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  • It supports good decision making by ensuring that public authorities understand how different people will be affected by their activities, so that services are appropriate and accessible to all, and meet different people’s needs.

Transcript

  • 1. Adult Social Care Transformation
    • Voluntary Sector Review
    • Nicola Hobbs and Harminder Basra
    • Leicester City Council
  • 2. Content
    • Overview and Context
    • Commissioning Intentions
    • Categories
    • Process and timescales
    • Support for Market Development
    • Questions
  • 3. The Review Team
    • Tracie Rees, Director of Strategic Commissioning, Leicester City Council
    • Harminder Basra, Project Manager for the Review
    • Rebecca Hayward, Business Analyst for the Review
    • Nicola Hobbs, Lead for Contracting and Procurement
    • Joanna Bunting, Legal Services
    • Joseph Michael, Equalities Lead
  • 4. Overview & Context
    • Leicester City Council spends a significant amount of money annually with the Voluntary & Community Sector to provide a broad range of services in the city
    • Adult Social Care spends around £5.4M per year within this
    • There is no planned budget reduction in 2011/12, ASC currently only has a 1 year budget strategy
    • The purpose of the review is to consider the Adult Social Care spends within the VCS, and aligning spend to meet the Council’s strategic objectives in the best possible way
    • Sustaining and supporting the VCS
  • 5. Consulting
    • Adult Social Care has developed overarching commissioning intentions for meeting needs and re-designing services over the next 3 years
    • This necessitates changes across Adult Social Care, including the VCS
    • We are engaging with the VCS to seek their thoughts, ideas and opportunities as well as identifying the risks and difficulties for the VCS
    • We will also engage with our customers and carers for their thoughts, ideas and issues
  • 6. Commissioning Intentions for Adult Social Care
    • Choice and control of peoples support to lead independent lives, Customers have personal budgets to meet their eligible needs, and options to spend this
    • Maximise opportunities from universal services promote social inclusion and community cohesion helping people access other council services
    • Developing local community based alternative services to support and sustain people in their own homes such as supporting the establishment of peer support, befriending services
    • Reduce the use of residential care in favour of supported housing
    • Developing Health & ASC re-ablement services
  • 7. Commissioning Intentions (2)
    • Developing a transparent and equitable charging policy
    • Realigning assessment and care management with general practice and community health services
    • Developing enablement services to support increased independence
    • Clearer co-ordination between corporate strategic commissioning and adult social care specialist commissioning
  • 8. Categories
    • Identified 5 service categories for the review each category has a different role in social care
    • Universal Services
    • Preventative Services
    • Infrastructure Support Services
    • Personal Budget Services
    • Out of Scope
  • 9. Spend on categories in review scope
  • 10. Category Definition: Personal Budget Services
    • Where contracts relate to the provision of care to individuals that is only provided as part of a care or support plan, and where someone must be assessed and eligible for support to receive, these are deemed as Personal Budget Services i.e only where eligible for ASC support (critical or substantial)
    • This provides opportunities for VCS to develop and expand their services to enable people to buy support using their personal budget
    • This is the largest expenditure in the VCS, and often has excellent outcomes.
  • 11. Category Definition: Preventative Services
    • These are defined as a services where the purpose is to prevent, defer or stop the requirement for assessed adult social care personal budget services in the future
    • It could be argued that many services fall into this category, but the key factors are:
      • There must be evidence or outcomes to demonstrate a real reduction in the need for social care e.g. befriending schemes
      • There need not be a positive assessment of eligible need in order to access a preventative service e.g. advice and information services
  • 12. Category Definition: Infrastructure Support
    • Where contracts relate to support for individuals to access or navigate through a social care pathway, these are classed as Infrastructure Support.
    • There need not be a positive assessment of eligible need in order to access an infrastructure service but more generally there will be.
    • Services may include:
      • Advocacy
      • Engagement
      • Support planning & brokerage
      • Specialist advice and guidance
  • 13. Category Definition: Universal Services
    • Where contracts relate to the provision of services that is available to anyone in the city without a social care assessment eg: leisure and cultural services, libraries
    • These are not generally contracts held by Social Care
    • However Adult Social Care has a limited number of these type of contracts where the universal service is targeted to those with health and social care needs
  • 14. Category Definition: Out of Scope
    • Some VCS contracts have been excluded from this review, these will considered in separate reviews:
    • ASC held contracts for Corporate Infrastructure
    • Welfare Law Advice
    • Meals on Wheels
    • Corporate Universal Services
    • Recently let or one off contracts
    • Residential Care Services
  • 15. Category Definition: Contracting Approaches Category Likely Approach Personal Budget Services Contracts will be flexible with the Council or direct with the individual. With the Council where still needed there will be flexibility through core element which reduces over time, and a variable element which can exceed current contract levels through people choosing the service Preventative Services Contracts will be outcome based and will deliver to meet specified commissioning objectives. Infrastructure Support Services Contracts will be will be outcome based and aligned to commissioning objectives Universal Services Contracts will be will be outcome based and aligned to commissioning objectives Out of Scope N/A
  • 16. Proposed Timetable and Process (1) Timetable Process and principles agreed with Cabinet July
    • Start Review
    • Develop Implementation plan
    • Set up VCS Task Group
    • Establish VCS Project Board
    • Identify staffing resources
    • Provider scoping and spend mapping
    • Identify core commissioning priorities for consultation
    • Identify stakeholders
    • Identify service users and carers
    • Initial stakeholder and provider meetings
    • Complete market analysis
    • *Community Care assessment
    July, August, September
    • Consult on emerging and future changes (12 weeks)
    • Providers
    • Service Users
    • Carers
    • Partners
    • Members
    • Other stakeholders
    October, November, December
  • 17. Proposed Timetable and Process (2) Timetable
    • Review current services
    • Map current services against emerging priorities
    • Identify services to be remodeled/decommissioned
    • EIA on current services
    December - January
    • Consultation Feedback
    • Review stakeholder comments & update/revise commissioning intentions
    • Finalise Commissioning priorities
    December - January
    • Consult on Interim Proposals (12 weeks)
    • Providers
    • Service Users
    • Carers
    • Partners
    • Members
    • Other stakeholders
    February, March, April 2012
    • Sign Off
    • Sign off / approval on decisions
    • Implement decisions and advise stakeholders
    • Final portfolio of service to be commissioned approved by Cabinet
    May 2012
    • Design and develop new services for future implementation
    • Develop services specifications & prepare ITT
    • Work with VAL to deliver PQQ/tender advice sessions
    June 2012 onwards
  • 18. Equality Impact Assessment
    • The equality duty requires public authorities to have due regard to the need to eliminate discrimination, advance equality of opportunity and foster good relations.
    • Equality Act 2010 (Specific Duties) Regulations 2011. Requires public authorities to publish:
      • equality objectives, at least every four years
      • information to demonstrate their compliance with the equality duty, at least annually
        • to include, in particular, information relating to their employees and service users.
  • 19. Equality Impact Assessment
        • Will will carry out a number of Equality Impact Assessment to assess the impact of what we do on protected characteristics defined under the EA 2010.
    • Protected Characteristics are: Age, Disability, Gender reassignment, Marriage and civil partnership, Pregnancy and maternity, Race, Religion and belief, Sex and Sexual orientation.
    • EIA’s will be undertaken on all recommendations
  • 20. Communication and Engagement
    • Regular Meetings with a Consultative Group (frequency monthly?)
    • Engagement with the full VCS sector via written communications and website
    • Written communications to all relevant VCS organisations
    • Full information on the LCC website (progress, consultations, documents, reports)
    • Formal consultations based on meetings, questionnaires and feedback and the website
    • Asking all providers to pass on the relevant information to their customers and relevant people
    • VAL to support the VCS
  • 21. Personalisation
    • What does this mean for you as potential providers?
    • New Opportunities
    • Reshape or remodel services
    • Build capacity
    • Working in partnership
    • Marketing and Promotion
  • 22. Support for Market Development
    • Choose my Support
    • Voluntary Action Leicestershire (VAL)
    • CaSE-da - Co-operative & Social Enterprise Development Agency
  • 23.
    • Choose My Support   is an online marketplace for social care and associated services and products
    • Services and products are available for the citizens of Leicester and Leicestershire to browse, compare and purchase. 
    • It aims to provide potential customers i.e. service users, carers, self-funders, brokers, with a wide choice of services and products
    In order to ensure that service users are kept safe, all providers on the site must go through a simple approval process. [email_address]
  • 24. Service providers are required to electronically ‘upload’ relevant documents and submit the required information in order for these to be verified by Leicester City Council administration staff. In the main, only the ‘uploading’ of a CQC registration document and submission of a completed ‘Self-Assessment Questionnaire’ is required at present for the approval process. Approval is made on the basis of the CQC registration and self-assessment questionnaire alone and such approval does not imply acceptance or endorsement of any other information contained within any extra documents.
  • 25. Support for Market Development
    • Voluntary Action Leicestershire (VAL)
    • David Barsby
    • Tel: 0116 257 5024
    • www.valonline.org.uk
    • David.b@ valonline.org.uk
    • -------------------------------------------
    • CaSE-da (Co-operative & Social Enterprise Development Agency)
    • Dorothy Francis
    • Tel: 0116 222 5010
    • www.case-da.co.uk
  • 26. Any Questions?
  • 27. Contacts :
    • Contacts for more questions:
    • Harminder Basra – Project Manager 0116 252 8871
    • Harminder.Basra@leicester.gov.uk
    • Rebecca Hayward – Business Analyst 0116 252 6769
    • Rebecca.hayward@leicester.gov.uk