A controlled earthquake - thinking about Joint Commissioning Strategies

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A controlled earthquake - thinking about Joint
Commissioning Strategies

• Nigel Walker Creative Commissioning

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Shape and content

• A story of your place
• Explaining the priorities and issues
• Looking for engagement
• Simple language but dont avoid difficult
  issues
• Short and sweet
• Each will be different

Creative commissioning
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Co-production and engagement

• Dont plan for failure
• From individuals to communities of interest
• Third sector assistance
• Go where people are
• Us the media
• Ensure you give evidence and options
• Understand what people want
• Build support for your situation
• Dont be shy of financial or difficult issues
• Make it real
• Providers are co-producers too

Creative commissioning
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Leadership

• Leaders at all levels
• The job of resolution
• Finding solutions
• Persuasion not conflict
• Recognising they represent the views of
  communities
• An ethical sustainable approach
• Three key skills-
• motivating people
• working across cultures
• facilitating change

Creative commissioning
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Service configuration

• Why are we here?
• Where would we start if we could?
• So what needs to change to help us get there?
• How will we do that?
• Co-produced and understood by all
• Challenges are transparent and open
• Alternatives are stated not hidden
• Preferences explained

Creative commissioning
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Workforce issues
Will work be the same? Will the skills and
experience and knowledge be transferable? Can we
define the new services in these terms? How do we
involve staff and negotiate change? TUPE v new
roles?
Creative commissioning
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Personalised services strategic fit
Multi-layered commissioning framework (Appendix 2)
Creative commissioning
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Personalised Services - vital concepts

• Investment in outcomes
• Market development and facilitation
• Resource Allocation Systems
• Renewable contracting (de- / re-commissioning)
• Co-production
• Social networks and community capacity

Creative commissioning
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Questions

• Does this represent a view of the possible
  results of Joint Strategic Commissioning that
  seems reasonable?
• If not why not?
• If so which challenges will be the greatest?
• What will be your priorities going forward?