Effective Commissioning in Health and Social Care by Richard Field Judy Oliver

Author:Richard Field, Judy Oliver [Richard Field, Judy Oliver]
Language: eng
Format: epub
Tags: Social Science, Social Work
ISBN: 9781446287101
Google: uYjCAQAAQBAJ
Publisher: Learning Matters
Published: 2013-08-12T05:38:03+00:00

Chapter 4

Commissioning in adult social care

C H A P T E R O B J E C T I V E S

By the end of this chapter you should be able to:

• understand the challenges and opportunities associated with commissioning adult social care;

• appreciate how adult social care is developing and how this will impact on commissioning;

• understand the emerging role of local authorities.

The development of commissioning in adult social care

Whilst commissioning for adult social care is similar in many respects to that found in other sectors, it differs in that it operates at more than one level. The Care Services Improvement Partnership (2006: 2) identifies a dual emphasis, firstly micro-commissioning in respect of individuals and secondly, at a strategic level, shaping the local care market.

Commissioning, in the context of personalisation, has been defined as working together with citizens and providers to support individuals to translate their aspirations into timely and quality services which meet their needs, enable choice and control, are cost effective and support the whole community (In Control 2009: 1). In Control outlines three levels of commissioning: strategic, operational and citizen (In Control 2009: 2). Strategic commissioning includes area-wide and regional-level commissioning whilst operational commissioning focuses on making care services work in a locality and supporting citizens to commission. Citizen-level commissioning refers to citizens who direct their own care and support.

The emerging practice of commissioning for adult social care reflects:

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