Using Commissioning to Drive Early Implementation

Ian Treasure – NHS East Lancashire

Commissioning Strategic Plan

• Alcohol Health Needs Assessment (Quantitative and Qualitative)

• Analysis at PCT, Borough and MSOA levels

• Alcohol as both Substance Misuse and Lifestyle Issue

• 1,000 people per year trained in Alcohol SBI / IBA techniques

• Increase Treatment Activity at Tiers 2 and 3

• Public Health Intelligence Led Performance Monitoring

• Longer Term (2012) to have steady increase in Tier 2 Interventions (modernising services and the thinking of services)

• Evidence Based Interventions

• Partnership Metrics and Involvement

• VSA 26 (set at 2% for NHS East Lancs and 1.5% for Lancs)

Public Health Directorate Workplan Overview:

• Delivery of IBA training to Healthcare Staff (March 09) • Creation of Bespoke Self Help Resources, Targeted at populations

based on MOSAIC data (March 09) • Creation of outreach posts for problem drinkers who cannot

access services (March 09) • Creation of Acute Trust service for telephone brief interventions

(March 09) • Test Purchasing Operations to continue (March 09)• Roll out of DES (Alcohol) April 2009

Delivery

• Alcohol Strategy Partnership- Formed 2007 - safe.sensible.social benchmarking (2008)- Working groups established - Action plans aligned to LAA indicators

(2009)- Subsequent Commissioning- Performance

Added Value - Early Implementer

• Identification and Brief Advice WD Community Pharmacists Wider Partner Agencies Health Trainers• Early Expansion of BI and Tier 2• Partnership involvement in Prevention• Performance monitoring through ASG• Feedback of EIP Good Practice to

inform delivery

Progress Since Launch of SMYL

(April 2008)

April 2008

• Key:• Tier 2 PHC• Tier 2 CJ• Tier 3 Psych• Tier 3 Presc

SMYL Investment

• Expansion of B P R services

• Expansion of H RV Services

• Expansion of Alcohol Services in PHC

• Development of Acute Trust Service

• Pilot of CJ alcohol services

• Pilot of ATR (Probation Service)

• Total Increased Investment £900,000

Nov 2008

• Key:• Tier 2 PHC• Tier 2 CJ• Tier 3 Psych• Tier 3 Presc

Summary

• Highlight Health Inequalities to gain support (AAACM)

• Boards like Solutions not Problems• Commissioning Strategic Plans • Public Health Workplans for BI• Common LAA themes (partners)• Milestones to Outcomes not Outputs• Shout about it