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Making outcomes based commissioning a reality

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Making outcomes based commissioning a reality

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Our December 2018 long read on how to transform time and task commissioning to outcomes based commissioning.

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Creating the conditions for inter-organisational trust to achieve outcomes based commissioning for home care

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The NHS Long Term Plan - how this relates to local government

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The NHS Long Term Plan - how this relates to local government

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LGiU members only briefing on the NHS Long Term plan and the impact on local government.

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This briefing summarises and comments on the NHS Long Term Plan in relation to local government.

License: CC0 Public Domain

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The NHS Long Term Plan - how this relates to local government

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This briefing summarises and comments on the NHS Long Term Plan in relation to local government. License: CC0 Public Domain Receive updates on LGiU blog posts, research projects and events.

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Health, Public Health and Social Care Roundup

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Health, Public Health and Social Care Roundup

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LGiU's members only briefing covering announcements and developments for November 2018

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The health, public health and social care round-up summarises new policy, research and publications that are relevant to elected members and officers interested in health and social care. It is intended to be a digested read and provides links to the source documentation of major reports for further consideration.

Photo Credit: vitroid via Compfight cc

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Health, social care and public health round-up: November 2018

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The health, public health and social care round-up summarises new policy, research and publications that are relevant to elected members and officers interested in health and social care. It is intended to be a digested read and provides links to the source documentation of major reports for further

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pre-Christmas podcast from 2018. This edition is about tackling loneliness by promoting togetherness - features interviews from the leader of Merton, a councillor at Tower Hamlets, Men's Sheds and a publican who opens his doors to the lonely on Christmas Day

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With Christmas just around the corner, we break from our own accidental tradition of reporting gloomy local government news and bring you some festive cheer from around the country! Loneliness can be particularly rife over this season and we hear about several excellent projects to tackle it, including MensSheds, tea dances in Tower Hamlets, free Christmas dinner at a local pub and Merton's wellbeing plans.

Ingrid speaks to Cllr Denise Jones about helping the elderly and vulnerable in Tower Hamlets at Christmas, to Cllr Stephen Alambritis about Merton's work supporting wellbeing in the community, to Chris Lee, a trustee of Men's Sheds and founder of The Repair Shed in Hemel Hempstead about the impact that community projects can have on isolation, and Mick Dore, landlord of the Alexandra pub in Wimbledon which opens its doors to the lonely on Christmas Day.

Plus other stories about Christmas bells, decorated bollards and seagull burglars!

Hosted by Jen Glover and Ingrid Koehler.

Links mentioned in the podcast:
LGiU Fortnightly is our new podcast, bringing you the latest news from the world of local government. We update you on the key events from the past fortnight, as well as news from us and our members, so you're always in the loop. We're always looking for more ways to bring you the information you need in a way that works around your busy schedule - let us know what you think by tweeting us @LGiU.

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LGiU Fortnightly 14th December: It won't be lonely this Christmas

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With Christmas just around the corner, we break from our own accidental tradition of reporting gloomy local government news and bring you some festive cheer from around the country! Loneliness can be particularly rife over this season and we hear about several excellent projects to tackle it, includ

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Health, Public Health and Social Care Roundup

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Health, Public Health and Social Care Roundup

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LGiU's members only briefing covering announcements and developments for December 2018

# data[].attributes.attachment_link.readable_text
The health, public health and social care round-up summarises new policy, research and publications that are relevant to elected members and officers interested in health and social care.

Photo Credit: vitroid via Compfight cc

Stay up to date

Receive updates on LGiU blog posts, research projects and events.

# data[].attributes.attachment_link.title
Health, social care and public health round-up: December 2018

# data[].attributes.attachment_link.description
The health, public health and social care round-up summarises new policy, research and publications that are relevant to elected members and officers interested in health and social care. Photo Credit: vitroid via Compfight cc Receive updates on LGiU blog posts, research projects and events.

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blog post reflecting on the CQC's annual state of care report - Autumn 2018

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The Care Quality Commission has just published its annual state of care report looking at the quality of health and social care and the issues facing these vital sectors.

It's widely acknowledged that both health and care are facing a fairly acute funding crisis, the CQC highlighted the good - that quality of care is still going up (however more slowly) where need for improvement has been pointed out.

But there is also a story, that will surprise no one who works in the sector, that there is a problem with access to service and even more access between services.

"It cannot be right that people's care depends on where they live or the type of support they need. But this is not so much a 'postcode lottery' as an 'integration lottery'. In our review of local health and care systems, we found that in too many cases, ineffective coordination of services was leading to fragmented care. Funding, commissioning, regulation and performance management all conspired to encourage a focus on individual organisational performance, rather than ensuring people got joined-up care based on their individual needs," writes CQC Chief Executive Ian Trenholm.

One of the key issues in across all areas of care is that adult social care is under funded. There was a clear link between adequate and sustainable funding for adult social care and the rest of the system. People are spending time in hospital that they don't need to - it's not good for them and it's not good for the bottom line in health. Delayed transfers of care and avoidable admissions are resulting from a lack of access to good social care.

Beyond that, Professor Steve Field, the departing Chief Inspector of General Practice who has also been leading the review of integrated services pointed to problems in commissioning. But the CQC is only able to inspect the services of providers and conduct reviews into areas which are funded - and scoped - by the Department of Health. A widespread review of adult social care commissioning practices is outside their purview.

Of course the problems of integration aren't just related to problems in commissioning and funding in adult social care. Generally, there will always be difficulty where different objectives, performance frameworks and budgetary pressures make aligning organisations to achieve shared outcomes difficult. The CQC has found that where there is these alignments and genuine willingness to focus on the individual and their needed outcomes that integration can lead to better care and better access to care.

Quality of #homecare commissioning is having a direct impact on unnecessary time in hospital but @CareQualityComm can't inspect this #StateOfCare

- LGiU (@LGiU) October 11, 2018

The LGiU will shortly be publishing a paper on commissioning for outcomes in adult social care and developing monitoring that aligns all providers. We will also be covering the State of Care report in a forthcoming briefing available only to LGiU members.

Photo Credit: gabriferreri via Compfight cc

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The Care Quality Commission has just published its annual state of care report looking at the quality of health and social care and the issues facing these vital sectors.