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4) 16.10.2017 - Providing Support in Peoples Homes Event
- 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
- 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