1. The Joint Commissioning of Children, Young People’s and Pediatric Tertiary Audiology Service

2. Key areas for discussion
Legislative requirements
Joint commissioning arrangements with Bromley and Greenwich and improved outcomes for our families
Consultation and communication

3. Legislative and Policy requirements
Children and Families Act 2014 and SEND Reform 2016
EHC Plans replace statements
Plans for 0-25 year olds
DMO/DCO role in CCGs
Local Offer
PHBs
Mediation and Advocacy
Duty to jointly commission
TRANSITION
Our Healthier South East London and the Sustainability and Transformation Plan
Five Year Forward View
The NHS Five Year Forward View is reshaping the commissioning and provider landscape, with more emphasis on prevention, new flexible models of service delivery tailored to local populations and their needs, and integration between services delivered closer to people’s homes. A “one size fits all” model of delivery is no longer suitable and the drive is to encourage people to take far greater control of their own care to get the right treatment at the right time, leading to improved outcomes.

4. Joint commissioning arrangements
The beginning of our journey…….
Current local service delivery at community clinic for Bexley, Bromley and Greenwich CCG’s
Capacity and recruitment issues for provider
Estate issues at community clinic
Discussions took place between commissioners and providers on potential ways forward
Communication to parents
Transport main issue

5. Commissioning cycle

6. Joint Commissioning Arrangements
what was the approach by Commissioners to address the closure of the community provision as they were served only 3 months notice
Engage providers
Procurement waiver and CCG approvals
Present options and proposals to parents/carers & key stakeholders
Microsoft project
Mobilisation process and interim arrangements (CHEARS)
Communication and engagement

7. Engagement and Participation
Parents and Children
National Deaf Children's Society
CHSWG
Teacher of the Deaf
GP’s and acute professionals
Universal health professionals
CCG and the Local authority ……

8. “Parents would like more information about hearing problems”
What do our families say……
“Informing us about all steps in a procedure and the doctors are really interactive and patient”
“The communication between the staff and the patients is fantastic and very welcoming”
“Brilliant approach to child. Very, very happy about service. Thank you!”
“Parents would like more information about hearing problems”
“For our Bexley patients, satellite clinic locations are not always convenient to reach”

9. Quarterly contract monitoring meetings Outcome measures
Contract management
Quarterly contract monitoring meetings
Outcome measures
Experience of a parent who had transitioned from St Georges to GSTT
Upgraded facilities and equipment
Forefront of new thinking
Improved referral pathways and appointment system
Improved Speech and language
Service user feedback

10. Lessons learned Adhere to legislative requirements
Robust contract arrangements in place
Effective use of a range of tools
Good communication
Effective and proactive engagement with families – do you really know your population and their needs
Measurable KPIs and outcomes
Evaluation and continuous improvement

11. A new local development
Improved joint commissioning arrangements
Single Point of Access (SPA)
Child Development Centre at Queen Mary’s – ACORNS
Co-located one-stop shop for SEND
Former Elmstead Unit

12. Jacqueline Leaver Head of Children, Young People and Maternity Commissioning