Presentation Slides

1. Providing Support in People’s Homes
Spot Accreditation
Provider Engagement Event
16th October 2017

2. Welcome and scene setting
Daisy Sanghera
Deputy Head of Service
Integrated Community Support Commissioning

3. Agenda
• Outline of current priorities
• Detail of needs and current services
• Proposals for spot accreditation
• Detail on framework process
• Feedback on our proposals
• Chance to network

4. Housekeeping
• Fire exits and alarms
• Toilets
• Refreshments/breaks
• Mobile phones
• Transparency

5. Context
• Rising demographic of need: Over 85’s,
dementia, people with disabilities living longer,
long term conditions
• Significant financial pressure
• Recruitment and retention of staff issues in
various sectors
• People wanting choice and control
• Technology

6. The Vision for 2020
• More personal budgets/personalised packages
of care/self funders
• More variety of solutions
• More use of technology
• Better use of community facilities
• Less divide between health, social care and
community support
• Consistency between ‘care groups’

7. ACS Commissioning
Community Wellbeing
Commissioning
•Preventative services that
promote independence
and wellbeing.
• 8 theme areas:
• Promoting Mental Health and
Emotional Wellbeing
• Supporting Carers
• Information and Advice
• Staying Active and Physically
Well
• Living Well with Long Term
Conditions
• Reducing Social Isolation and
Maintaining Independent Living
• Keeping People Out of Hospital
• Connecting and Developing
Individuals and Communities
• Reducing Substance Misuse
and Promoting Safer
Communities
Integrated Community
Support Commissioning
•Support to enable
independent living at
home.
• Key services
• Support at Home (homecare)
• Specialist care at home.
• Older peoples day services.
• Community Equipment
• Flexicare
Integrated Accommodation
Commissioning
•Enable choice of
accommodation options to
support health and
wellbeing.
• Key services:
• Enablement, intermediate care
residential care homes and
respite
• Housing Related Support
• Supported living
accommodation
• Accommodation services for
people experiencing domestic
abuse
• Crisis prevention services for
people with complex needs
• Shared Lives
• Learning and workforce
development opportunities for
providers to raise care quality
Integrated Health and Care
Commissioning
•Improved health within
Hertfordshire’s population.
•Key focus:
•Integrated commissioning
between HCC and
Hertfordshire CCG
•Adult Learning Disability,
Child and Adolescent Mental
Health
•Adult and Older People’s
Mental Health services
Prevention Response

8. Three Key Areas
1. Community First approach – i.e. more
community based support
2. Transforming Accommodation
3. Spot Accreditation - All Providers, all
types of support, all groups of service
users. Encourage flexible use of services

9. Providing Support in
People’s Homes
Spot Accreditation
Kirsty Hough
Commissioning Manager
Support at Home

10. What we already commission
• Commission approx 2 million hours of home
care a year
• Supporting approx 4,500 adults living in
Hertfordshire
• Flexi care is delivered in addition to this
• Ten District and Borough areas, plus two areas
that cover the more rural parts of the county
• 4 Lead Providers, 39 active Spot Providers
• Current spot contracts expire December 2017

11. Unmet Need

12. Framework - Stage 1 Requirements
• CQC registration for 1 year for the location to be used to
deliver the contract
• Or sufficient evidence of corporate experience if this is to
be added as new location
• Delivering 75hrs care (minimum) – private and/or LA
• Hertfordshire Care Standard
• Price
• Compliant electronic monitoring system
• Insurance
• Financial Assessment – case by case basis to include
turnover, business plan, accounts
• Ability to meet the contract requirements

13. The Hertfordshire Care Standard
• A sustainable wage
• Attracts staff who can deliver a quality service
• Payment for travel and training time
• Worker choice of contract
• Values based recruitment practice
• Supports good quality mandatory training
• Career progression and training
• Care that meets the Council’s expectation
• a compassionate and kind work force, respecting the dignity
of service users and people who are committed to working
in partnership with carers to provide the best possible care.
• Resources to promote service user choice and control over
their care.
• Working towards HCPA Silver Membership within 12 months

14. Price
• Flat or variable rate
• Range – up to £20.00 per hour for specialisms
Weekday Evening Weekend
Bank
Holidays
% of week 45% 26% 27% 2%
100 hrs 45 26 27 2

15. Price (cont)
Call Duration Minutes Paid % of rate paid
0:00-20:59 15 40%
21:00-35:59 30 60%
36:00-50:59 45 80%
51:00-60:00 60 100%
60+ Pro rata of hrly rate Pro rata of hrly rate
Call Duration Minutes Paid % of rate paid
0:00-14:59 15 25.00%
15:00-24:59 20 33.33%
25:00-34:59 30 50.00%
35:00-44:59 40 66.67%
45:00-54:59 50 83.33%
55:00-64:59 60 100.00%
65:00 + Pro rata of hrly rate Pro rata of hrly rate

16. Insurance
Minimum Levels of cover:
• £10m Public Liability
• £10m for Employers Liability
• £5m for Professional Liability
• £10m for Medical Malpractice

17. Additional Information
• Affiliations
• Management structure, office staff
structure, number of active employed care
workers
• Branch monitoring visit prior to call off

18. Questions in Groups
• Are we missing anything from the Stage 1
Requirements, or is anything unclear?
• Would you prefer a flat rate approach or
variable?
• What do you think of the proposals for
changing the bandings?
• Would anything we have discussed prevent
you from applying?

19. Contract Award & The Call Off
Caron Jackson
Commissioning Officer
Integrated Community Support
Commissioning

20. Procurement/Contract Details
• Publish contract notice and Invitation to Tender issued:
January 2018
• Evaluation: March 2018
• Contract Award: March 2018
• Service goes live: July 2018 (3 month mobilisation)
• 3 year framework from July 2018
• Framework open 6 monthly for new applications
• Eastern Region Contract
• Direct Award to current providers who are successful in
applying

21. • One stage process through Intend
• Stage 1 requirements will be pass/fail
• Ensure you fully understand the Council’s requirements.
Use the clarification period to ask questions if in any doubt
• Have someone else review your proposal before you
submit it for evaluation (to make sure it makes sense to
them)
• Ensure you allow plenty of time to upload your proposal –
avoid last minute submissions
Procurement: our likely approach

22. E-Tendering portal (In-Tend) www.supplyhertfordshire.uk

23. Service Type Personal Care Non Personal Care
Rapid Response
Older People (65+)
Physical Disability (18-65)
Young People (18-25 SEND)
Learning Disabilities
Dementia/other neurological conditions
Mental Health
Carer support
Learning Disabilities
Live in care
Health conditions
Districts
Call Off Options

24. The Call Off
• Suitability Criteria
• 1 – Geographical Area
• 2 – Service User group
• 3 – Service User Choice
• 4 – Ability to Meet Needs of the Service User
• 5 – Start Date
• 6 – Price
• Providers will not be called off until a satisfactory monitoring
visit has been completed
• If you are not on the framework you will not receive any
packages from HCC

25. County Split

26. County Split (cont)

27. Questions in Groups
• What do you think of the procurement time frames?
• What do you think of the proposed duration of the
framework (3 years) and re-opening 6 monthly?
• Are there any call off groups we are missing?
• What do you think of the call off criteria – is there
something else we should be including?
• What would be your preference re geographical contract
areas – larger block areas or more localised targeted
areas?
• Is there anything we have discussed today that would
prevent you from applying?

28. Next Steps
• Development of procurement documents
• Further PPME events
• Ensure you are registered with Intend/Supply
Hertfordshire
• ITT in January 2017

29. What We Will Circulate
• Slides
• Hertfordshire Care Standard
• Electronic Monitoring Specification
• Write-up / summary of Q&A
• Feedback Form

30. thank you
acscommissioning.support@hertfordshire.gov.uk