Strategic Commissioning

Examples of Practice

The purpose of the strategic commissioning plan is to set out the Highland approach to commissioning services for older people between 2014-2019 in terms of quantified quality, volume, value and location, and to set out how this is to be achieved.

NHS Highland currently spends around £500m per annum on providing or delivering adult care services, with around half of this on older people. The challenge for this plan is to ensure that this resource is used to achieve the outcomes based on what people have told us they need and our understanding of what would meet these needs. The plan also needs to move us away from traditional ways of thinking about meeting people’s needs in terms of beds and buildings and towards a greater emphasis on early intervention and anticipatory support. In achieving this shift, it is intended that a more vibrant and energised care market will be created; maximising potential for self directed support and creating opportunities for greater choice and innovation for how people’s needs can be met.

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Integrated Specialist Adult Services

Examples of Practice

In 2011 the CHCP set out its intention to have an integrated specialist adult service planning mental health, addictions and homelessness. This integrated arrangement is in place in ICHCP, including inpatient mental health services.  A paper describing this is available here.

Achieving integration and modernisation of services for adults with mental health issues, addictions and/or who were homeless – forming a one stop response for people with these commonly linked issues. Modernisation of specialist services in our locality to bring about the full close of Ravenscraig Hospital and greater partnership working with the third sector and other partners such as Registered Social Landlords.

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Integrated Performance Improvement and Management

Examples of Practice

The purpose of the Quarterly Performance Service Reviews (QPSR) is to present key performance information and statistics for analysis to identify strengths and weaknesses in performance which allows for discussion on how performance is being managed and how it can be improved.

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Rehabilitation & Enablement Service Clusters

Examples of Practice

Demographic change, an ageing population and increasing incidence of long-term conditions and co-morbidities and the need to develop co-ordinated responses across primary health, social and specialist care.

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Performance Management in Argyll & Bute

Examples of Practice

We intended to gather management information into a single format that could inform and improve our performance across the partnership, bringing together health and social care information, to allow managers to work together to bring about change and re shape care in the area. We also developed and applied service user and carer questionnaires using the Talking Points approach.

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