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Planning for social care provider failure

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Slides from a development workshop on planning for provider failure

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Planning for social care provider failure

  1. 1. Planning to Fail Contingency planning for care provider failure Development workshop, Leeds 12 May 2015
  2. 2. Support landscape Market shaping IPC Market resilience Cordis Bright Contingency planning LGiU/ADASS MonitoringEngagement Intervention
  3. 3. Failure rate • of councils had a residential, domiciliary or specialist care provider fail in the last 12 months • 63% at least one residential care failure • 48% domiciliary care failure • 5% specialist care failure 77% 77% 63% 48% in the last 12 months
  4. 4. Trouble on the horizon? 74% thought provider failure likely or very likely in 12 months 3% 44% 41% 11% Don't know Unlikely Likely Very likely 7% 37 %49 % 7% 19 % 65 % 16 % 0% DomiciliaryResidential Specialist
  5. 5. Readiness ratings 4400% 3900% 3000% 0 0.25 0.5 0.75 1 Residential Domiciliary Specialist Prepared Very prepared Less prepared
  6. 6. Having a plan • Have some kind of plan in place • Have a comprehensive plan in place 36% 59% 4% Comprehensive plan Some plans No plan 36% 96%
  7. 7. What is failure? • Financial failure • Workforce failure? • De-registration/ safeguarding • Natural disasters The inability to carry out contracted activities? • Nursing de-registration • Workforce failure? • Geographic-area failure • Retirement, fed-uppedness • withdrawal from market HARD FAIL SOFT FAIL
  8. 8. What is failure? The inability to carry out contracted activities? FAST FAIL SLOW FAIL
  9. 9. When is failure? When should contingencies be triggered? Signs of failure Reaction Complaints Cash flow Monitoring Embargos Workforce CQC???
  10. 10. What is failure? When a care provider is no longer able to carry out its es in full OR is unable to do so without support and interve e means failure, but failure does not necessarily mean clo Failure implies fault. Not always the case. Failings are not failure.
  11. 11. Facilitated discussion • How do we define failure? • Top tips on managing failure.
  12. 12. What should contingency support / provider failure toolkit look like?
  13. 13. Progress so far • Survey • Background interviews • Some case studies • Development events • Case studies: good residential care, specialist care, provider perspective, user perspective • more sample plans • understanding trigger points • Business continuity/ emergency planning DONE NEEDS
  14. 14. Background and use Typology of failure Case studies Contingency plan template Existing plans Developing your plans What we were thinking
  15. 15. Developing plans • What can a local authority do in advance to make it easier to deal with provider failure when it happens (contract conditions and provider engagement for example)? • What plans should a council have in place to manage provider failure? • Who should be involved (other services/ other local bodies/ neighbouring councils/ providers)? • What is the role of elected members? • Is there a need for sub-regional governance? Workshop 1: Thinking about contingency planning
  16. 16. What do you think? • What would you like to see in the guidance? • What kind of specific tools would be useful to you? Workshop 2: Shaping the Guidance
  17. 17. Next steps • Circulating to reference group • Drafting guidance, May-June • Testing workshop, end June • Virtual reference group, • Publication, July
  18. 18. Contact us Ingrid Koehler Senior Policy Researcher ingrid.koehler@lgiu.org.uk Lauren Lucas Head of Projects lauren.lucas@lgiu.org.uk www.lgiu.org.uk

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