Shared accountability for prevention outcomes, and SMART performance measures, which evidence improvement in wellbeing, joined up pathways, transcendence of organisational boundaries and which deliver at massive scale through use of hyperlocal community asset approaches.
Aims & Objectives
- Clear identification of target groups and target geographical places, based on population evidence of relative need and caseload evidence of those most at risk of not achieving good wellbeing outcomes
- A single joint local commissioning, procurement and contracting process for prevention of poor wellbeing across the MSE system.
- Shared strategy of resource allocation giving more where it’s needed AND less where it’s not.
- Deliver a broader determinants of health commissioning model across system stakeholders, clarifying who will deliver what across ALL domains of the Robert Wood Johnson Foundation (RWJF) broader determinants of health model, and with RWJF domain specific performance measures monitored by a senior officer wellbeing stakeholder group. This is needed to transcend both organisation specific commissioning responsibilities which currently deal with only a part of overall prevention pathways and broader determinants of health in isolation.
- Develop support at much larger scale than traditional service provision using the demonstrable power of Essex residents in supporting each other’s wellbeing, and evaluate well to test if achieving wellbeing outcomes.
What is happening?
- Delivery of rapidly mobilised support at scale for vulnerable Essex citizens during covid. Work now is to translate this into a sustainable wellbeing “workforce” which requires redefining what we mean by workforce.
- Process started towards single joint commissioning process for wellbeing and lifestyle.
- Clear performance measure proposed for joint contracting of integrated weight management pathway as a contract variation on 1/4/2023 to new ECC commissioned integrated wellbeing specification.
Citizen benefit is being measured in service specific outcomes, such as smoking cessation or weight management.
A shared commissioning model would enable greater understanding of sustainable wellbeing outcomes, for example looking at the broader determinants of health, the root causes of wellbeing risk, and all aspects of the prevention and treatment pathway collectively, such as obesity.