commissioning-services
commissioning-services

Commissioning services

Overview

The delivery of mental health, suicide prevention and alcohol and other drug treatment services in the Brisbane North region is complex – incorporating services being delivered by multiple organisations and practitioners across multiple, and often disconnected sectors; several commissioning and/or funding agencies, with several, and often disconnected funding streams; and delivery of a broad spectrum of services and programs. Chapter four of Planning for Wellbeing identifies significant opportunities for both service and system improvement through enhanced commissioning approaches.

Key documents

Planning for Wellbeing – Full plan

Planning for Wellbeing – Summary

Planning for Wellbeing – Fact sheet

Planning for Wellbeing - Year one implementation report

Objectives and actions

4.1.1

Utilise the NMHSPF tools consistently across Brisbane North to help project demand for mental health services and required service configuration

Planned completion

2021/22

Status

On track

4.1.2

Utilise national and jurisdictional datasets for primary mental health care and alcohol and other drug treatment services, joint PHN and HHS needs assessments and other data, to collaboratively plan and co-design mental health, suicide prevention and alcohol and other drug treatment services

Planned completion

Ongoing

Status

On track

4.1.3

Develop a joint regional resourcing plan between commissioning agencies that underpins and aligns commissioning

Planned completion

2021/22

Status

On hold

Updated

4.1.4

Align funding approaches by key funding agencies, including scope, timing, service types, contract timeframes and reporting

Planned completion

2022/23

Status

On track

4.1.5

Explore the potential for coordinating commissioning between funding agencies

Planned completion

2022/2023

Status

On track

4.2.1

Further develop funding approaches that focus on strengthening Consumer outcomes

Planned completion

Ongoing

Status

On track

4.2.2

Facilitate commissioning approaches that enhance innovation and partner with people with a lived experience

Planned completion

Ongoing

Status

On track

4.2.3

Reflect in budgets the full cost of service, including resources required for engagement and warm referral of all consumers accessing services

Planned completion

Ongoing

Status

On track

4.2.4

Explore and implement more flexible commissioning approaches that better fit the nature of services required, maximise collaboration and mitigate challenges associated with competitive tendering, including for Indigenous services

Planned completion

Ongoing

Status

On track

4.2.5

Utilise funding agreements with providers to promote service improvements in the areas of Lived/Living Experience participation, social determinants of health, recovery framework, family-inclusive practice, trauma-informed care, engagement, warm referral, service accessibility and evaluation

Planned completion

Ongoing

Status

On track

Governance

The Strategic Coordination Group (SCG) is the overarching governance mechanism for the Regional Plan, providing oversight and guidance across the whole Plan – including implementation, monitoring, review and evaluation.  The SCG has direct oversight over implementation of Chapter Four – Commissioning Services and Chapter Five – Delivering Integrated Services within Planning for Wellbeing.

Membership

Adrian Carson

Chief Executive Officer

Institute for Urban Indigenous Health

Amanda Queen

Manager | Mental Health Reform

Brisbane North PHN

Beth Wilson

Director, Health Service Strategy And Planning

Metro North Health

Carmel Nelson

Clinical Director

Institute for Urban Indigenous Health

Chelsea Muscat

Development Coordinator | Mental Health

Brisbane North PHN and Metro North Health

Helen Taylor

Director, Alcohol and Other Drugs

Queensland Health, Mental Health and other Drugs Branch

Jennifer Black

Chief Executive Officer

Queensland Alliance for Mental Health

Kathryn Turner

Executive Director

Metro North Mental Health Service

Kathy Faulkner

Manager | Priority Communities

Brisbane North PHN

Kristen Breed 

Acting Director

Queensland Health, Mental Health and other Drugs Branch

Leshay Chong

Regional Social Health Manager

Institute for Urban Indigenous Health

Mahalia King

Lived Experience Representative (Consumer)

Mark Fairbairn

Operations Director

Metro North Mental Health Service

Natasha Malmstrom

Lived Experience Representative

Paul Justice

Lived Experience Representative

Paul Martin

Executive Manager | Mental Health Alcohol and Other Drugs

Brisbane North PHN

Rebecca Lang

Chief Executive Officer

Queensland Network of Alcohol and Other Drug Agencies

Sandra Eyre

Senior Director

Queensland Health, Mental Health Alcohol and Other Drugs Branch

Shirley Anastasi

Director of Governance and Quality Management

Metro North Mental Health Service

Tina Pentland

Lived Experience Representative (Carer)

Achievements

Planning for Wellbeing acknowledges the complex mix of service systems and funding mechanisms that operate within the mental health, suicide prevention and alcohol and other drug treatment services in the region, and highlights the need to achieve greater alignment between these systems and approaches to ensure stronger outcomes for those who use the system.

Chapter four of Planning for Wellbeing is focused on achieving this alignment – specifically across commissioning approaches.  A summary of the key achievements against the two shared objectives towards the alignment of commissioning approaches is included below.

Summary of Achievements

The actions to achieve this objective are focused on implementing practical strategies to improve alignment in commissioning approaches.  Some work is already underway, including joint use of the National Mental Health Service Planning Framework (NMHSPF) as a shared resource to guide future commissioning, and improved coordination between funders to try to minimise duplication of services, minimise burden on providers, and maximise optimal outcomes for the community.  Given commissioning timeframes are not short, it is expected that greater alignment of commissioning approaches will be possible in the outer years of implementation of the Regional Plan.

The actions to achieve this objective are focused on improving and strengthening approaches to commissioning to ensure consumer outcomes are prioritised – through revised funding mechanisms, innovative co-design processes, flexible procurement approaches, and strategies to ensure high quality service provision.

The PHN has engaged in a number of innovative review and co-design processes during 2018/2019, with strong engagement by people with lived experience.  These have informed the development of revised service models – to better meet the identified needs of consumers, and have necessitated new funding models – to support the full cost of providing a holistic service which supports connection to other parts of the system.  New procurement processes have enhanced the opportunities for collaboration, supporting providers to partner and deliver services in a more coordinated way.

Success stories

Get involved

If you would like to know more about Planning for Wellbeing, or if you’re interested in getting involved, please drop us a line – we’d love to hear from you.