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In Salford

DEMYSTIFYINGDEMYSTIFYING

Jo Hannan, Commissioning ManagerClare Duff, Commissioning Manager

September 2012

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Welcome…..Aim of the session:– Demystify commissioning in Salford

Objectives:– Greater understanding of commissioning

processes in Salford– Confidence in undertaking commissioning– Effective commissioning– Access to online commissioning toolbox

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Experience of commissioning……

• What services are you involved in?

• What’s your experience of commissioning?

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Smoke & mirrors……• Perceived as complex and confusing

• Often confused with procurement

• Should be easy to understand and simple to apply

• Two aspects of commissioning:– The commissioning way of thinking (that is needed by

everyone in local services to improve outcomes)– The professional commissioner and Commissioning Team

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What is commissioning?.....

Commissioning is the most efficient,

effective and sustainable route

Commissioning is deciding how to use the total resource available in order to improve peoples outcomes

in the most efficient, effective and sustainable way

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The process…….• Understand – recognise local

outcomes, needs, resources and priorities. Include provider information and service user views.

• Plan – how to address needs effectively, efficiently, equitably and in a sustainable way.

• Do – make decisions to secure better outcomes.

• Review – monitor service delivery against expected outcomes and report how well it is doing against the plan.

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Components ofcommissioning……

• 18 key components of effective commissioning

• You need to put in place all 18, and challenge them constantly

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Understand……

• Needs analysis• Market management• Scoping• Who’s your market?• Who’s funding this?• Outcomes

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Plan……• Involve Commissioning and

Procurement• Re-commission / decommission• Partners / stakeholders • Consultation• Decision making - contestability• Risk register• Community Impact Assessment• Procurement process• Outcome based specification

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Outcome basedspecifications……..

Introduction

Function of the service / setting

Target Group

Outcomes and Performance Indicators

Budget

Duration of Specification

Quality of Delivery

Support of Local Authority

Monitoring of Specification

TUPE

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Exercise 1……• Read the case study, discuss the following and

feedback to the group.

• Things to consider:– Who will you involve on your Project Group?– Identify 6 outcomes.– Identify 6 milestones.– Who claims the outcome?– Who will deliver the service?– Identify 6 challenges?

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Do……• Share specification with

Commissioning Group, Leadership and stakeholders

• Complete procurement process

• Propose decision to Leadership and Joint Assistant Mayor processes as advised

• Award contract

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Decision making……

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Review……• Governance arrangements• Monitoring and performance

management• Stakeholder & customer

feedback• Remedial action• End of contract• ....... and it begins again....

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Exercise 2……• Reflecting on understand, plan, do and review• Think of your own experience of commissioning –

then nominate one example in your group to discuss in detail

– Does this cycle look familiar? Think of what you did in the understand/plan/do/review stages?

– What worked well?– What didn’t work?

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Where it all fits in Salford……• Contract Overview Group (COG)

• Commissioning Group

• Community Impact Assessments (CIAs)

• Future developments:– Family Poverty Commissioning Framework– Commissioning Hub

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All procurements should be fair, open and transparent

A clear and fit for purpose

specification underpins a robust commissioning process.

Involve the stakeholders

Have you consulted and considered all

internal decision making processes?

Explore regional/

inter authority

commissioning Work with providers to

innovate

Aim to identify the best value for money proposal

Tightly review

and monitor

timelines

Identify your requirements

before startinga procurement

exerciseDo not underestimate how

long the process will take

Identify and

confirm your

budget at an

early stage

Get the right people talking around the table

Speak to the market

Implement effective monitoring and

performance management

processes

Involve

Procurement

early

Have you completed a CIA?

Have clear outcomes

Use the process to support you

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Pandora’s box of commissioning tools……• Practical tools and templates will be available on the website at

the end of the briefing sessions.

• Will include examples of good practice to support commissioning processes.

• Designed for people to add to and build as a resource.

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Further reading……

Commissioning Support Programme:

Outcomes & Efficiency Comprehensive model and tools including the A-Z of Commissioning training modules and DfE Change Management Jigsaw

www.commissioningsupport.org.uk

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Evaluation & closing……

• Any questions?

• Evaluation forms

• Thank you for your time