Commissioning for Quality Exploring how commissioners can provide quality through their commissioning practice Bev Maybury

What matters most to people? The person is at the centre rather than having to fit with services People who use services and carers are treated as individuals Empowering choice and control for people who use services and their carers Setting goals for care and support with people who use services and their carers Having up to date accessible information about services The importance of the relationship between people who use services, providers and staff Listening to people and acting on what is said A positive approach, which highlights what people who use services can do and might be able to do with appropriate support – not what they cannot do Clenton Farquarharson Co-chair – Think Local, Act Personal

Commissioning – a means of dealing with demand and expectation Promoting a climate/culture for wellbeing, early prevention and building resilient communities during a time of austerity Part of the solution – not part of the problem

Care Act 2014 Safeguarding - promoting wellbeing, duty to cooperate, making enquiries, boards, reviews, advocacy Market oversight – sustainable, vibrant and diverse market, quality,choice, engagement, Commissioning - information, analysis, planning, workforce, pay,

The Standards DomainDescriptionStandards Person-centred and outcomes-focussedThis domain covers the quality of experience of people who use social care services, their families and carers and local communities. It considers the outcomes of social care at both an individual and population level. 1.Person-centred and focusses on outcomes 2.Promotes health and wellbeing 3.Delivers social value InclusiveThis domain covers the inclusivity of commissioning, both in terms of the process and outcomes. 4.Co-produced with local people, their carers and communities 5.Positive engagement with providers 6.Promotes equality Well-ledThis domain covers how well led commissioning is by the Local Authority, including how commissioning of social care is supported by both the wider organisation and partner organisations 7.Well-led 8.A whole system approach 9.Uses evidence about what works Promotes a sustainable and diverse market place This domain covers the promotion of a vibrant, diverse and sustainable market, where improving quality and safety is integral to commissioning decisions. 10.A diverse and sustainable market 11.Provides value for money 12.Develops the workforce

Sector led improvement Key Programmes Health and Wellbeing Care Act Implementation Health Integration, Better Care Fund, Winter Pressures Transforming Care Individual personalised commissioning 6

Inclusive with people who have lived experience with providers Adult Social Care Peer Challenge Programmes

Fundamentally different approach… We need providers – profit is not a dirty word It is about more than just money it is sharing risk/reducing bureaucracy creating climate for innovation It is turning market position statement aspirations into reality It is a true partnership co-commissioned with people who use our services.

Co-designed and Co-delivered to survive and thrive Future-proofing our business together C H A I Coffee, Hope and Ideas, Innovation, Inspiration

Improved relationships/partnerships Improved, flexible commissioning Responsive, thriving market place Better outcomes Improved relationships/partnerships Improved, flexible commissioning Responsive, thriving market place Better outcomes C H A I

“Quality is never an accident. It is always the result of high intentions, sincere effort, intelligent direction and skilful execution. It represents the wise choice of many alternatives.” Will Foster