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Empowering and enabling charities to
  become trusted partners in the
     commissioning process
             Charlie Peel
           Project Manager


                                Affiliate:
Neurological Commissioning
Support
• A unique partnership of three neurological organisations:
  a broad commitment to effective commissioning
   – MS Society
   – Parkinson’s UK
   – MND Association
• Work extends to other conditions
   – 2011 - affiliate partnership with Epilepsy Society
   – Ad hoc partnership work in locality projects
• A consultancy service to health and social care
• Wide expertise – customise services and transfer
  ‘solutions’
Neurological Commissioning
Support
• Enabling commissioners to have access to core resources
  for neurology commissioning
• Empowering professionals, volunteers and service users at
  a local level to work together for the benefit of the
  neurological community
• Promoting cross-sector working and partnerships
• Highlighting areas where service
  improvement and efficiencies could be made
• Redesigning services for better quality and
  value BUT from a service user perspective
NCS…
 – Reactive – as consultancy to commissioners
   wanting help to redesign neurology services
 – Proactive in areas of poor performance
   providing solutions for engagement with
   commissioners
 – Demonstrating innovation with DH IESD
   grants
Discussion
• What do you think of when someone says
  ‘commissioning’?
• Is it a familiar concept to your organisation, or not?
• What, if anything, have
  you done within service
  development, influencing
  or commissioning in the past?
• Do you feel ‘up to speed’ with
  the changes in health and social
  care commissioning?
We help commissioners through
  the maze of commissioning
      neurology services
What we provide
• Time limited consultancy     • Service redesign that
  for H&SC commissioners         might include de-
• JSNA with local public         commissioning
  health department            • Unbundling neurology
• Mapping, audit and gap         spend
  analysis based on user       • Project management to
  opinion                        facilitate change
• Interpretation of findings   • All from a service user
• Mining data and                perspective
  interpretation of finding
Case study: Cornwall

Un-united States of Care   Can-do Island
From this                  To this
Case study: Cornwall
Gaining understanding:            Inputted into by:
• QN audit of services            • CAN-DO local service user group
• Examination of data             • Health and social care
• Unbundling of spend               professionals
                                  • Local and national voluntary sector
                                  • Existing evidence of service
                                    efficacy

Resulting in:
• Educational events – at          Prompting further
  capacity                         investigation:
• Design and rollout of info       • Use of telehealth for neuro
  booklet                            patients
• Appointment of 2 x Neuro care    • In-depth NICE audit for epilepsy
  advisors                         • ‘Get it on Time’ audit for
• Jointly commissioned service       Parkinson’s re medication
  for Huntington’s                   management in acute
• Targeted exercise programmes
• Neuro hub on Isles of Scilly
Case study: Surrey
Gaining understanding:
• QN audit of services
• Examination of data
• Unbundling of spend

                                        Prompting further investigation:
                                        • Identification of ‘complex’ patients and
                                          using telehealth
Resulting in:                           • In-depth NICE audits for Parkinson’s
• Development of JSNA for                 and epilepsy
  neurology
• Design of integrated plans for
  people living with MND           JSNA sets out:
                                   •   Level of need juxtaposed with available services
                                   •   Evidence base – what works and what doesn’t
                                   •   Areas of unmet need
                                   •   At risk groups within demographic
                                   •   Key recommendations for further investigation
                                   •   Key recommendations for commissioning
The tools
of our trade…
Voluntary sector innovation
• Headway Cornwall set up a rehabilitation programme dramatically
  aiding recovery
• Diabetes UK have produced an simple app to help people log levels
  of blood glucose, carbohydrates and calories
• The James Parkinson Centre in Cornwall is enabling self care and
  better access to information
• Voluntary organisation Gloucestershire Neurological Alliance
  created a booklet that captures all local neurology service
  information in one place
• An intervention from Epilepsy Society has significantly reduced
  seizure rates.
• The PSP Association have researched and created a care pathway,
  guide and educational material for PSP and are rolling out a
  masterclass to improve professional understanding
Voluntary sector innovation
• The Mental Health Strategic Partnership, a collaboration of a
  number of mental health charities has produced a series of leaflets
  for the different bodies involved in localised commissioning:
                   ‘No Health without Mental Health’
There are leaflets for each of the
following:
• Clinical Commissioning Groups
• Directors of Public Health
• Health and Wellbeing Boards
• Local Authorities
• Local Healthwatch
• Overview and Scrutiny Committees
VSCS programme
• Voluntary sector has so much experience and expertise
  currently untapped
   – Not used effectively in health and social care commissioning in
     the past
   – Shift towards localised commissioning provides real opportunity
     to change that
• NCS historically worked ad hoc with individual charities
• VSCS programme designed to provide (individual/partnering)
  charities
   –   Mentoring and shadowing
   –   Support and training
   –   Resources and guidance on tool creation
   –   Professional links and opportunities
VSCS projects
Individual charities:



Groups of charities:
• The Rheumatology Commissioning Support Alliance




• The Spinal Injuries Coalition
Why do it?
• People affected by a given condition are the true
  experts
• Giving service users choice and control over their own
  treatments and consulting them in decision-making
  leads to improved outcomes and greater service
  efficiency
• Charities are:
   – one of the strongest vehicles to service user
      involvement
   – Repositories of qualitative data, best practice
      evidence and innovative ideas
So what do you have to offer?

• What are the different groups/bodies you could engage with
• How could you engage with them – what do you have to
  offer?
• Are there other voluntary sector agencies
  you could partner with to increase your
  influence – either in a formal or informal
  arrangement?
• Do you have a ‘commissioning toolkit’
  or tools which could be geared towards
  commissioners?

What will be your first step into commissioning?
Thank you
charlie.peel@csupport.org.uk 07803 504125

For more information on the VSCS programme, and to access our
resources visit www.ncssupport.org.uk




                                                       Affiliate:

More Related Content

Empowering and enabling charities to become trusted partners in the commissioning process

  • 1. Empowering and enabling charities to become trusted partners in the commissioning process Charlie Peel Project Manager Affiliate:
  • 2. Neurological Commissioning Support • A unique partnership of three neurological organisations: a broad commitment to effective commissioning – MS Society – Parkinson’s UK – MND Association • Work extends to other conditions – 2011 - affiliate partnership with Epilepsy Society – Ad hoc partnership work in locality projects • A consultancy service to health and social care • Wide expertise – customise services and transfer ‘solutions’
  • 3. Neurological Commissioning Support • Enabling commissioners to have access to core resources for neurology commissioning • Empowering professionals, volunteers and service users at a local level to work together for the benefit of the neurological community • Promoting cross-sector working and partnerships • Highlighting areas where service improvement and efficiencies could be made • Redesigning services for better quality and value BUT from a service user perspective
  • 4. NCS… – Reactive – as consultancy to commissioners wanting help to redesign neurology services – Proactive in areas of poor performance providing solutions for engagement with commissioners – Demonstrating innovation with DH IESD grants
  • 5. Discussion • What do you think of when someone says ‘commissioning’? • Is it a familiar concept to your organisation, or not? • What, if anything, have you done within service development, influencing or commissioning in the past? • Do you feel ‘up to speed’ with the changes in health and social care commissioning?
  • 6. We help commissioners through the maze of commissioning neurology services
  • 7. What we provide • Time limited consultancy • Service redesign that for H&SC commissioners might include de- • JSNA with local public commissioning health department • Unbundling neurology • Mapping, audit and gap spend analysis based on user • Project management to opinion facilitate change • Interpretation of findings • All from a service user • Mining data and perspective interpretation of finding
  • 8. Case study: Cornwall Un-united States of Care Can-do Island From this To this
  • 9. Case study: Cornwall Gaining understanding: Inputted into by: • QN audit of services • CAN-DO local service user group • Examination of data • Health and social care • Unbundling of spend professionals • Local and national voluntary sector • Existing evidence of service efficacy Resulting in: • Educational events – at Prompting further capacity investigation: • Design and rollout of info • Use of telehealth for neuro booklet patients • Appointment of 2 x Neuro care • In-depth NICE audit for epilepsy advisors • ‘Get it on Time’ audit for • Jointly commissioned service Parkinson’s re medication for Huntington’s management in acute • Targeted exercise programmes • Neuro hub on Isles of Scilly
  • 10. Case study: Surrey Gaining understanding: • QN audit of services • Examination of data • Unbundling of spend Prompting further investigation: • Identification of ‘complex’ patients and using telehealth Resulting in: • In-depth NICE audits for Parkinson’s • Development of JSNA for and epilepsy neurology • Design of integrated plans for people living with MND JSNA sets out: • Level of need juxtaposed with available services • Evidence base – what works and what doesn’t • Areas of unmet need • At risk groups within demographic • Key recommendations for further investigation • Key recommendations for commissioning
  • 11. The tools of our trade…
  • 12. Voluntary sector innovation • Headway Cornwall set up a rehabilitation programme dramatically aiding recovery • Diabetes UK have produced an simple app to help people log levels of blood glucose, carbohydrates and calories • The James Parkinson Centre in Cornwall is enabling self care and better access to information • Voluntary organisation Gloucestershire Neurological Alliance created a booklet that captures all local neurology service information in one place • An intervention from Epilepsy Society has significantly reduced seizure rates. • The PSP Association have researched and created a care pathway, guide and educational material for PSP and are rolling out a masterclass to improve professional understanding
  • 13. Voluntary sector innovation • The Mental Health Strategic Partnership, a collaboration of a number of mental health charities has produced a series of leaflets for the different bodies involved in localised commissioning: ‘No Health without Mental Health’ There are leaflets for each of the following: • Clinical Commissioning Groups • Directors of Public Health • Health and Wellbeing Boards • Local Authorities • Local Healthwatch • Overview and Scrutiny Committees
  • 14. VSCS programme • Voluntary sector has so much experience and expertise currently untapped – Not used effectively in health and social care commissioning in the past – Shift towards localised commissioning provides real opportunity to change that • NCS historically worked ad hoc with individual charities • VSCS programme designed to provide (individual/partnering) charities – Mentoring and shadowing – Support and training – Resources and guidance on tool creation – Professional links and opportunities
  • 15. VSCS projects Individual charities: Groups of charities: • The Rheumatology Commissioning Support Alliance • The Spinal Injuries Coalition
  • 16. Why do it? • People affected by a given condition are the true experts • Giving service users choice and control over their own treatments and consulting them in decision-making leads to improved outcomes and greater service efficiency • Charities are: – one of the strongest vehicles to service user involvement – Repositories of qualitative data, best practice evidence and innovative ideas
  • 17. So what do you have to offer? • What are the different groups/bodies you could engage with • How could you engage with them – what do you have to offer? • Are there other voluntary sector agencies you could partner with to increase your influence – either in a formal or informal arrangement? • Do you have a ‘commissioning toolkit’ or tools which could be geared towards commissioners? What will be your first step into commissioning?
  • 18. Thank you charlie.peel@csupport.org.uk 07803 504125 For more information on the VSCS programme, and to access our resources visit www.ncssupport.org.uk Affiliate: