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Medway Council – Partnership Commissioning Team, Adults and Children’s Directorate

Medway Council’s Partnership Commissioning Team commissions care and support services on behalf of Medway Council and Medway Clinical Commissioning Group. The team is responsible for a broad portfolio including children and young people, vulnerable children and families particularly with special needs; as well as adults and older people, particularly those who need to be supported to maximise their independence as a result of long term conditions, dementia, physical and learning disabilities or who require end of life care. In addition, the team works closely with other commissioning teams whether in Medway CCG, Medway Council, the Kent & Medway Commissioning Support Service and or the NHS National Commissioning Board to maximise the health and wellbeing of the local population.

18 February 2016
South East
Commissioners Sector, Finance, Local Authorities, Social Care
Local Alliances:
Medway Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

Partnership Commissioning is committed to enabling people with dementia and their carers to have much more choice and control over their care and support, and that services are delivered in a more person-centred way. The team will be working with providers and the community to encourage the development of a wider range of support options for people to choose from; and they will also be working with social workers, finance colleagues, and other teams across the council to make it easier for people to access flexible care and support options, whether or not they feel able to take on a Direct Payment.


Partnership Commissioning is also developing a new Information, Advice and Advocacy Strategy, making it easier for people with dementia and their carers (alongside many other local citizens) to get information and advice about the support that they need.


More widely, Partnership Commissioning is working closely with the Clinical Commissioning Group to achieve improved outcomes for people with dementia, through a whole-system approach, working across health, care, and community support / services for people with dementia. People with dementia and their carers will be at the forefront of this development work to ensure that a transformed approach is achieved through full co-production with people with dementia and their carers/ families.


Partnership Commissioning is committed to being an active member of the Dementia Action Alliance, especially because our objective of achieving better outcomes for people with dementia is strongly contingent on the wider DAA objective of developing a dementia friendly community. It is essential that the strengths and assets of the community, as exemplified by the wider DAA membership, aims and objectives, are fully understood and embedded into our Dementia Commissioning Plan and in the design of future health and social care services for people with dementia.

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

The complexity of the health and social care landscape.

Many competing priorities and significant financial constraints.

Significant learning curve for commissioners about the assets and strengths of the community and how best to build on existing and potential community capacity – therefore we are keen to maximise the opportunity to learn from other DAA members.

Member website


2. Actions

  • Achieve redesign of dementia, health, care and support services for Medway, to deliver better outcomes for people with dementia and their families.

    Work with CCG, people with dementia and their families, key health and social care providers and other stakeholders to design a model for improved outcomes for people with dementia and their families, based on a needs and gap analysis which was completed December 2015 (and following the direct of travel set by the Medway Dementia Strategy, published early 2015).

     Service / care pathway redesign to be completed by August 2016, with a detailed implementation plan agreed by all parties. Medway DAA, as well as individual organisations which are members of the DAA, will be engaged as a key partner in this work

  • Raise awareness across the wider Council about dementia, and secure strategic support for the transformation which needs to take place.

    Council Cabinet Members (and possibly other Councillors) to be invited to participate in a Dementia Friends session.

    Initial Scoping
  • Develop more personalised approach to the commissioning of day opportunities for people with dementia, and respite for carers, enabling people to access flexible support, as well as more traditional day services / respite options, depending on personal ch

    Work with providers (including micro-providers and local citizens who may not consider themselves to be ‘providers’) to develop a wider range of personalised support options for people to choose (whether they receive financial support from Medway Council or are self funders).

    Work with colleagues across the Council to develop mechanisms which enable more flexible options, including Individual Service Funds, as well as continuing to support the wider efforts to enable people to take up and make use of Direct Payments.