Commissioning Support Package for Partnerships

1
Commissioning Support Package for
Partnerships Strategic Commissioning
Partnerships Workshop Developing a
Commissioning Plan (2)
2

• The Commissioning Process
• Analyse
• - Population Needs Analysis
• - Whats Given and What Works evidence from
  guidance and research
• - Resource Mapping
• - Understanding Quality and Impact
• Plan
• - Producing the Commissioning Plan
• Secure Services
• - Implementation contracts, procurement,
  redesign and change management

3

• Analyse - Resource Mapping
• Understanding Current Provision

4

• Analyse - Resource Mapping
• Understanding Current Provision
• A combination of activities required
• Written questionnaires to existing/potential
  service providers to gather basic information.
• Review of spot, block and cost/volume contracts,
  Service Level Agreements and grants.
• Mapping services by factors such as geographical
  area, level of need, gender, race or age.
• Finance and budget analysis and projection.
• Interviews and focus groups with service users
  and carers.

5
Analyse - Resource Mapping Understanding Future
Provision
6

• Analyse - Resource Mapping
• Key Market and Supply Questions
• What is the balance between sectors health,
  local authority, voluntary, private across
  areas of provision?
• What are the sources and levels of funding across
  areas of provision?
• Who are the major suppliers?
• What are the weaknesses in supply in terms of
  availability and vulnerability and what
  accounts for these?
• Does supply reflect the current needs?

7

• Analyse - Resource Analysis
• Financial and other resource information is
  important in helping
• determine the affordability and further
  potential/limitation for growth
• What resources are available, projected over the
  next 3 years, from each agency?
• Of these budgets what is tied up in contract
  commitments, for how long?
• Who makes the decisions about the allocation of
  budgets from each agency?
• What other sources of income might be available
  during the period?
• What is the resource allocation available to
  individual service users?

8

• The Commissioning Process
• Scoping
• Analyse
• - Population Needs Analysis
• - Whats Given and What Works evidence from
  guidance and research
• - Resource Mapping
• - Understanding Quality and Impact
• Plan
• - Producing the Commissioning Plan
• Secure Services
• - Implementation contracts, procurement,
  redesign and change management

9

• Analyse
• Understanding Quality and Impact
• Are services accessible to those who need them?
• Are they near enough geographically and easy to
  reach?
• Do waiting lists prevent potential users getting
  access?
• Are services targeted at right age group or level
  of maturity?
• Are services acceptable to users?
• Do they stigmatise individuals within local
  community/peer group?
• Are service users seen positively or negatively
  by professionals?
• Are services effective?
• Do services actually meet the objectives or
  deliver the outcomes which they say they do, or
  which users actually want?

10

• Analyse
• Understanding Quality and Impact
• Service Quality Analysis
• Issues
• Often just based on complaints and dont get at
  the complexity of quality problems.
• Produce generalisations which have little impact
  on practice.
• Options
• Case file reviews to explore impact of services
  on needs and outcomes for a specific illustrative
  group of the population for which you are
  developing a commissioning plan.
• Focus group meetings or interviews with service
  users to explore extent to which professional
  views of services compares with their own
  experience.
• Feedback from ongoing user surveys, exit
  interviews and complaints and compliments
  systems.
• Analysis of some performance indicators or recent
  service inspections or review.
• Discussions with professionals and advocates
  working with service users on their views of the
  service user experience.

11
Analyse Understanding Quality and
Impact Defining Quality Conformance to
requirements. Crosby, PB, (1984) Quality Without
Tears Fitness for purpose. Juran, JM, (1986)
The quality trilogy, Quality Progress,19(8)
19-24 The degree of conformance of all the
relevant features and characteristics of the
service to all aspects of a customers need,
limited by the price and delivery he or she will
accept. Groocock, JM, (1986) The Chain of
Quality Quality is about meeting the customers
requirements whether they are stated or
implied. V Martin E Henderson, Managing in
Health and Social Care
12

• Analyse
• Understanding Quality and Impact
• Dimensions of Quality
• Accessibility physical access, waiting times,
  transport, availability of information.
• Acceptability non stigmatising services
  responsive to users needs.
• Relevance to the needs of the community,
  providing what people want.
• Effectiveness meeting objectives and delivering
  outcomes.
• Equity fair distribution of services.
• Efficiency and Economy use of minimum resources
  to gain maximum output.
• R Maxwell, (1984) Quality assessment in health,
  BMJ 13

13

• Analyse
• Understanding Quality and Impact
• Quality Factors
• Evidence of provider reliability.
• Positive commissioner/provider relationship.
• Good service specifications.
• Outcomes and outputs and related measures.
• Regular contract monitoring and review.
• Process for user and carer involvement.
• Clear and open tendering process.
• Professional supervision, staff training and
  qualifications etc.
• Provider quality assurance system.
• Complaints procedure.

14
The development of a commissioning plan Exercise
3 Using the materials you have considered in the
section on developing a commissioning plan,
plan the development of a commissioning plan for
your partnership.