11 April 2018

Integrated Commissioning for Better Outcomes: a commissioning framework 2018

Integrated Commissioning for Better Outcomes: a commissioning framework 2018
LGA NHS Clinical Commissioners 11 April 2018
  • A practical tool for council and NHS commissioners to support improving outcomes through integrated commissioning.
  • The framework covers four areas: building the foundations; taking a person-centred, place-based and outcomes-focused approach; shaping provision to support people, places and populations; and continuously raising the ambition; and includes annexes giving further resources plus background on NHS and local authority contexts.
  • Annex B: Guidance and tools for market shaping
  • Annex D: Person-centred, place-based and outcomes focussed
  • Annex E: Health and local government working together: the evolving policy landscape
The following principles for the framework have been agreed: 
• A focus on the benefits for the ‘3 Ps’: people, places, and populations, with the individual person at the heart of the approach. 
• A focus on outcomes over ‘episodes of care’. 
• Recognition that integrated commissioning needs to happen at multiple levels: with individuals and their families and carers; with communities; and across larger populations. 
• Awareness and acknowledgment that commissioning is about more than procuring services, it is about a wide variety of activities which improve the outcomes and the lives for people, places and populations. 
• Awareness that language matters and that words and concepts can have multiple meanings. 
• A belief that understanding and respecting our differences (of history, culture, legal responsibilities, and ways of working) enables us to work better together.