Commissioning for ULOs Eastern Region Development Programme Study

Commissioning for ULOs Eastern Region Development Programme Study Day ECDP, NCODP, NCC 8 June 2010

Overview of presentation • • Policy context ULOs: the voice-business model An effective ULO: NCODP Typical barriers ULOs face

Policy context • Improving the Life Chances of Disabled People report (2005) • Recommendation 4. 3: – By 2010, each locality should have a User-led Organisation modelled on existing CILs

Wider policy context • A Stronger Local Voice Framework (LINks, 2006) • Our Health, Our Care, Our Say (2006) • Independent Living Strategy (2008) • Carers Strategy (2008) • Social Care Green / White Papers • Right to Control (2009)

Putting People First (2007) • The key agenda – Concordat document (2007) – Local Authority Circulars (2008, 2009) – PPF Milestones (2009) • What’s required? – A lot required of Local Authorities – A lot of opportunities for ULOs • IAG, Support, Advocacy and Brokerage • Universal Services

ULOs: the voice-business model + Campaigning Voice Contracts only 0 - Business +

• Having an impairment is normal • Being excluded is not

Member Groups

Campaign 2008 Our 2008 campaign was about the human rights of all disabled people

Services

ncodp • • 75 staff 200 volunteers Over 50% staff disabled people Work county wide through outreach services in local communities

Joint Commissioning Strategy NCODP in the lead of Norfolk’s groundbreaking commissioning strategy

To go in a hot air balloon The Aspirations of Disabled People in Norfolk 2008/09

Norfolk Centre for Independent Living

Norfolk Specialist Partnership Voluntary Sector Forum – Norfolk Improving the lives of Children, Young People and their Families

Norfolk ASS/ncodp Examples of co-production • • • Direct Payments Individual Budgets pilots Support planning Joint Commissioning Strategy Personal health budgets

Benefits / Issues • We can tell the difference from positive experiences • Always produces better product if co-produced from beginning • Violation of ‘nothing about us, without us’ and ‘professionals on tap, not on top’ principles • Projects set running with no upstream engagement of disabled people/users • Downstream tokenism – not acceptable

Typical barriers ULOs face • Governance • Business readiness and sustainability • Wider engagement

Commissioning with ULOs

Overview • First principles: co-production • The stages of commissioning cycle – What each one involves – How this relates to procurement • ULOs and the voice-business approach

First principles: co-production • Putting People First – Sustainable and meaningful change depends on our capacity to empower service users – The first reform programme to recognise real change will be delivered through involvement of users at every stage • Principles: – People know best themselves when support works – Should be an equal partnership, contributing equally to the process – Co-design, co-decision, co-implementation, coevaluation

Making co-production work • People are not passive recipients – They have assets and expertise which can help improve services • Co-production is potentially transformative – A way of thinking about power, resources, partnerships, risks and outcomes – It isn’t an off-the-shelf model of provision • To act as partners, both users and providers must be empowered – Involving citizens in collaborative relationsihps with more empowered frontline staff – All confident to share power and accept user expertise – Staff can be trained in the benefits of co-production, positive risktaking and identifying new opportunities for collaboration

The commissioning cycle