Module Title Health and Social Care Commissioning

Module Code BU7042

Module Leader Professor Janice Gidman

Table of contents pages

1.0. Planning and designing 2

1.1. Methods 2

1.2. Components of a logic model 2

2.0. Commissioning and mental health 4

2.1. Overall Goals for 2017-2019 5

2.2. Deliverables for 2018/19 and 2019/2020 2020/2022 5

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1.0.Planning and designing:

A logic model could be a visual illustration of a program’s resources, activities and expected
outcomes. It is a tool accustomed modify complicated relationships between varied parts and
may be used throughout program designing, implementation and analysis. A term that's
typically used at the same time withlogic models is theory of modification. Theory of
modification could be a foundational conception that has associate degree understanding of
the pathway to cause modification.It clarifies expectations amongst numerous stakeholders and
highlights common understanding concerning supposed outcomes of the planned change. Logic
models will be viewed as a illustration of the program’s underlying theory of modification.

1.1.Methods

The content of this specialise in was developed supported the logic models webinar given by
Public Health Ontario (PHO). A general search of accessible resources was conducted through
the Google computer program, reviewing existing PHO information merchandise, and input
from health promotion consultants at intervals the Health Promotion capability Building unit at
PHO.

1.2.Components of a logic model

A logic model will be as broad or specific pro re nata, looking on whether or not it's describing
Associate in Nursing activity, program, initative, policy or organization.1,9 the look and purpose
of 1 logic model might take issue from another, but there area unit common elements that
every one logic models share as well as a goal, inputs, activities, audience, outputs, and
outcomes.

Table 1. Common elements of logic models

Component Description Example

Goal The overall long-run health To prevent diet-related health

outcomes theprogram hopes issues in adulthood.
to attain.

Inputs The resources invested with  Staff

into a program or initiative.
 Funding

 Time

 Materials

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  Supplies

Activities Activities or interventions  Public service

which will be carried out as a announcements
part of the program.
(PSAs) on health risks of
sexually

transmitted infections (STIs)

 Workshops on healthy
intake for

children and their oldsters

 Bi-weekly community sports

activities for neighbourhood

adolescents.

Audience Whom the program is A program designed to coach

targeting. Programs may academics on a way to offer
target specific teams like physical activity to students.
young children or older adults
 Primary audience:
however may additionally be
academics
broad in nature.
 Secondary audience:
Primary audience: the most
students
population that is being
targeted.

Secondary audience: teams

UN agency are impacted or
influenced by a program,but
aren't the direct recipients of
the program.

Outputs Products that square measure  variety of PSAs run

made from program activities throughout a health
or interventions. Outputs will promotion campaign
be viewed as quantifying
 variety of workshops
activities and providing
provided on healthy

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 numeric values or attributing consumption
percentages.
 proportion of organized
community sports activities
control

Outcomes The changes expected to  enhanced awareness of the

result from the program.
Outcomes vary from short-
term to long, and square
measure associated with
changes in data, awareness,
behaviour and skills.
health risks of STIs
 enhanced data on healthy
foods and correct food
handling skills
 Reduction within the variety
of secondary students news
physical inactivity on faculty
surveys

2.0.Commissioning and mental health:

One way of describing this alteration is to understand it as a amendment within the

transactional relationship between the general public whose wants are to be met and also the
public agencies whose role is to satisfy those wants . Put simply, the role of the general public

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agency has been separated into 2 elements. the first responsibility of one half is ‘purchasing’
the services that the public wants which of the opposite half is to provide those services. A
variety of terms area unit accustomed describe the processes or mechanisms used on the
demand side of this new set of economic organisational arrangements, as well as
‘commissioning’, ‘purchasing’, ‘procurement’, ‘contracting’, ‘strategic purchasing’ and
‘competitive tendering’.

‘Health care commissioning’ has become a commonplace term utilized in each the policy and
follow literature on health service organisation and management within the Great Britain.
However, there's nobody customary definition of either the ideas or practices; rather the terms
area unit utilized in a really general thanks to cowl a set of processes, relationships, and
structures which facilitate selections or selections regarding the allocation of resources . In the
context of health and social care, ‘commissioning’ includes assessing wants, setting priorities,
allocating resources, influencing suppliers, involving patients and the public, minimising group
action prices and managing monetary risk. Similar processes area unit represented for
alternative public services. but it's been urged that internationally there's a high degree of
variation in each the thought and follow of what may well be known as ‘health care
commissioning’. The international survey of ‘public procurement’ applied by the International
analysis Study of Public Procurement (which enclosed Great Britain health service
commissioning) additionally reportable high levels of variation in models, economic
organisation, practices, frameworks and management within and between totally different
public sectors in different countries.

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2.1.Overall Goals for 2017-2019

Implementing the mental state Forward read (2017) sets out clear deliverables for golf stroke
the recommendations of the Independent mental state Taskforce Report into action by
2020/21. The publication of Stepping Forward to 2020/2021 in July 2017 provides a roadmap to
extend the mental state hands required to deliver this.

2.2.Deliverables for 2018/19 and 2019/2020 2020//2022

Each CCG should meet the mental state Investment customary (MHIS) by that their 2018/19
investment in mental state rises at a faster rate than their overall programme funding. CCGs’
auditors are needed to validate their 2018/19 year-end position on meeting the MHIS. Ensure
that a further forty nine,000 kids and children receive treatment from NHS-commissioned
community services (32% above the 2014/15 baseline) across the nation, towards the 2020/21
objective of a further seventy,000 further kids and young people.

Make additional progress towards delivering the 2020/21 waiting time standards for kids and
young people’s upset services of ninety fifth of patient receiving initial definitive treatment at
intervals four weeks for routine cases and at intervals one week for pressing cases. Deliver
against regional implementation plans to make sure that by 2020/21, inmate stays for kids and

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children can solely take place wherever clinically acceptable, can have the minimum potential
length of keep, and can be as on the brink of home as potential to avoid inappropriate out of
space placements, at intervals a context of 150-180 further beds. Still increase access to
specialist perinatal psychological state services, making certain that a further nine,000 ladies
access specialist perinatal psychological state services and boost bed numbers within the
nineteen units that may be open by the top of 2018/19, so, overall capability is raised by forty
ninth. Continue to improve access to psychological therapies (IAPT) services with, maintaining
the rise of sixty,000 individuals accessing treatment achieved in 2017/18 and increase by an
extra one hundred forty,000 delivering a national access rate of nineteen for individuals with
common mental health conditions with support from Health Education European nation (HEE)
UN agency area unit empowerment of one,000 replacement practitioners and an extra one,000
trainees to expand services. Continue to work towards the 2020/21 ambition of all acute
hospitals having psychological state crisis and liaison services that may meet the specific desires
of individuals of all ages together with youngsters and teens and older adults; and deliver Core
twenty four psychological state liaison standards for adults in five hundredth of acute hospitals
subject to hospitals having the ability to with success recruit. Support delivery of STP-level plans
to cut back all inappropriate adult ‘acute overspill’ out of space placements (OATs) by 2020/21,
including increasing investment for Crisis Resolution Home Treatment groups (CRHTTs) to fulfill
the ambition of all areas providing CRHTTs resourced to control in line with recognised best
apply by 2020/21.

Review all patients UN agency area unit placed out of space to make sure that have acceptable
packages of care. Deliver annual physical health checks and interventions, in line with steering,
to a minimum of 280,000 individuals with a severe mental health unhealthiness (SMI). Ensure
delivery of the psychological state access and quality standards together with 24/7 access to
community crisis resolution groups and home treatment groups and psychological state liaison
services in acute hospitals.

Deliver remodeling Care Partnership plans with authorities partners, enhancing community
provision for individuals with learning disabilities and/or syndrome. Reduce patient bed
capability by March 2019 to 10-15 in CCG-commissioned beds per million population, and 20-25
in NHS England-commissioned beds per million population. Improve access to attention for
individuals with upset so by 2020, seventy fifth of individuals on a physician register area unit
receiving associate degree annual checkup. Reduce premature mortality by rising access to
health services, education and coaching of employees, and by creating necessaryreasonable
changes for individuals with a upset and/or syndrome.

Provide a twenty fifth increase across the nation on 2017/18 baseline in access to Individual
Placement and Support services (IPS). Maintain the insanity designation rate of 2 thirds (66.7%)

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of prevalence and improve post diagnostic care as we tend to area unit achieving this target
we've a ‘stretch target’. Have due reference to the NHS implementation steering on insanity
focusing on post-diagnostic care and support. Support disabled individuals and folks with
complicated health has to like a private health budget, with growth to over 20,000 individuals
in 2017/18 and forty,000+ in 2018/19. Continue to maintain specialize in designation and post-
diagnostic support for individuals with insanity and their carers.

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