ACT Health Commissioning Community Sector Update - PowerPoint Presentation

1. ACT Health Commissioning Community Sector UpdateDay/Date: Wednesday 2 August 2023 1.00pm-2.30pmHosted by: Health System Planning and Evaluation

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3. Health Commissioning Sector Updates provide a platform for government and sector partners to come together to: Discuss and showcase health sector reform activities, with a particular focus on the commissioning of community health services delivered by non-government sector partners,build sector commissioning awareness and capability, andreflect on progress and lessons learnt and explore opportunities for process quality development (try, test and learn).Purpose of these sessions

4. Welcome and Acknowledgement of Country (Jacinta George)What’s new (Jamie Droney)What we’ve heard lately (Jamie Droney)Cycle updates (Jamie Droney and Commissioning leads)Deep dive into the Mental Health cycle (Wendy Kipling & Adam Brockway)Health Services Planning Update (Tania Dufty and Mariam Anees )Question and Answers (Jamie Droney)Summary of session content

5. NewExecutive Branch ManagerHealth System Planning and DevelopmentLuke WorthCommissioning Senior Officials GroupWhat’s new

6. Communication is poor and we don’t know what’s happening with cycles.The timelines are pushing out and contracts for several cycles are due to expire soon.The tender burden is different across different cycles and we want clarity around how tender and grant responses should be costed.What is the government doing about transitions?What we’ve heard lately

7. More regular website updates and updating the layout/formatting of the ‘Sectors in Progress’ pages for a consistent approachA new structure for the Commissioning Conversations newsletter with more case studies and articles includedWorking more closely with our commissioning business units to share sector concerns so they can be addressed in a timely mannerWhat are we doing about… Communications

8. We are in discussions with the Minister about cycle timelines as we speakWe are looking at how we can commission more efficiently within existing resources, such as:Through different investment pathways (including more grants)increased capability building (more tools and resources for commissioners and Working Groups, Communities of Practice, peer learning opportunities) to strengthen commissioning approaches from cycle to cyclebetter use of existing data and information (such as Lived Experience data and data obtained by the Health Services Planning Team) to inform Needs AssessmentWhat we are doing about… Timelines

9. Introducing investment pathways (including more grants)Consistent compliance/governance-type questions for use across all tenders/grants, irrespective of cycle/DirectorateExploring feasibility of a pre-qualification systemWhat we are doing about… Tender burden

10. Approach to market depends on:the history of market testing procurement thresholds (if applicable) specific requirements of a sector or commissioning cycledelegate decision-making Investment pathways available through commissioning include:traditional procurements (including open/competitive tender, select tender and single-select tender procurements)grants (including open or competitive grants, select grants and direct-approach grants)a combination of the above.What we are doing about… Tender burden

11. Procurements GrantsDefinitionsThe process of acquiring goods, services, works or property by purchase, lease, rental or exchange – and disposing of goods, works or property including by sale. Territory entities must pursue value for money in undertaking any procurement activity. The best procurement outcome is not necessarily the cheapest price.Underpinned by the following legislation:Government Procurement ActGovernment Procurement Regulation 2007Procurement PoliciesFinancial Delegations (Contract and Expenditure).An arrangement where money is provided to a recipient as financial assistance by the Territory for a specified purpose that enables the recipient to achieve goals and objectives that are consistent with Territory policy. For clarity, the following arrangements are not Grants.  The acquisition or disposal of goods, services, works or property as a procurement by a Territory entitySponsorship arrangementsCompensation payments made under legislation Tax concessions or offsets Other payments under the Financial Management Act 1996 including loans, investments, and Acts of Grace paymentWhat we are doing about… Tender burden

12. What we are doing about… Transitions

13. Cycle updatesPresented by: Jamie Droney Senior Director of Branch Operations | Health System Planning and Development

14. Aboriginal and Torres Strait Islander Health PartnershipsWhere we’re up toMental HealthCommunity SupportSexually Transmissible Infections and Blood Borne VirusesPrimary Health Services for Young People (transitioning into INVEST phase)Alcohol, Tobacco and Other DrugsNot yet commenced: Aged Care respite, Maternity Support and Primary Care SupportChronic Conditions

15. Status report

16. Current commissioning phase: Discovercommenced preliminary scoping work and sector engagement to inform the Discover phase of commissioningACTHD is working with the Aboriginal Service Development team within CSD to explore opportunities to streamline sector consultation and engagement and share data to inform multiple key pieces of work across Directorates.Aboriginal and Torres Strait islander Health partnerships

17. Current commissioning phase: StrategiseThree roundtables held in 2022Using feedback to finalise Listening report, Needs Assessment and High-level summary of progress to-date. Considering recent developments in primary/integrated care in updating Needs Assessment (e.g. Primary Care Pilot, Urgent Care Centres, HCCA Chronic Conditions Network)Conclude Strategise phase by August/September and move to Design phase. Next Steps:Design phase will develop outcomes and reporting requirements in conjunction with sector partners.CC&PC team finalising plan for Design phase activities, aiming to kick-start communications in next few weeks.Chronic Conditions (CC)

18. Current commissioning phase: InvestFour roundtables held in 2022.Finalising Needs assessment and Listening Report and for publication in the coming weeks – closing out the strategise and design phases. Finalising next iteration of Hepatitis B, Hepatitis C, HIV and Sexually Transmissible Infections ACT Statement of Priorities.Preparing Strategic Investment Plan for circulation to the subsector.Next Steps Circulation of Statement of Priorities and Kirby Institute ACT STIBBV surveillance report to subsector stakeholders (projected for late August).Confirmation of contract extensions for existing service providers. PHR team finalising plan for invest phase activities, with the intention to engage with the broader subsector on a Strategic Investment Plan from September 2023. Sexually Transmissible Infections and Blood Borne Viruses (STIBBV)

19. Current commissioning phase: InvestThe draft PHSYP Strategic Investment Plan (SIP) has been released for public consultation It can be found at the PHSYP Commissioning pageWe would like to apologise for the delay between the Listening Report and the draft SIP being releasedThe finalised SIP will guide the Invest Phase as it progressesNext stepsSIP Consultation closes 09 August 2023An initial approach to market is currently planned for late October 2023Primary Health Services for Young People (PHSYP)

20. Alcohol Tobacco and Other Drugs (ATOD)Current commissioning phase: Invest11 NGOs currently funded to deliver a range of specialist and support services in the ATOD sector (ACT NGOs provide approximately 63% of ACT treatment episodes1)Funding available for ATOD commissioning is approximately $17.3 million annually (Inc. 2022-23 and 2023-24 budget measures)Services being commissioned include2:Specialist treatment services (residential rehabilitation, day programs, counselling, harm reduction, advocacy and peer support, and sobering up shelter)Tobacco cessation support (inc. Quitline services)Early learning and care for young dependents of service usersNext stepsCirculation of Strategic Investment Plan to stakeholders Confirmation of contract extensions for existing core contractsConfirmation of investment approach to market and timeframesPublication of final Strategic Investment PlanFinalisation of service specifications and outcomes framework documentation1Based on 2022-23 ATODS-NMDS 2Commissioning scope does not include First Nations services, peak bodies and infrastructure upgrades

21. Community Assistant and Temporary Supports (CATS) ProgramCurrent commissioning phase: InvestThe Community Assistance and Temporary Supports (CATS) request for tender (RFT) closed on 30 May 2023.Next stepsUnsuccessful providers will be advised of the outcome and offered a debrief once contract negotiations are completed, which is anticipated in September 2023.Providers that are successful in the CATS RFT can expect to learn the outcome of their tender in August 2023.The new CATS Program will commence on 1 October 2023.ACT Health Directorate remains committed to implementing the Community Support Subsector (CSS) Central Intake Service on or before 1 July 2024, and more information about this project will be released soon.

22. Deep dive into the Mental Health cyclePresented by: Wendy Kipling | Senior Director | Mental Health Policy and StrategyAdam Brockway | Senior Policy Officer | Mental Health Policy and Strategy

23. The ACT Government is embarking on a new approach to commissioning services provided by Non-Government Organisations (NGO). The Mental Health Commissioning process, led by Mental Health Policy and Strategy (MHPS), aims to promote a mental health system that is:Recovery focussed; holistic; and outcomes driven.Commissioning for Mental HealthTotal value of contracts: $12.8m in 2022-23Contracts with 18 NGOs

24. There are a significant number of national and local strategies, plans and reports guiding mental health activity, including:The Office for Mental Health and Wellbeing’s, Towards our Vision: Taking a Strategic Approach to Mental Health in the ACT The National Mental Health and Suicide Prevention AgreementThe ACT Regional Mental Health and Suicide Prevention PlanThe Productivity Commission’s Inquiry into Mental HealthThe ACT Health Services Plan 2022-2030The strategic landscape for Mental Health

25. The services commissioned must range from mental health promotion through to intensive services. Commissioning must also consider service provision for range of cohorts:Children and YouthOld PeopleAboriginal and Torres Strait IslanderLGBTIQA+CALDEstimated distribution in the ACTWellAt RiskMildModSevere272,400105,04340,94921,36514,243What we are commissioning for in the Mental Health Sector

26. Australian Institute of Health and Welfare: Australia’s Mental Health SystemsWhere NGO’s sit in the system

27. Established a Commissioning Advisory GroupTo obtain feedback from the community during the Strategise and Design phases we have engaged in a number of different consultation activities, including workshops and feedback papers.Design Phase activities have included:Published a Design Phase Blueprint for feedback, including hosting on YourSayCirculated a series of Feedback Papers on the needs of priority groups to obtain feedback directly from these communities.Held a series of workshops, including specific webinars and forums for people with lived experience including consumers and carers.Commissioning activities to date

28. The Commissioning Advisory Group has been important for ensuring the inclusion of lived experience voices and community expertise throughout the Commissioning Process. We have heard so much already through the workshops, blueprint, and feedback papers. Some emerging themes include:Lessons learntSafe spaces and social connectionSupport services promoting mental health and early interventionConnected system that is easy to navigateServices in human services sector are more collaborativeSector is appropriately resourced

29. Commissioning is complex! To ensure this information can be acted on appropriately, and adequate time is given for follow-up with the sector and community, we have decided to extend the timeframe for our commissioning process. To facilitate this, all currently funded providers will receive 12 months extension, with a further 6 months to be provided as necessary for transitions.Over the rest of this year, we will:Negotiate contract extensionsPublish a Listening Report of the Design Phase activitiesContinue consultations, including developing Outcomes FrameworkIf you have any questions, please provide them to MentalHealthCommissioning@act.gov.au Next steps

30. Placeholder for Health Planning Slides

31. Questions and answers