South of Tyne and Wear Substance Misuse Commissioning: A Framework Approach for World Class Commissioning World Class Commissioning – commissioning for communities, commissioning for people.
Copyright@AlecFraher2008
World Class Commissioning The Department of Health has set out its vision for commissioning practice. The stated objectives are: 2.Locally Lead the NHS 3.Work with Community Partners 4.Engage with Public and Patients 5.Collaborate with Clinicians 6.Manage Knowledge and assess needs 7.Prioritise Investment 8.Stimulate the Market 9.Promote improvement and innovate 10.Secure Procurement skills 11.Manage the system 12.Make sound financial investments
Our response is a 12 step programme to
excellence:
Copyright@AlecFraher2008
Steps 1-3: Setting out the Vision for a Framework Approach
Walking the Talk Accountability
Desired State
Step 3 Concordat WCC/LAA Matching Agenda
Step 2: Spend and
Patient Flow Analysis Bottleneck
Current State
Strategic Step 1: Stock Taking and Feasibility Study
Routine
Leverage
Copyright@AlecFraher2008
Finding and Holding the Strategic Centre Demand Side Better
Sub-Regional World Class Value Strategy
Planning/ Communication Step 4
Valuing policies
Step 3 Step 2 Step 1
Valuing behaviour
Sub-Regional World Class Behaviour Strategy
Value Spread Process
Supply Side
Value position of the Strategic Partnerships – The Centre for Excellence at June 2007
Step 5 Market Testing
Step 10. Arc of Anxiety Zero-Sum Gaming Dead Lock Resistance
Step 9. Agree Improvement Plan Step 8. Analysi s
Brighter
Successful
Breakthrough Potential Step 11 Provider Enableme nt Step 12 WCC Execution Strategy
Step 6. Define and Assess Provider Excellence Step7. Measure Category Position
City and Urban Transformational Development
Planning/ Strategic Pull from LAA/WCC
Work Health Leisure Wellbeing Safety Prosperity
Engaging, Democratic and Complete
Innovation and Enterprise
Deep Knowledge and Trust Copyright@AlecFraher2008
Constraints
Design
Procurement Competition
Technical, political, policy, physical
Procurement Approach
Contract Programme
Market Response
Forward Category Plan Updated Mrkt Intel
Intervention Intervention Intervention Support Support Support
Provider D Provider C
Provider B Provider A Provider D Provider C Provider B
Provider A
Provider D Provider C
Provider B
Provider A
Provider D
Provider C
CAA/LAA/WCC Deliverables
Market Category Enablement Programme
Provider B
Provider Profiling Provider A
b e h a v i o u r
Spend Analysis
Option Appraisal
Category Review
S i d e
V a l u i n g
Enablement Programme
S u p p l y
p o l i c i e s
Concordat
NHSLocal Community Development
S i d e
V a l u i n g
Sub. Cat. Sr. Prog.
D e m a n d
Steps 6- 12 Managing and Developing the Provider Market
Supply Chain Development Stack
Copyright@AlecFraher2008
Progress Against Milestones
Copyright@AlecFraher2008