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Commissioning
Can we change public service markets for good?

We have to join up commissioning much better for this last group of people. So, should a homeless, unemployed drug dependent offender have one provider to deal with all their problems in the round, or separate providers (all specialists) responsible for each End Result? Reform suggests two possible solutions:

Commissioning
Three models for working with people with complex needs

The briefing looks at these three models in some detail and helpfully identifies that they share a number of core principles: a strengths based approach, which operates over a sustained period, and which is tailored to meet individual needs.

Alcohol/Drugs/Gambling
Drug laws drive racism in the justice system

Black people are subject to court proceedings for drug possession offences 4.5 times the rate of whites; are found guilty of this offence at 4.5 times the rate; and are subject to immediate custody at a rate of 5 times that of white people

Alcohol/Drugs/Gambling
Community sentences and re-offending

There is a clear evidence base to show that good relationships between offenders and their supervisors are important for the identification of needs, ongoing engagement with their sentence, and ultimately for rehabilitation. The research shows that successful supervision requires

Commissioning
Stop commissioning, start licensing public services

The idea is to let public services work like any other market with consumer choice meaning that the best services get to be market leaders and the market changes over time. To achieve this, Reform suggest doing away with the cumbersome procurement approach and introduce a licensing approach with these key features:

Alcohol/Drugs/Gambling
Resistant drinkers can change

Above all the manual offers a fundamental positive message that change is possible. Research shows that these clients are not as unmotivated as they seem. At least 40% of higher risk and dependent drinking clients will try and change each year. The Blue Light project provides the tools for building on this.

Payment by Results
Payment by results and complex needs

Following a balanced and coherent examination of these key difficulties based on the real life application of PbR in the UK through the various homeless, workless, offending and troubled families initiatives, the Revolving Doors report comes to five principal conclusions:

Infographics
Now even the fear of crime has gone digital

New survey finds Americans were much more worried about having their credit card or smart phone hacked than they were of being burgled, mugged or even murdered

Commissioning
An inflexible commissioning system

Another consequence of these lengthy monolithic contracts is that it is very difficult for governments to change policy direction. Reform makes the point that to implement change a new government will often have to compensate existing providers and institute new, lengthy and expensive procurement processes. Although old providers may get some compensation, all potential

Alcohol/Drugs/Gambling
The hard edge of multiple problems

This is just the latest piece of research that reinforces the need to develop a more integrated system of social care. Although few argue against a more co-ordinated approach, we seem to have made very little progress towards constructing it with joined-up commissioning apparently as difficult to achieve as ever.

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