System Considerations (Populations of young people, commissioning and interagency working) THRIVE Measure Level 1 Level 2 Level 3 Level 4 Principle used Some way to go to Practice is (where achieving THRIVE-like very relevant) Practice MACRO There are are separate There is a limited There is a joint Health, local PRINCIPLE 2: no commissioning amount of joint commissioning authority, specific structures for local commissioning. This board that is education and All agencies measures authority and health. may relate to specific attended by the third are involved in relating projects or services. all of the sector are commissioning to this Joint commissioning is modality actively care principle. not routine, or is There are separate types. This is involved in (education, confined to certain governance boards translated into commissioning health, social elements of the that collaborate on a joint mental health care, third system. There is limited the development of governance care for the sector) engagement with their commissioning structure. locality. They educational plans, but no joint sit within one commissioners and the governance, strategy There is a board with a third sector is not or budgeting at the range of common considered routinely as most senior levels of established strategy and part of commissioning the organisation. projects that are jointly decisions. agencies responsible Each organisation collaborate and There are no joint has a separate on, however accountable structures, outcome outcome framework this for delivery of frameworks nor and manages their collaboration this strategy budgets. contracts separately. does not and the include all subsequent services. outcomes for their There are joint population. budgets in some, but not
System Considerations (Populations of young people, commissioning and interagency working) THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving THRIVE-like Practice Level 2 Level 3 Level 4 Practice is very MACRO PRINCIPLE 2: All agencies are involved in commissioning care (education, health, social care, third sector) There are no specific measures relating to this principle. are separate commissioning structures for local authority and health. Joint commissioning is not routine, or is confined to certain elements of the system. There is limited engagement with educational commissioners and the third sector is not considered routinely as part of commissioning decisions. There are no joint structures, outcome frameworks nor budgets. There is a limited amount of joint commissioning. This may relate to specific projects or services. There are separate governance boards that collaborate on the development of their commissioning plans, but no joint governance, strategy or budgeting at the most senior levels of the organisation. Each organisation has a separate outcome framework and manages their contracts separately. There is a joint commissioning board that is attended by all of the modality types. This is translated into a joint governance structure. There is a range of established projects that agencies collaborate on, however this collaboration does not include all services. There are joint budgets in some, but not Health, local authority, education and the third sector are actively involved in commissioning mental health care for the locality. They sit within one board with a common strategy and are jointly responsible and accountable for delivery of this strategy and the subsequent outcomes for their population.