LONDON CARE AND SUPPORT FORUM

18/09/13

TRI-BOROUGH ADULT SOCIAL CARE COMMISSIONING TEAM

THE TRI-BOROUGH PROGRAMME

• Context• Introduction to the team• The activities of market facilitation • The Market Position Statement• Questions

Demographic pressures and projected increase in demand

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INCREASING DEMAND

2012 - 2020

Draft Care and Support Bill

“1) A local authority must promote the efficient and effective operation in its area of a market in services for meeting care and support needs with a view to ensuring that any person wishing to access services in the market:

(a) has a variety of providers to choose from;

(b) has a variety of high quality services to choose from;

(c) has sufficient information to make an informed decision about how to meet the needs in question.

(2) In exercising that duty, a local authority must have regard to the following matters in particular—

(a) the need to ensure that the authority has, and makes available, information about the providers of services for meeting care and support needs and the types of services they provide;

(b) the need to ensure that it is aware of current and likely future demand for such services and to consider how providers might meet that demand;

(c) the importance of ensuring the sustainability of the market (in circumstances where it is operating effectively as well as in circumstances where it is not);

(d) the importance of fostering continuous improvement in the quality of such services and the efficiency and effectiveness with which such services are provided and of encouraging innovation in their provision.”

An example of a tri-borough market

• Home Care predicted spend 13/14• LBHF   £7.2m• RBKC  £4.55m• WCC £10.63m• Total £22.38m

• Direct Payments predicted spend 13/14• LBHF £5.68m• RBKC £3.58m• WCC £5.89m• Total £15.15m

Introduction

• Tri-Borough Adult Social Care – assessment and care management teams / in house provider services / commissioning

• There is no Tri-Borough legal entity – the three boroughs retain sovreignty

• Significant savings made through reductions in senior management, joint commissioning and procurement, streamlining processes.

The Commissioning team

• Executive Director – Sue Redmond (till 11/10/13) then Liz Bruce• Director of Procurement, Contracts, Business Intelligence and

Workforce (acting Director of Commissioning) – Martin Waddington

• Head of Community Commissioning – Paul Rackham• Head of Complex Commissioning – Mary Dalton• Head of Contracts and Procurement – Sherifa Scott• Head of Business Intelligence – Mike Rogers• Lead for Personalisation – Toni Camp• Assistant Director of Joint Commissioning – Cath Atlee• Head of Joint Commissioning Older People and Vulnerable Adults –

Monique Caryol• Head of Joint Commissioning Mental Health – Shelley Shenker

The activities of market facilitation(from IPC)

Market intelligence

Market structuring

Market intervention

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The development of a common and shared perspective of

supply and demand, leading to an evidenced, published,

market position statement for a given market.

The activities designed to give the market shape and structure, where commissioner behaviour is visible and the outcomes they are trying to achieve agreed, or at least accepted.

The interventions commissioners make in order to deliver the kind of market believed to be necessary for any given community.

Some examples of what we are doing now

Market Intelligence

History of commissioning reviews

JSNA Deep Dive Reports – Supported Employment / Learning Disability

Market Position Statement

Market Structuring

Tri Borough Older Peoples’ Day Services Providers Forum

Soft market testing of the principles for an outcome based specification

Different contract models in supported housing

Market Intervention

People First website

RecommendCare

Innovation Grant Funding in RBKC and H&F

Workforce development with Home Care providers

We want to do more, so what next

Market Position Statement•What works? •What doesn‘t? •What next?

•Market Intelligence•Have you been involved in providing or using any?•What would you like to see more of?

•Market Structuring•Have you been involved in any of these type of activities?•What would you like to see more of?

•Market Intervention•Do you know about any of these services?•What else can we do?

Useful information

• www.recommendcare.com/• A website for people to use to feedback on the quality of their homecare service• www.jsna.info • Reports and information as well as the JSNA for each borough• www.rbkc.gov.uk/healthandsocialcare/peoplefirst/gettingintouch/policyandleaflet/adult

spolicy/marketpositionstatement.aspx• The Tri-Borough Market Position Statement• www.peoplefirstinfo.org.uk/• RBKC and WCC website for people who use services, people who provide services

and anyone who needs to provide advice and information

Contacts

• Mary Dalton, Head of Complex Needs Commissioning• mdalton@westminster.gov.uk

• Paul Rackham, Head of Community Commissioning• Paul.rackham@rbkc.gov.uk

• Sherifa Scott, Head of Procurement• sscott@westminster.gov.uk

• Martin Waddington, Director of Commissioning, Procurement, Business Intelligence and Workforce

• Martin.waddington@lbhf.gov.uk