Health, Housing and ASC Scrutiny Committee	30 January 2024
Report of the Director of Adult Health and Social Care

All Age Commissioning Strategy 2023-25

Summary

1. The purpose of the commissioning strategy is to outline our approach to commissioning services in York within the local context including local strategies, plans and financial constraint.  Our ambition is for individuals to live healthy and independent lives and to their full potential.  Our commissioned services are aimed to prevent ill health by working on a community level to ensure prevention is at the forefront of what we do. Our community development model of health promotion will aim to prevent as well as build on community assets when support is required. However, when services are required, they will be of the highest quality and focus on the strengths of individuals and not their weaknesses.  To accomplish this, we must collaborate with those who receive assistance, our providers, other partners, and the general public to understand our population and arrange services that meet needs and assist individuals in achieving their objectives and expand our local market in York.  This strategy also sets out the principles which will inform the ways we will work to deliver on our plans and intentions.

2. Eleven Priorities have been developed that will shape our commissioning strategy, this includes:

· Priority 1 – Commission Prevention and Early Help Services.

· Priority 2 – Commission Services that Safeguard the most Vulnerable.

· Priority 3 – Focus on the most vulnerable and provide services that enhance or increase independence and resilience.

· Priority 4 – Development of a Local Vibrant Market that provides a diverse range of quality services that meet local needs.

· Priority 5 – Outcome Focused.

· Priority 6 – Co-production.

· Priority 7 – Value for Money.

· Priority 8 – Commissioning Quality Services.

· Priority 9 – Maximising Technology.

· Priority 10 – Supported Housing.

· Priority 11 – Model of Delivery.

Recommendations

3. The Committee is asked to note the strategy and make any recommendation for improvement.

Reason: To keep the Committee updated on the All Age Commissioning Strategy.

Background

4. The All-Age Commissioning Strategy has been approved by the Executive committee. The strategy has also been reviewed through all stages of our governance structure and changes made based on feedback prior to approval. The strategy has also been reviewed by the ICB and changes made prior to final document publication. It was also approved that the strategy will be a live document over the period of the strategy meaning that changes can and will be made based on local and national impacts.

Consultation

5. The strategy was consulted on both internally and externally by stakeholders across the Adults’ department, the Childrens’ department, and the ICB.

Options

6. (1) Approve the All Age Commissioning Strategy.

By having a commissioning strategy we are able to demonstrate our priorities and intended approach in achieving them through the services that we commission.  The strategy also demonstrates to our providers and the market in general how we intend to commission services.

7. (2) Do not approve the All Age Commissioning Strategy.

It is not explicitly a legal requirement to have a commissioning strategy however it does demonstrate best practice and can impact on areas such as market shaping.

Analysis

8. This would ensure that the council fulfils the statutory responsibilities, when commissioning services in line with the council ambitions of good health and wellbeing. This will be through understanding the needs of the population, co-production, adoption of strength-based approach, Joint commissioning approach and ensure safeguards are in place.

9. Not approving the Strategy would have implications on the direction of commissioned services in York, with no set priorities. This would affect the continuity of service and the population we serve.

Council Plan

10. The Commissioning Strategy directly supports the achievement of the Council Plan 2019-2023 outcome areas as below:

· Good health and wellbeing

By ensuring services are provided that meet the needs of the population.

Implications

11.

· Financial: There are no financial implications to the All Age Commissioning Strategy. 

· Human Resources (HR): There are no human resources implications.

· One Planet Council / Equalities: There are no negative implications on equalities/one planet council. An Equalities Impact Assessment (EIA) has been completed.

· Legal: The Care Act 2014 places legal responsibility on the council regarding Adult Social Care. The Children Act of 2004, which specifies obligations like: achieving positive results for children, teens, and families; integrating and improving childcare services; promoting preventative care; as well as bringing together various professionals. The Children and Young Persons Act 2008 strengthens the duties of the council relating to Looked After Children and care leavers. The Children and Families Act 2014 provides more detailed requirements for children and young people with Special educational needs and disabilities (SEND), supported by the SEND Code of Practice 2015 which gives statutory guidance on this provision.  It also provides updates to the adoption system, young carers, and some provision for looked after children and childcare.

· Information Technology (IT): There are no implications on IT.

· Property: There are no implications on property.

· Other: There are no other known implications.

Risk Management

11. There are no known risks.

Contact Details

Author:	Chief Officer Responsible for the report:
Abid Mumtaz Head of All Age Commissioning Adult Social Care	Michael Melvin Corporate Director of Adult Social Care and Integration
	Report Approved	√	Date	[15 January 2024]
Wards Affected:					All	x
For further information please contact the author of the report.

Background papers: none

Annex: City of York Council, All Age Commissioning Strategy 2023-2025