover specific tools and engage with market providers effectively.

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The Market…

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  1. The Market… Nigel Walker

  2. Context • Growing demand • Choice and control • Services to be personalised • Funding issues • Workforce issues • National/regional/local issues • Commissioner and provider behaviours not always aligned

  3. What about the market? • Management ? • Development ? • Facilitation ? • Create ? • Re-shape ? • Decommissioning ?

  4. What is a market ? • Wide number of potential providers and support • Vary from private “for profit” companies (some small and some international) through variety of 3rd Sector bodies to public sector services. • Can also be individual people who help people with things they need • May cross organisational boundaries • Need to distinguish also between direct service and those that can support (e.g. housing, training and work finding agencies may give vital support to people with mental health issues without being a direct service provider) • How do we best knit these together?

  5. Obstacles can include.. • Nature of the market (diverse) • Obstacle to stimulation (few providers, dominant providers) • Lack of consumer power • Commissioning approaches • Workforce constraints (insufficient, poor training, intransigent)

  6. How do we map our markets? • Where are our current services situated ? • Who do they provide for – numbers, type of service user, other support (eg carers)? • How many people use them/want them and why? • Are they doing the right things, getting the right outcomes? • Are they the right services in the right place? • If not what must change? • Are there things missing that we would want to develop? • Is there an identifiable group who can assist? • If not how will you find them and what are there attributes ?

  7. Shaping provision RESPONSIVE SERVICES Co-production

  8. Responsive services create.. • Customer focus • Choice • Control • Shared goals • Improved outcomes • Fair pricing • Risk sharing • Opportunities • Interoperability

  9. An investment in outcomes Inputs (money, staff, buildings) → Outputs (who, how many, when and how long) Inputs (investment) → Outcomes (results) →Accountability to investors and users The need to find synergy between different levels of expressed outcomes:- Strategic (political) communities (localism) communities of interest you & me Types of outcome: maintenance; improvement; transition; process

  10. Funder/Investor comparison

  11. Provider management questions

  12. Influencing

  13. Some specific tools • Commissioner/provider Concordat • (http://networks.csip.org.uk/_library/Building_Bridges.pdf ) • Risk management • ( http://networks.csip.org.uk/BetterCommissioning/Commissioninge-book/Chapter4WorkingwithServiceProviders/) • Open book methodologies • ( http://www.icn.csip.org.uk/_library/Open_book_accounting.pdf) • Community engagement • (http://lithgow-schmidt.dk/sherry-arnstein/ladder-of-citizen-participation.html ) • Social Capital • (http://www.socialcapitalgateway.org/NV-eng-public.htm )

  14. Some more specific tools • Well developed long term strategies and clear sense of direction • (http://www.icn.csip.org.uk/_library/DOH_key_activities_in_commissioning_social_care_proof_06-08-07.pdf ) • Micro Markets • (http://networks.csip.org.uk/Personalisation/Topics/Browse/Commissionersandproviders/?parent=2735&child=3531) • Information • (http://www.sds4me.org.uk/Navigation%20page.htm) • Time banks • (http://www.timebanking.org/ )

  15. Some specific issues for discussion with market providers…. • Risk • Limits • Affordability • Sustainability • Outcomes approach • Consortia working

  16. Contact • nigel@creativecommissioning.co.uk • Skype:- creativecommissioning • Phone:- 07534 981220 • www.creativecommissioning.co.uk

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