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South of Tyne and

Wear Substance
Misuse
Commissioning: A
Framework
Approach for World
Class Commissioning
World Class Commissioning –
commissioning for
communities, commissioning
for people.

Copyright@AlecFraher2008
World Class
Commissioning
The Department of Health  Our response is a 12 step programme to
has set out its vision for excellence:
commissioning practice. The
stated objectives are:
2.Locally Lead the NHS
3.Work with Community
Partners
4.Engage with Public and
Patients
5.Collaborate with Clinicians
6.Manage Knowledge and
assess needs
7.Prioritise Investment
8.Stimulate the Market
9.Promote improvement and
innovate
10.Secure Procurement skills
11.Manage the system
12.Make sound financial
investments
Copyright@AlecFraher2008
Steps 1-3: Setting out the
Vision for a Framework
Approach Walking the Talk
Accountability

Desired
State

Step 3
Concordat
WCC/LAA
Matching
Agenda

Step 2: Spend and


Patient Flow Analysis
Current State

Bottleneck Strategic

Step 1: Stock Taking


and Feasibility Study

Routine Leverage
Copyright@AlecFraher2008
Finding and Holding the Strategic Centre
Demand Supply
Value position of the Strategic
Side Partnerships – The Centre for
Side
Better Excellence at June 2007 Brighter Successful

Breakthrough Potential
Step 10. Step 11
Sub-Regional World Arc of Anxiety
Step 5 Provider
Class Value Strategy Planning/ Market Enableme
Communication Testing nt
Step 4 Zero-Sum City and Urban
Valuing Gaming
Step 12 Transformational Development
policies Dead Lock
Resistance WCC Planning/ Strategic
Execution Pull from LAA/WCC
Strategy Work
Health
Step 3
Step 9. Step 6. Leisure
Step Define and Wellbeing
Agree Safety
2
Improvement Assess
Step 1 Prosperity
Value Plan Provider
Spread Excellence
Engaging,
Process Democratic and
Step Step7.
Valuing Measure Complete
8.
behaviour Category
Analysi
s Position

Innovation and Enterprise


Sub-Regional World
Class Behaviour Deep Knowledge and
Strategy Trust
Copyright@AlecFraher2008
Steps 6- 12 Managing and Developing the Provider Market
D V
a Concordat Constraints
e Option
l Sub. Cat. Sr. Prog. Appraisal Technical, political,
m u policy, physical

Procurement
Competition
i
a

Category
n

Review

Design
n g Spend Procurement
Analysis Approach
d p
o
l
S i
Contract
Programme Market
i c
Response
i
Development

d
Community
NHSLocal

e Forward Category Plan


e s
Updated Mrkt Intel
V
S a
Enablement Programme

Provider A
l
u
p

Provider B
Provider C
i

Provider C
p

Provider A
n

Provider D
g
l Provider

Provider B
Provider B

Provider D

Provider D
y b Profiling

Provider A

Provider C
e
Provider B

Market Category
Provider C

h
Provider D

Enablement
Provider A

a
S v CAA/LAA/WCC
Programme
i i
Deliverables Supply Chain
o
d u
Development
Intervention Intervention Intervention
e r Support Support Support Stack
Copyright@AlecFraher2008
Progress Against Milestones

Copyright@AlecFraher2008

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