1. Robin Lorimer 17 May, 2007 Birmingham © lorimer@ btconnect.com

2. OUR HEALTH OUR CARE OUR SAY! Choice Diversity of Provision Money Follows People Partnership In Commissioning For Chronic Disease Management With Public Health

3. E = SD² Efficiency Spend Demography Public sector challenge? © Lorimer

4. REQUIRES INTEGRATION In Thinking/Analysis In People Involvement In Design Response & Preventative Interventions In Market Enablement In Provider Engagement In Procurement Practice In Delivery – for other providers too

5. A NEEDS LED PLAN? Jointly agreed by: –Public Health –Director of Social Services –Practice Based Commissioners With more innovative use of Health Act Flexibilities by PBC But see LAA

6. A PLAN FOR CARE OUTSIDEOF HOSPITAL? Review use of resources Deliver on requirement for 2008 LDP round Demonstrate ambitious plan/shift/direction of resources Review in conjunction with emergent frameworks

7. FRAMEWORKS Choice………….. Risk National Direction/Local Ownership PBC Markets Third Sector Commissioning Taskforce Social Enterprise

8. FUNDING ENTERPRISE Social Enterprise Pathfinders - £73 mlln Futurebuilders Fund - £125 mlln Community Venture Companies - £750 mlln

9. CONTRACTS NOT VOLUMES? “Tendering will normally only be required when the intention is to create a monopoly by awarding a contract to a single provider rather than to grant approval to providers who reach the required standard……..” - DH, November 2006

10. STRONG AND PROSPEROUS COMMUNITIES More Local Control Local Authority as ‘Place Shaper’ Single regulatory framework Based upon partnership capacity, risk, relationship to LSP and use of resources For Vulnerable Groups Focus on Engagement Public Health and Well Being

11. NEW LAA Legal duty to cooperation design and delivery -Four main priorities: Ensure that all patients have a voice on health and well being Ensure more visible leadership on health and well being To build on the reforms in the Health Act 1999 (eg flexibilities) - systematic partnership: joint appointments, pooled budgets and commissioning To ensure that priorities and reporting and performance arrangements for public health and social care are joined up (to include formal arrangements for joint Director of Public Health appointments and joint accountability to CEO of local authority and PCT).

12. FRAMEWORK FOR HEALTH AND WELL BEING? Permissive in Design For all ages and care groups Joint commissioning Services for People with Long-term Conditions, Social care, Mental health Primary and community services The engagement and participation of Third Sector providers

13. THE CHALLENGE? Defining Needs Agreeing Sector and Personal Responsibilities Securing Design Enabling Delivery Regulating the Market Achieving Outcomes

14. OUTCOMES Improved Health & Emotional Well Being Improved Quality of Life Making a Positive Contribution Choice & Control Freedom from Discrimination Economic Well Being Personal Dignity