Adults and Communities Transformation Shape Shifters - changing the way suppliers and commissioners work together in futur...
The Story So Far – Why Change? <ul><li>Cost of providing adult care services in England is rising at a time when the numbe...
Our Aims -The Next Twelve Months <ul><li>Over the next 12 months, through our delivery projects, the programme will have d...
Our Outcomes in the Long Term <ul><li>Predictive activities so citizens and targeted communities can be independent for lo...
The Programme As a Whole – Based on the Customer Pathway
Why we have chosen this approach? <ul><li>Linking: </li></ul><ul><ul><li>The Customer Pathway </li></ul></ul><ul><ul><li>T...
How It Might Work? Informed  Choice Self Assess Framework  Monitoring Citizen  Review Plan Individual  Commissioning (Brok...
The Wider Picture…What it Might Look Like for the Community? Re-enablement Services Intermediate and Rehabilitation Self S...
Kick Starting the Journey  A Focus on Shaping the Place / Suppliers Programme
Workstreams – Supplier / Shaping the place Project
Scope of Project   ( Commissioning Pathways) <ul><li>To develop and design a joint (Multi agency / Private and Third Secto...
Scope of Project (Developing and Shaping Markets)  <ul><li>In Scope </li></ul><ul><li>Opening capacity building dialogues ...
Scope of Project (Developing and Shaping Markets)  <ul><li>Designing options for a combined commissioning evaluation tool ...
What it might look like for Suppliers? Competition and Partnership <ul><li>Stage 3 Framework </li></ul><ul><li>Agreements ...
Scope of Project   ( Pooling of Commissioning Budgets) <ul><li>To Develop and agree with Partners and other stakeholders t...
Scope of Project (Workforce) <ul><li>Developing and agreeing effective Workforce development plans (which particularly wil...
Will It Work? <ul><li>It will if: </li></ul><ul><ul><li>The authority challenges it own internal practices and thinks ‘out...
Request your copy of Third Sector Research 2008 <ul><li>12 leading Children’s and Adult’s charities interviewed </li></ul>...
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Shape Shifters - changing the way suppliers and commissioners work together in future to revolutionise services for citizens

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Power presentation given to LGC conference in Feb2009 .This examines how Capita Consulting and its partners in Birmingham are thinking about the future and, more importantly about the steps required to start the journey and will cover
• The new environment in Future…a possible picture
• Roles of commissioners and suppliers
• A step by step approach -Using universal customer pathways and commissioning pathways to co-ordinate delivery
• Partnerships, Integration and competition

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Shape Shifters - changing the way suppliers and commissioners work together in future to revolutionise services for citizens

  1. 1. Adults and Communities Transformation Shape Shifters - changing the way suppliers and commissioners work together in future to revolutionise services for citizens
  2. 2. The Story So Far – Why Change? <ul><li>Cost of providing adult care services in England is rising at a time when the number of people who need these services is also rising </li></ul><ul><li>Service users continue to ask for more control over the kind of care they receive and the way we provide it </li></ul><ul><li>Personalising our services. What do people need and want? What can we do to help them live more independently? </li></ul><ul><ul><li>Give information about most suitable services </li></ul></ul><ul><ul><li>Arrange and provide equipment to help people remain safely and independently in their own homes </li></ul></ul><ul><ul><li>Get involved early on to provide support and prevent needing our services later on. </li></ul></ul>
  3. 3. Our Aims -The Next Twelve Months <ul><li>Over the next 12 months, through our delivery projects, the programme will have delivered the first elements leading to meeting the following outcomes: </li></ul><ul><li>Citizens have control of their own care </li></ul><ul><ul><li>Preventative activities keep citizens independent for longer </li></ul></ul><ul><ul><li>Citizens have access to quality information so they can make informed decisions about their care </li></ul></ul><ul><ul><li>Citizens can self assess to identify their own needs </li></ul></ul><ul><ul><li>Quicker access to services for citizens </li></ul></ul><ul><ul><li>Better skills for care workers and social care staff. </li></ul></ul>
  4. 4. Our Outcomes in the Long Term <ul><li>Predictive activities so citizens and targeted communities can be independent for longer </li></ul><ul><li>Citizens are better able to manage their own care through advice and advocacy. Less need for specialist services </li></ul><ul><li>Increased partnerships between AC and Health </li></ul><ul><li>More choice of services and service providers </li></ul><ul><li>Increased range and variety of workforce skills and competencies </li></ul><ul><li>Care workers able to focus on delivering more tailor made services </li></ul><ul><li>Financial outcome: 230 million over ten years. </li></ul>
  5. 5. The Programme As a Whole – Based on the Customer Pathway
  6. 6. Why we have chosen this approach? <ul><li>Linking: </li></ul><ul><ul><li>The Customer Pathway </li></ul></ul><ul><ul><li>The Transactional Model </li></ul></ul><ul><ul><li>Individual, Operational and Strategic Commissioning </li></ul></ul>
  7. 7. How It Might Work? Informed Choice Self Assess Framework Monitoring Citizen Review Plan Individual Commissioning (Brokerage) Facilitated Assessment Strategic Commissioning – Prediction and Prevention <ul><li>Delivery Banding </li></ul><ul><ul><li>Self Serve / Universal Services </li></ul></ul><ul><ul><li>Re-Enablement Services </li></ul></ul><ul><ul><li>Long Term Complex Care </li></ul></ul><ul><ul><li>Services </li></ul></ul>Framework Agreements with suppliers based on outcome categories (Operational Commissioning)
  8. 8. The Wider Picture…What it Might Look Like for the Community? Re-enablement Services Intermediate and Rehabilitation Self Serve / Universal Services Complex Services Joint Commissioning and Review Service Brokerage function) (Individual Commissioning) Agreements and Partnership Management Team (Operational Commissioning) Strategic Development Team (Strategic Commissioning) Independent Review Team 1.Services 2.Commissioning 3.Delivery Model 3.2 Web Support and Contact centres GP’s and Extended Schools 3.3 Community Support Teams / Direct Services Local Community Information Hubs Care Navigators / Advocates Specialist Facilitated Assessment Diagnostics Specialist Facilitated Support Teams 3.1 Care Pathway Self Directed Support Shared It / HR Services 4.3 Individual or outsourced Service Providers Individual or Outsourced Service Enablers Enablement Service
  9. 9. Kick Starting the Journey A Focus on Shaping the Place / Suppliers Programme
  10. 10. Workstreams – Supplier / Shaping the place Project
  11. 11. Scope of Project ( Commissioning Pathways) <ul><li>To develop and design a joint (Multi agency / Private and Third Sectors / customers) commissioning and provider framework / pathway and organisational model which is compliant with self directed support principles </li></ul><ul><li>Design Organisational options for Individual Commissioning (brokerage development), Operational Commissioning and strategic commissioning </li></ul><ul><li>Designing a re-shaped service delivery model after design of the commissioning / provider pathway by aligning services into enabler (Information providers, Care Navigators, Brokers, Facilitated support teams etc.) and provider streams (This will include ensuring that all internal services are included and treated as per external service providers) </li></ul><ul><li>(Part 2) Implementation. </li></ul>
  12. 12. Scope of Project (Developing and Shaping Markets) <ul><li>In Scope </li></ul><ul><li>Opening capacity building dialogues with both neighbourhood groups and individuals and service providers (existing and potential) </li></ul><ul><li>Designing a model of engagement with suppliers, with service users at the centre which amplifies individual purchasing and introduces flexible contracting through framework agreements </li></ul><ul><li>Working with providers to make the transition from dealing with one customer (the authority) to multiple customers </li></ul><ul><li>Designing options for universal and specialist services, and for micro-markets which will include regulatory and quality standards, supplier recruitment, supply categories, service catalogues and e-procurement. </li></ul>
  13. 13. Scope of Project (Developing and Shaping Markets) <ul><li>Designing options for a combined commissioning evaluation tool (which will combine information elements of prediction and prevention, self assessment, RAS, and performance management information (risks, demographics, user compliments, user complaints, provider framework feedback etc) </li></ul><ul><li>Managing the transition in commissioning to Parity between internal / external providers </li></ul><ul><li>Managing the transition in commissioning of current in house enabling services (assessment teams etc.) to alternatively managed arrangements for Customer Contact, Brokerage, Care Navigation and long term customer support. </li></ul>
  14. 14. What it might look like for Suppliers? Competition and Partnership <ul><li>Stage 3 Framework </li></ul><ul><li>Agreements </li></ul><ul><li>With Suppliers </li></ul><ul><li>Based on outcome categories </li></ul><ul><li>( Delivery Banding) </li></ul><ul><li>Self Serve/Universal Services </li></ul><ul><li>Re- </li></ul><ul><li>Enablement Services </li></ul><ul><li>Long Term </li></ul><ul><li>Complex </li></ul><ul><li>Care </li></ul><ul><li>Services </li></ul>Stage 2 Diminishing Block Contract arrangements Developed with supportive Contract conditions to move to Stage 3 Stage 1 Conceptual Developed To Support IB Project Roll Out
  15. 15. Scope of Project ( Pooling of Commissioning Budgets) <ul><li>To Develop and agree with Partners and other stakeholders the pooling of commissioning budgets by combining commissioning budgets (particularly existing work with the PCTs and the joint commissioning agenda, Section 75 Agreement and PCT commissioning funding allocations) </li></ul><ul><li>Developing an authority wide policy on balancing provision of choice vs. effectively managing risk </li></ul><ul><li>Developing commissioning strategies for non social care products / services that may be bought with individual budgets </li></ul><ul><li>Develop an initial Brokerage model to support individual budgets. </li></ul>
  16. 16. Scope of Project (Workforce) <ul><li>Developing and agreeing effective Workforce development plans (which particularly will focus on the shift in expertise requirement from doing transactional purchasing / contracting to a more strategic, commissioning focus) to: </li></ul><ul><ul><li>Enable staff (Commissioners and suppliers) to work to SDS principles </li></ul></ul><ul><ul><li>Ensure collaborative training and staff development </li></ul></ul><ul><ul><li>Align commissioning capacity and infrastructure development. </li></ul></ul>
  17. 17. Will It Work? <ul><li>It will if: </li></ul><ul><ul><li>The authority challenges it own internal practices and thinks ‘out of the box’ and balances risk and choice </li></ul></ul><ul><ul><li>Commissioners move away from ‘client group centric’ commissioning approaches </li></ul></ul><ul><ul><li>Suppliers shift to business models that focus on citizen need and not ‘bricks and mortar’ </li></ul></ul><ul><ul><li>Citizens assume self responsibility and can move away from the welfare expectation principle </li></ul></ul><ul><ul><li>We all are prepared to work on a ‘lets try it’ based version of partnership – can do, not can’t do…. </li></ul></ul>
  18. 18. Request your copy of Third Sector Research 2008 <ul><li>12 leading Children’s and Adult’s charities interviewed </li></ul><ul><li>Participants shared their views on: </li></ul><ul><ul><li>Current relationship between voluntary and statutory sector engagement </li></ul></ul><ul><ul><li>Role of the private sector </li></ul></ul><ul><ul><li>Future of ‘partnership working’ </li></ul></ul><ul><ul><li>Major challenges and opportunities. </li></ul></ul><ul><ul><li>Email [email_address] for your complimentary copy </li></ul></ul>
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