Our integrated commissioning approach

Our approach to integrated commissioning

Gloucestershire County Council and Gloucestershire ICB have an integrated commissioning function. This is led by a joint director across both organisations with a commissioning team covering health and social care. The purpose of integrated commissioning is to effectively design, manage, and deliver care and health pathways and services to meet the health and social care needs of residents of Gloucestershire. Integrated Commissioning delivers seven main functions:

• System leadership: working effectively across boundaries with diverse groups of stakeholders, people and staff, acting as a change agent often in areas of conflicting priorities to improve and innovate.
• Collaboration and strategy: Long term strategic planning, developed with people using services, professionals, and providers.
• Contract and commercial: Commercially focused management of supply chains, providers, and contracts.
• Market and provider support: Support for providers to deliver services, develop their business, and provide high quality services, alongside the market shaping and sufficiency response needed for the whole population. 
• Quality and practice: The quality of support and delivery across services, with a particular focus on a preventative approach and good clinical practice.
• Brokerage and flow: Connecting individuals with identified needs to appropriate care. Management of flow through block provision.
• NHS case and assessment work: This covers Adult Continuing Health Care, Children’s Continuing Care, the Dynamic Support Register and Learning Disability and Autism case management.

Further information about our Integrated Commissioning Approach can be found in appendix 6.