BDAAT Information
Treatment Redesign

Welcome to the Birmingham Drug and Alcohol Action Team(BDAAT) Treatment Redesign.
 
In 2008 the decision was taken to undertake a 3 year process of Service Redesign. This was in response to recommendations from a number of local needs assessments and also to enable service provision to be matched to changes in needs at a local as well as a national level. This included the need to ensure better and more consistent pathways were in place with the growing alcohol treatment system; housing, employment services and other community integration services. Additionally it will support the achievement of more challenging targets around treatment and providing sustainable ‘value for money’ services, as well as helping to ensure equality of access to services for all Birmingham residents.
 
The redesign will ensure that services are commissioned to World Class Commissioning standards and that any new model will be able to accommodate national priorities such as the introduction of personalised budgets and recovery oriented systems.
 
PROJECT FRAMEWORK
The initial project plan put forward a planned and co-ordinated approach over the 3 year period.
 

Year One 2009/10
Review and Map
Year Two 2010/11
Remodel and refresh
Year Three 2011/12
Re-tender and redesign

 
·         Project Manager:The project is currently managed by the Interim Redesign/ Treatment Plan Lead, Mary Latter.
 
·         Project Board:The Drug and Alcohol Action Team Executive team.
 
·         Project Executive:Joint Commissioning Group for Drugs Treatment.
 
 
WORLD CLASS COMMISSIONING
This was designed at a national level to enhance the effectiveness of Primary Care Trusts in executing their Commissioning responsibilities. It includes a series of ‘commissioning competencies’ which commissioners need to display. These include:

1.     Locally lead the NHS
7.     Stimulate the market
2.     Work with Community partners
8.     Promote improvement and innovation.
3.     Engage with the public and patients
9.     Secure procurement skills
4.     Collaborate with Clinicians
10.   Manage the local Health system
5.     Manage knowledge and assess needs
11.   Make sound financial investments
6.     Prioritise investment
 

 
These are underpinned by a series of sub-components that provide more detail.
 
PERSONALISATION 
A simple definition of personalisation is
“personalisation enables the individual alone, or in groups, to find the right solutions for them and to participate in the delivery of a service. From being a recipient of services, they can become actively involved in selecting and shaping the services they receive.”
It should lead to services that are person-centred, which can change when required, are planned, commissioned and delivered in a ‘joined up’ way between organisations. For commissioners of services the implications of personalisation include:
 

1. Ensuring the involvement of users and carers
5. Working to develop the market
2. Financial planning focussed on value for money, outcomes and greater efficiency
6. Ensuring clear Strategic Planning based on future need and underpinned by financial plans
3. ‘Fit for purpose’ procurement and contracting
7. Risk Management and planning
4. Workforce development
8. Regulation and Governance

 
TOTAL PLACE
We are also working on Recovery Orientated Systems of Care in the context of ‘Total Place’.
Total Place is a new initiative that looks at how a ‘whole area’ approach to public services can lead to better services at less cost, seeking to identify and avoid overlap and duplication between organisations.
 
RECOVERY ORIENTED SYSTEMS OF CARE
A Recovery Oriented System of Care places the person with the problem at the centre of the system and seeks to build forms of support throughout the community.

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