Strategic commissioning intentions
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Strategic Commissioning Intentions. Antony Dixon, Strategic Commissioning Manager, Quality and Commissioning, Nottingham City Council. Providers & Voluntary and Community Sector (VCS) 27th July 2011. Purpose.

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Strategic Commissioning Intentions

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Strategic commissioning intentions

Strategic Commissioning Intentions

Antony Dixon, Strategic Commissioning Manager, Quality and Commissioning, Nottingham City Council

Providers &Voluntary and Community Sector (VCS) 27th July 2011



  • Provides background and rationale to Strategic Commissioning Intentions (SCIs)

  • Details year 1 SCI priorities

  • Outlines the “Commissioning Pathway” to be used to turn these intentions into improved outcomes on the ground

  • Sets out where, how and when Providers/VCS will potentially be involved in the process of applying the Pathway

Scis origins

SCIs – origins

Improved outcomes for citizens

Reduced costs

Greater investment in prevention and EI

Greater citizen choice/local jobs

Commissioning Pathway

Strategic Commissioning Intentions

Scis why they are important

SCIs – why they are important

  • Will deliver improved outcomes for citizens at reduced cost and drive a shift towards greater investment in prevention

  • Drive market development, early intervention, citizen engagement, commissioning, contracting, procurement activity

  • Influence what VCS and providers need to be preparing for

  • Help embed commissioning framework throughout the city

Defining scis

Defining SCIs

  • Starting point headline outcomes for adults & children in Nottingham Plan, CYPP and emerging Vulnerable Adults Plan

  • “Sub-outcomes” defined for each to give a more specific focus – then assessed against four key criteria (“demand factors” [need and finance], links to priorities, quality of outcome, council influence)

  • Year 1 about improving outcomes which relate to Children, Families and Adults where Council has a strong degree of influence on outcome. Plan for Year 2 is to focus on wider set of city priorities

Emerging yr 1 sci priorities

Emerging “yr 1” SCI priorities

  • Based on assessments following priorities identified:

    • More effective and sustainable approach to whole-life disability

    • Vulnerable older citizens enabled to live independently in their own homes

    • People with learning disabilities supported more effectively and sustainably, and better enabled to live independently in the community

    • Improving the quality of life and independence of citizens with poor mental health

    • Effective support for school-age children in our care 

  • First two reviews (whole-life disability & older citizens living independently) are commencing now

Vulnerable adults plan vap

Vulnerable Adults Plan (VAP)

  • First ever comprehensive plan to meet needs of growing number ofvulnerable adults in the city

  • Draft plan built up from extensive range of existing knowledge and to be presented to Council Executive early July

  • It will need to be subject to extensive consultation and joint work including VCS to shape it further, and vitally get ownership for way forward

  • It does however :

    • set out key action strands and underpinning principles

    • help inform priorities over the short-term: and:

    • positions connection with other plans and how we need to work in future with partners and with citizens

Strategic commissioning intentions

VAP …. in a slide


Radical change of approach underpinned by greater investment in prevention & EI

Improved outcomes for Vulnerable Adults


Be safer, healthier, aspirational and live longer lives


Build Community Capacity, Personalisation & Choice

Have support to live with choice and dignity, in a setting which best meets individual needs

Have advice and information to make informed choices

Collaborative Working with providers, citizens & partners

Partnership & Plurality



Commissioning pathway outline

Commissioning Pathway - outline

  • Commissioning Pathway provides method by which SCIs turned into improved outcomes

  • Pathway (derived directly fromcity’s Commissioning Model) provides a programmed approach to application of Analyse, Plan, Do, Review.

  • To recognise key contribution of VCS, identified where, how and when VCS will potentially be involved in different parts of Pathway

  • Provides indicative timescales for each stage – which will be vital, for example, to VCS and other providers in planning for future

Draft commissioning pathway

Draft Commissioning Pathway

Strategic commissioning intentions

Pathway – VCS/Provider elements

Pathway timelines yr 1 priorities

Pathway timelines - yr 1 priorities













Next steps scis and pathway

Next steps – SCIs and Pathway

  • Build in feedback from today into SCIs and Commissioning Pathway

  • SCIs and Pathway now agreed by Council’s Executive Board Commissioning Sub-Committee in July

  • Agreed intentions and pathway communicated to VCS and other providers

  • First two reviews using Commissioning Pathway commencing now – with other year 1 reviews scheduled to start in October

  • Determine year 2 & 3 SCI’s

Key questions

Key Questions

  • Does the level of involvement/engagement feel appropriate? If not how could it be improved?

  • How can diversity of providers interests be represented in the Pathway?

  • What is the best method of engagement during each stage of the reviews?

  • What does the Pathway mean for the future of the Provider Forum – how may it evolve?

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