Abstract
This report describes the results of a literature review on how the strategic planning intent of Integration Authorities (IAs) is enacted in current commissioning and procurement practice for adult social care support and services in Scotland.
The SPI context for adult social care in Scotland is the implementation of a new National Care Service (NCS). The strategic planning context for this is clearly and currently centred on the process of creating legislation for the NCS, with a view to implementing that from 2025. The strategic intent context is much less clear, and is not necessarily focussed on or confined to the development of the NCS. There are many voices either critical of the concept of the NCS, or questioning the direction of change being articulated in the legislative process. Commissioning and procurement is in the spotlight in this context.
This literature review initially provided some context for the second report based on the views of local and national stakeholders on ethical commissioning and procurement and what this could look like under a National Care Service (NCS). This was revised in the light of the findings from those stakeholder views to more directly align with and address the key findings on successful change: that processes like directions on commissioning and procurement are not the drivers of change; rather, local collaboration led by commissioners and procurement officers drive change. While the experiential evidence from interviews provides ideas to improve commissioning and procurement processes and practice, from practice, this literature review offers accompanying support of some of the theory of change relevant to implementing these ideas.
The SPI context for adult social care in Scotland is the implementation of a new National Care Service (NCS). The strategic planning context for this is clearly and currently centred on the process of creating legislation for the NCS, with a view to implementing that from 2025. The strategic intent context is much less clear, and is not necessarily focussed on or confined to the development of the NCS. There are many voices either critical of the concept of the NCS, or questioning the direction of change being articulated in the legislative process. Commissioning and procurement is in the spotlight in this context.
This literature review initially provided some context for the second report based on the views of local and national stakeholders on ethical commissioning and procurement and what this could look like under a National Care Service (NCS). This was revised in the light of the findings from those stakeholder views to more directly align with and address the key findings on successful change: that processes like directions on commissioning and procurement are not the drivers of change; rather, local collaboration led by commissioners and procurement officers drive change. While the experiential evidence from interviews provides ideas to improve commissioning and procurement processes and practice, from practice, this literature review offers accompanying support of some of the theory of change relevant to implementing these ideas.
Original language | English |
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Place of Publication | Edinburgh |
Publisher | Coalition of Care and Support Providers in Scotland |
Commissioning body | Coalition of Care Providers in Scotland |
Number of pages | 56 |
Publication status | Published - 16 Sept 2024 |