next your guide to the ‘integrated services for sensitive claims’ contract a comprehensive guide...

Next

Your guide to the ‘Integrated Services for Sensitive Claims’

contract

A comprehensive guide for people or organisations who are interested in providing services for ACC clients who have survived sexual abuse

Next

About this guide InformationThis guide contains information to help you apply for a contract to provide ‘Integrated Services for Sensitive Claims’ for ACC clients surviving sexual abuse.

HomeThe next page is the ‘Home’ page. It has a list of topics for you to choose from.

Self guidedThe information is arranged so you can access what’s most relevant for you. From the ‘Home’ page, you can go straight to your topic of choice, or work through all of the topics from start to finish.

NavigationYou’ll see these buttons on each page:

Forward to the next page

Return home for a new topic

Back to the previous pageBack

Next

Home

Back NextHome

What you’ll find in this Guide:

Click on a topic above to go straight to it, or work through all of the topics from start to finish using the ‘Next’ button below.

Home

TOPIC 1: What’s changing and why?

TOPIC 2: The new sensitive claims services

TOPIC 3: Different ways of providing the services

TOPIC 4: Pricing information

TOPIC 5: Timeframes and next steps

TOPIC 6: Information and help

Back NextHome


At the end of this topic, you’ll know more about:

• Why change?

• What’s changing

• What this means for you

Back NextHome

Why change?

The short answer is we want to create an excellent service based on past learning, including the recommendations made during an independent review led by Dr Barbara Disley, experiences of former Sensitive Claims clients, and feedback received by providers.


Why change?

What’s changing

What this means for you

“We’ve been extremely fortunate during the new service design to have our client voice represented

by previous ACC clients, who’ve guided us in the right direction along the way.”

Emma Powell, Strategy Manager Sexual Violence

Back NextHome

Catalyst for change

We know we do some things really well and that many providers are delivering excellent sensitive claims services to clients.

It sometimes feels like the current system is about the process and not about the clients, and this change is about turning that around.

We desire that the services you deliver will continually be improved to make them the best possible services available.


Why change?

What’s changing


Back NextHome


Why change?

What’s changing


There are two key changes that you need to be aware of.

1. There will be a new Integrated service for

ACC sensitive claims clients

Back NextHome


Why change?

What’s changing





The integrated service is about Services, the Sensitive Claims Unit and everyone

working together, to continue to build trust and confidence in what we do

together that supports the client in the best possible way.

The integrated service is about Services, the Sensitive Claims Unit and everyone working

together, to continue to build trust and confidence in what we do together that

supports the client in the best possible way.

Back NextHome


Why change?

What’s changing





2. There will be a new

contract for Sensitive Claims, the Integrated Services for

Sensitive Claims (ISSC) contract

The integrated service is about Services, the Sensitive Claims Unit and everyone working



Back NextHome


Why change?

What’s changing





2. There will be a new contract for Sensitive Claims,

the Integrated Services for Sensitive Claims (ISSC)

contract

The new contract is bringing together all providers and services to provide seamless, flexible and safe

interventions for clients.

In future, there will be a single, integrated contract which will, for the first time, include counselling

services.

The Integrated service is about services, the Sensitive Claims Unit and everyone working



Back NextHome


Why change?

What’s changing


In the next section, we’ll outline how the Sensitive Claim services are changing:

• Groupwork Counselling Services

• Counselling for Sexual Abuse

• Psychological Services

• Clinical Psychiatric Services

• Diagnostic and Treatment Assessment

We’ll be aligning these services to the new contract:

Back NextHome


If you currently provide

Counselling for Sexual Abuse under the

Cost of Treatment Regulations:

The introduction of a new contract means:

You’ll be able to work under contract with ACC for the first time.

Pre-cover services (which fall out of scope of the Cost of Treatment Regulations) are integrated into the new contract and delivered by contracted providers.

The Cost of Treatment Regulations will not change and if you choose to continue working in this way, you can continue to provide treatment for ACC covered claims.

If you continue to provide treatment under Regulations, there will be some changes to processes and reporting requirements.Also, for the new contract, there will be some changes to the way we manage sensitive claims business processes and reporting requirements.We want a consistent experience for our clients regardless of how ACC purchases the service. We’ll provide training towards the end of 2014 to help you get ready.

Why change?

What’s changing


Back NextHome


Why change?

What’s changing


If you currently hold a Psychological Services

contract:


Your contract will remain for physical injury and work related mental injury but the sensitive claims component will be removed and included in the new ISSC contract. If you want to continue to provide sensitive claims services, you’ll need to be part of the tender and apply for the new ‘Integrated Services’ contract. If you don’t want to continue providing sensitive claims services, you can expect a variation to your existing contract for the remaining two components.

There will be some changes to the way we manage sensitive claims business processes and reporting requirements.

We’ll provide training towards the end of 2014 to help you get ready.

Back NextHome


Why change?

What’s changing


If you currently hold a Clinical Psychiatric Services contract:


Your existing contract will remain for physical injury, work related mental injury and sensitive claims. The sensitive claims component is also being included in the new Integrated contract, which includes Psychiatry along with the other disciplines. Existing contract holders can choose to:•be part of the tender and apply for a new contract•join a new contract as a named service provider•simply stay on an existing Clinical Psychiatric Services contract, or•any combination of the above options.

There will be some changes to the way we manage sensitive claims business processes and reporting requirements. We want a consistent experience for our clients regardless of how ACC purchases the service. We’ll provide training towards the end of 2014 to help you get ready.

Back NextHome


Why change?

What’s changing


If you currently hold a Diagnostic & Treatment

Assessment contract:


Your existing contract will end. You’ll need to be part of the tender and apply for a new Integrated Services contract if you would like to continue providing sensitive claims services.

There will be some changes to the way we manage sensitive claims business processes and reporting requirements.

We’ll provide training towards the end of 2014 to help you get ready.

Back NextHome


Why change?

What’s changing


If you currently hold a Group work Counselling

Services contract:


Your existing contract will end. You’ll need to be part of the tender and apply for a new Integrated Services contract if you would like to continue providing sensitive claims services.If you are interested in providing this service under the new contract, and do not currently do so, more information will be available in the Expression of Interest.

There will be some changes to the way we manage sensitive claims business processes and reporting requirements.We want a consistent experience for our clients regardless of how ACC purchases the service. We’ll provide training towards the end of 2014 to help you get ready.

Back NextHome



• Key aspects of the new service, i.e.

Pre-cover services

Supported assessment

Treatment

Back NextHome

The new serviceFrom the outset, clients will have quality information about what they can expect from the new service. ACC’s website content will be improved and information packs will be available for a client’s first meeting with ACC, a supplier, or their GP.

You’ll notice changes to how we stage services and to the way we refer to them. In the new service, clients will receive pre-cover services, a supported cover assessment and/or post cover treatment from a coordinated group of providers, or an individual who can provide all of these services.

For the client, the experience of moving from one stage to the next will be smooth, supportive and safe. The service has been designed to encourage collaboration between providers, and minimise the need for clients to retell their story.

The key thing is that the client is supported every step of the way. While there are changes to the stages and how we refer to them, there is no reduction in the number of support sessions available to clients. They’ll be supported to access the appropriate service according to their needs.


Back NextHome

The new service

Click on the picture below to learn more about each of the services. When you hit the ‘Back’ button on the ‘Service’ pages, you’ll return to this page.


Back NextHome

Pre-cover services are made up of the following:

•Getting Started•Early Planning•Support to Wellbeing (short term) •Support for Next Steps

Pre-cover services


Treatment


Introducing ‘Getting Started’

For clients, finding the right therapist is vital. A strong and therapeutic relationship is the foundation for successful therapy. The new service gives a client the opportunity to build rapport with their therapist and to make a choice about whether they would like to proceed with them. It’s also time set aside for clients to learn about how their sensitive claim will be managed and learn what support is available to them.

NEW

Back NextHome



Pre-cover services


Treatment


Early Planning

Early Planning forms part of the early support sessions with clients, and will be delivered at a pace that is appropriate for each client. The purpose of early planning is to find out, as early as possible, what the client needs so they receive the right services in a way that is safe, supportive, and flexible. This might mean moving to a supported assessment as longer term treatment is needed or the client may wish to have short term support as ongoing treatment is not necessary at this stage.

NEW

Back NextHome



Pre-cover services


Treatment


Support to Wellbeing (short term)

This is immediate support for clients who decide they need short term early intervention, and would not benefit from longer term treatment at this stage, so choose not to progress to supported assessment.

Back NextHome



Pre-cover services


Treatment


Support to Next Steps

This is for clients who aren’t eligible for ACC funded services. If this is the case, it ensures the client receives the support they need to consider other options available.

Back NextHome

Collaboration between providers

A requirement of the new Integrated Services for Sensitive Claims contract will be that providers need to align themselves with other providers who can deliver services they cannot, such as the supported assessment.

Supported assessmentThe new service will include a supported assessment which can be over a number of sessions. These sessions could include an introductory meeting with the assessor first (if the assessor is a different person to the original therapist).

•Collaboration between providers •Involving clients early in the assessment report

Pre-cover services


Treatment


NEW

Back NextHome

Supported assessmentThe new service will include a supported assessment which can be over a number of sessions. These sessions could include an introductory meeting with the assessor first (if the assessor is a different person to the original therapist).

•Collaboration between providers•Involving clients early in the assessment report

Involving clients early in the assessment report

Providers will be funded to review their assessment report with the client, prior to it going to ACC, so the client knows what it says and also has the opportunity to correct any errors before it goes to ACC.

Pre-cover services


Treatment


NEW

Back NextHome

Support to WellbeingOnce ACC cover has been accepted, the provider and client will work together on a My Wellbeing plan that will cover up to 12 months ahead. The plan will outline the client’s goals based on what recovery looks like for them. The initial plan might have detail for the first six months, and be high level for the remaining six months – and will be updated once more is known.

•Support to Wellbeing •Maintaining Wellbeing

Pre-cover services


Treatment


Support to Wellbeing

•Support to Wellbeing can be developed for a period of up to 12 months•Providers will be given certainty of funding for up to 12 months•My Wellbeing plans can include additional client needs, for example group work counselling, inappropriate sexualised behaviour services, or family and whānau sessions.

NEW

Back NextHome

Maintaining Wellbeing

•Support to Wellbeing •Maintaining Wellbeing

Pre-cover services


Treatment


Maintaining Wellbeing

We’re introducing new maintaining wellbeing sessions for clients who’ve completed their treatment, are self managing but need a short boost. Clients will be able to go straight back to their provider to arrange pre-approved appointments without needing to contact ACC.

NEW

Back NextHome

TOPIC 3: Different ways of providing integrated services


• The differences between a provider and a supplier

• How you would be expected to deliver an integrated service

• Examples of contract model options for the new Integrated

Services

Back NextHome

Suppliers and providers

1


Key concepts

Delivering an integrated service

Contract model options

A Supplier is the holder of the contract, we mean the person or organisation who hold the contractual agreement with ACC. They’re responsible for supplying the services. You can be a supplier who holds the contract but not provide services to a client.

Then there are providers – they are the people who actually deliver the services covering all the different service stages – pre cover, assessment and treatment. A provider doesn’t hold a contract but provides services on behalf of a supplier.

You can be both – hold the contract and also provide services.

Back NextHome

Three key points we’d like you to know:

1.Pre-cover, assessment and treatment are all part of the same service. These will be seamlessly delivered together under the new Integrated Services.

2.All providers, including ‘teams of one’ will need some backup to cover them for illness, holidays, training, etc.

3.We expect teams will have a designated location that they provide services from, and that they will be able to provide services in more than one location if they wish to do so.


Key concepts



Back NextHome

ProvidersA provider is defined here as the person who directly provides services to a client under the new contract.

SuppliersA supplier is the person or organisation who legally holds one of the new contracts. The supplier can be a company, a partnership or an individual. If a supplier can’t provide all three primary services (pre-cover, assessment and treatment) by themselves as a provider, they will need to bring in other practitioners who can.

Providers will be able to provide services on any number of contracts for any number of Suppliers. It is up to each Supplier how they engage their Providers (ie contract, employee, relationship, formal or informal).

Key concepts



You can be a provider, a supplier, or both.

Some organisations may be large and have professional administration and others may be ‘one-man-bands’.

All of these options are just fine.


Back NextHome

How the new Integrated Service will work in practiceSuppliers will need to show how they will provide all three primary services. They’ll be able to do this by:

•Working with existing providers (eg, applicable for an agency that employs or sub-contracts current providers)

•Creating new relationships with providers(eg, applicable for an agency or individual supplier that forms a partnership or formal/informal working relationship with others)

•Providing all three primary services themselves(eg, applicable where a supplier meets the Integrated Services requirements)

What it means for the clientThe client will benefit from a more seamless experience. If there’s more than one provider delivering the three primary services, they’ll need to work together to ensure the client gets to where they need to, at their own pace and in a highly supportive environment.

Key concepts




Back NextHome

There’s a couple of people we’d like you to meet who might be in a similar situation to you. These scenarios show how providers and suppliers can work together under the new Integrated Services for Sensitive Claims contract.

Key concepts



Janet - psychologist


Dianne - counsellor

Back NextHome

Key concepts



Janet is a psychologist

She is qualified and experienced in doing ACC assessment work from her private practice. She has her own Diagnostic and Treatment Assessment (DATA) contract. She wants to continue doing ACC assessment work in the future, but she doesn’t want to hold an ACC contract.

Janet would like to continue in private practice and set herself up to see ACC clients for assessment one day a week. She has a good relationship with a group of counsellors in her town, and they ask her to join them in applying for an Integrated Service contract. She agrees. Janet becomes a ‘named provider’ for this group, which means she’s named on the group’s Expression of Interest when they put in a tender and apply for a contract. If the group’s tender is successful, Janet will be providing the assessment component of the service for their group.

Janet would like a few more hours a week, so also becomes a named provider for another group. She thinks it’s sensible to be part of several tenders for the contract.


Back NextHome

Key concepts



Dianne is a counsellor

She is qualified and experienced carrying out ACC treatment work under Regulations. Dianne only has a few clients and is winding down her caseload, but she continues to have an active interest in the sector. Dianne decides she would like to hold an Integrated Service contract.

Dianne sets up a business called XYZ Business to hold the contract with ACC. Dianne discusses the contract with Beth (a psychotherapist) and Carol (a counsellor). Dianne lists Beth and Carol as named providers on XYZ Business’s Expression of Interest.

ACC awards XYZ Business a contract. Under the new Integrated contract, Beth maintains her own private psychotherapy practice, and just invoices Dianne each month for the assessments she carries out for XYZ Business. Beth shares Dianne’s rooms when she does the assessments and invoices Dianne at an agreed rate.

Dianne wants to be a named provider on the XYZ contract alongside Beth and Carol, mainly so that she can provide backup coverage when Carol and Beth are on leave or training. Though Dianne is winding down her caseload, she continues to see her existing clients. She moves them onto the Integrated Service for Sensitive Claims contract so that she can more easily provide treatment services.


Back NextHome

Examples of different models

Key concepts



This model represents an agency or larger group of providers working together. Some providers may have particular specialities or the whole organisation may be focused on one client group (ie children).


This model represents a small team that may be working across regional locations. They may be specialists but they don't need to be. They work together to ensure clients receive coverage across the regions but do not need to be in the same location all the time.

This model shows a sole provider. This treatment and assessment provider does all three primary services (with an additional provider for backup to cover illness, holidays and training etc).

supplier entity

treatment provider

treatment provider

assessment and

treatment provider

assessment and

treatment provider

supplier entity supplier entity

treatment provider

assessment and

treatment provider

assessment and

treatment provider

Backup needed for

illness, holidays and training for

all suppliers

Backup needed for

illness, holidays and training for

all suppliers

Back NextHome

TOPIC 4: Pricing Information


• Pricing overview

• Maximum units

Back NextHome

Pricing overview

TOPIC 4: Key Components of the new contract

Maximum units

New indicative pricesThe new pricing has been set by taking into consideration co-payments currently charged by providers, existing market prices and ACC contractual rates.

The new pricing aims to:

•Be fair and reasonable for our suppliers

•Be responsive to client needs – supporting the service design

•Recognise the different experience and qualifications of providers

•Identify additional costs incurred by providers eg. time taken report writing and liaising

•Take into consideration the purchasing methodology and understand that the provider is not

always the supplier of the contract.More information will be available in the Expression of Interest stage. This information will include pricing for additional services, for instance, reports, family and whānau sessions, active liaison, travel and contribution towards client’s who do not attend appointments.

The price will include a small component towards administration costs and there will be no allowance for a co-payment for services under the contract to ensure there is no barriers for clients to access services.

Back NextHome

Maximum units

TOPIC 4: Key Components of the new contract

Pricing overview

Indicative Service Unit Maximums

Primary Services Maximum number of hours per client

Getting Started 2 sessions per client (per therapist)

Early Planning 4 sessions per client

Supported Assessment 16 sessions per client

Support to Wellbeing (short term) 8 sessions per client

Support for Next Steps2 sessions per client (further 2 by prior approval from ACC)

Support to Wellbeing 48 sessions per client over 12 months

Maintaining Wellbeing4 sessions per client per year for 3 years (Max 4 sessions for each 12 month period)

HutchiSA

can we add in a slide with this information next: Here are the maximum units per service, not all clients will require the maximum number of hours. Please note that a client would not access every one of these services. For instance,One client may require longer term support, this would include: Getting started Early Planning Support Assessment Support to Wellbeing Another client may require short term support, this would include: Getting started Early Planning Support to Wellbeing It may be indentified early that the client is not eligible for ACC support and the services this client may access could include: Getting started Early Planning Support for Next StepsIt may be indentified through the supported assessment that the client is not eligible for ACC support and the services this client may access could include: Getting started Early Planning Supported AssessmentSupport for Next StepsWe can also add in additional sessions with family and whanau or a social worker as required during the delivery of these services

Back NextHome



• What a tender is

• The steps and timeframe involved

• What you need to do next and by when

Back NextHome


The tenderA tender is an invitation to the market from an organisation (such as ACC), to submit a bid to provide a specific service, or services. If you decide to bid as a sole practitioner or an organisation, you’ll need to demonstrate how you’ll meet set criteria.

Stage 1: Expression of Interest – tell us about you For ACC’s ‘Integrated Services for Sensitive Claims’ contract, the first stage in the tender is the Expression of Interest (EOI). All you’ll need to do at this stage is let us know you’re interested in responding and generally indicate how you’ll provide the integrated service (on your own, or together with other qualified and experienced individuals) and what your experience, qualifications and knowledge is.

Stage 2: Request for Tender – tell us how you will deliver the servicesThe second stage of the tender is the Request for Tender (RFT). At this stage, you’ll need to express exactly how you’ll deliver the integrated service. This gives you a bit of time between the EOI and RFT to work out the details.

The tender

Timeframes and next steps

What next & by when

Back NextHome

Indicative Stages


The tender


What next & by when

Service Re-design

‘Service re-design’ means that we are

undertaking a complete review of

the different aspects of the service; from the relationship that

ACC has with our clients and providers

to how providers meet our clients’ needs, the outcomes our clients can expect and how

ACC manages its business internally.

Expression of Interest

(EOI)

Suppliers and Providers have

the opportunity to register their

interest in providing the

Integrated services to ACC.Providers will be

asked a few qualifying

questions and how you intend to

work together.

RFP Evaluation & Award Contracts

The evaluation process

identifies the preferred

suppliers and other suppliers are informed of the outcome.

Successful suppliers will be invited to

sign a contract.

Request for Tender

(RFT)

Suppliers who intend on

applying to hold the

contract will need to

provide more detailed

applications explaining how

they will provide the

services described.

ContractsGo-Live

New contracts will be

awarded to successful

suppliers. ACC monitors

implementation and

performance and manages these against

agreed deliverables,

deadlines and price.

to Jan 14 Feb/Mar 14 Aug/Sept 14May 14 Nov/Dec 14

We are here

Supplier Training

ACC will provide a range of

training and training

materials to new suppliers in advance of

Go-Live.

Oct/Nov 14

Back NextHome


So what do I need to do next?

The tender


What next & by when

11

22

33

44

55

Make sure you’re registered on the Government Electronic Tender Service (GETS). Login via www.gets.govt.nz and find ACC’s EOI ‘Integrated Services for Sensitive Claims’ EOI. It’ll be open from 26th February 2014.

Back NextHome



The tender


What next & by when

We’ll only accept EOI’s that have been entered in Trade Interchange.

You will be emailed a link from GETS that will give you access to 'Trade Interchange'. You will need to follow instructions to set up your Trade Interchange username and password. You will use this online tool to record and submit all of your EOI and RFT information to ACC

11

22

33

44

55

Back NextHome



The tender


What next & by when

Login to Trade Interchange and read the ‘pre-reading material’. We recommend reading this as soon as the EOI opens so you have as much time as possible to understand the criteria and get help if you need it.

11

22

33

44

55

Back NextHome



The tender


What next & by when

Gather together the materials you need to answer the questions, including the required information about each provider you are including in your EOI. The EOI will contain blank provider profiles that providers can complete once and give copies to potential suppliers.

11

22

33

44

55

Back NextHome



The tender


What next & by when

Submit your EOI response in Trade Interchange. For sole practitioners and smaller organisations, it should take no more than 30 minutes.

11

22

33

44

55

Back NextHome



The tender


What next & by when

Submit your EOI response in Trade Interchange. For sole practitioners and smaller organisations, it should take no more than 30 minutes.

Login to Trade Interchange and read the ‘pre-reading material’. We recommend reading this as soon as the EOI opens so you have as much time as possible to understand the criteria and get help if you need it.

Gather together the materials you need to answer the questions, including the required information about each provider you are including in your EOI. The EOI will contain blank provider profiles that providers can complete once and give copies to potential suppliers.

The EOI will close on 25th March. You will receive an email from GETS in late April that the Request for Tender is open.

11

22

33

44

55

You will be emailed a link from GETS that will give you access to 'Trade Interchange'. You will need to follow instructions to set up your Trade Interchange username and password. You will use this online tool to record and submit all of your EOI and RFT information to ACC

Make sure you’re registered on the Government Electronic Tender Service (GETS). Login via www.gets.govt.nz and find ACC’s EOI ‘Integrated Services for Sensitive Claims’ EOI. It’ll

be open from 26th February 2014.

Back NextHome

TOPIC 6: More information and help


• Where to get more information

• How to ask for help if you need it

Back NextHome

Where you can find more information about the Integrated Service for Sensitive Claims

•ACC website

•FAQs

•Stakeholder Updates

•Email specific questions that haven't been answered through the first three options to:

[email protected].

Where you can find more information about Trade Interchange (the online tool for entering your EOI)

•Trade Interchange User Guide

Where you can find more information about using GETS

•GETS registration guide (Link to PDF)


More information

Help

These questions and answers may be communicated to all EOI participants where this is appropriate, but participant identities will not be revealed.

Back Home

For help with the EOI once it has officially opened

• Email via Trade Interchange (the online tool for entering your EOI information).

For help using Trade Interchange

• Phone us between 8am-5pm and speak to Sara Brown (04) 816 6911 or Derek Milton (04) 816

7932

• Email [email protected] or [email protected]

For help with technical issues for Trade Interchange (for example, links not working, trouble logging in)

• Phone Kevin Bourke (09) 887 0480.

For Help with GETS

• Email the GETS helpdesk: [email protected]

More information

Help


The team will respond within 48 hours.

The team will respond within 48 hours.

next your guide to the ‘integrated services for sensitive claims’ contract a comprehensive guide...

Documents