Commissioning the space for recovery29 April 2014University of Chester

Chris LeePublic Health SpecialistLancashire County Council

Presentation overview

• Lancashire• Commissioning• Creating the space for recovery• LUF and RRR• Challenges

Back to basics

• A commissioner can be lots of things: – a change agent, a catalyst, a leader, a broker, a pivot, a linchpin, an

enabler, an architect, a politician, a fixer– Or: a nuisance, a martinet, a petty bureaucrat, a frustrated service

provider, a pushover, an ATM• Commissioners are few in number and dedicated substance misuse

commissioners are increasingly rare.• Commissioning is directing resources wisely and generating a culture

of improvement and change. • Commissioning is a great responsibility, full of potential and

possibilities. Poor commissioning wastes resources and creates disharmony

Here and now

• Increased competition for resources• Commissioners must be pro-active around system change• Substance misuse sector must evolve or will start to wither• Integration, not disintegration. Systems not lots• Providers must develop products and solutions• Engage and mobilise the recovery community• Must focus on outcomes• The need for flexibility.

Lancashire case study

In Lancashire

Creating the space for recoveryCreating the space for recovery

Challenges

• Resources• Re-distribution of resources• My way…..• Public Health• Local authority based commissioning

Thank you