commissioning for recovery diana powell commissioning manager barnsley daat
TRANSCRIPT
Commissioning for Recovery
Diana Powell
Commissioning Manager
Barnsley DAAT
‘You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete’ – R. Buckminster Fuller (1895-1983)
Some personal reflections
• Our local context in Barnsley
• Our findings from the annual Needs Assessment
• What service users told us
• Raising aspirations and hope
• Antennae alerted to debates such as the recovery agenda – what does it mean?
• Associated research, reading and visits
A pivotal question: ?To undertakea radicalreorganisation
• Consultative time-limited stakeholder group with identified task groups
• Looked across the Pennines and the Atlantic!
• Commissioned facilitation from The Alliance and the IPC
• Market awareness day for networking and sharing of ideas as we gradually moved towards an agreed model
•Monthly formal Options Appraisal Group
T4 Supported Accommodation
Art ProjectLocal
connections
Community Pharmacies
Carer Support
PrescribingPrimary+Specialist
Harm Reduction
StructuredActivity
Care Navigation
OutreachBBV
Resettlement Conserv
ation
Hep Cpilot
Move- on
General principles identified in tenderAlthough each Lot has an outline specification, these are purposely general in order to allow for creative input from prospective providers.
This input should elucidate the means by whichthe provider will develop innovation and an outcome focused delivery that will look ahead to the impacts of the programme on the lives of service users and the communities in which they live.
The DAAT wishes to see providers embracing the ideas of Resilience and Recovery in their interactions with clients.
Our underpinning principles
•There is no one pathway to recovery
•Recovery is an individual journey involving understandingof one’s own health, well-being and relationship with one’s community
•Recovery gathers momentum
•Recovery is not a single event to be considered ata particular point in time, the thread runs through allinterventions.
Care Navigation
• The pivot, the hub, the umbrella, the wraparound and thread running through the
system!• Central focus on recovery planning• Includes criminal justice and alcohol• Incorporates assertive outreach, brief andstructured interventions• Individualised support through the system
Considerations
Change of culture forservice users and practitioners
Supportivecommunitystructures
Developingcommunitiesof recovery
Developing recoveryoutcomes
Nuggets ofDelight –Art Project
Taking a holisticview of a serviceuser’s journey
Bedfellows -abstinenceand harm reduction
Long termthinking requires jointapproach
Long termthinking requires jointapproach
Diana Powell