Www.hertsdirect.org Buying Better Buying for Less Tim Parlow, Commissioning Manager Children &...

www.hertsdirect.org

Buying Better Buying for Less

Tim Parlow, Commissioning Manager

Children & Young People’s Commissioning Team

tim.parlow@hertscc.gov.uk

01992 555749

www.hertsdirect.org

Introduction

• Context

• Theory

• Practical examples

• Questions/discussion

• Information

www.hertsdirect.org

Context

www.hertsdirect.org

What is commissioning?

‘Commissioning is the process for deciding how to use the total resource available for children, young people and parents and carers in order to improve outcomes

in the most efficient, effective, equitable and sustainable way.’

www.hertsdirect.org

Procurement and Contracting are…

• Procurement is the process of acquiring goods, works or services from (usually external) providers / suppliers and managing these through to the end of contract.

• Contracting is the process of negotiating and agreeing the terms of a contract for services, and on-going management of the contract including payment and monitoring.

• These two elements or tools amongst others, form part of the “Do” part of the commissioning cycle. They do not constitute all elements of the cycle.

www.hertsdirect.org

www.hertsdirect.org

Identifying

needs of the

local

community

Monitoring

and

evaluating

Specifying a

service to

meet those

needs

Developing a

service through a

service agreement

The

Commissioning

Cycle

7

What is Commissioning?

www.hertsdirect.org

What is commissioning?

Total Resource available:

• Finance

• Workforce

• Service providers

• Other forms of capital

• Community

• Co-production

Outcomes for children and young people:

• Attendance

• Attainment

•?

• ?

• ?

Commissioning is the most efficient, effective,

equitable and sustainable route

www.hertsdirect.org

The changing landscape…

• Development of Hertfordshire Integrated Targeted Support teams

– Behaviour & attendance– ESC/ESTMA– Central attendance & school employment support– Early years SEND– Educational psychology– Access to education for refugees and travellers– SEND– Specialist advisory service

www.hertsdirect.org

The changing landscape…

• School partnerships

• Schools as commissioners (academies and traded services)

• Schools as contract managers

www.hertsdirect.org

JSNA – Joint Strategic Needs Assessment

• Collection of data around health and social care needs – extensively used already by Health

• Linked to developments in the Health Bill and the Health and Wellbeing Boards

• Legal requirement for commissioners to have due regard to JSNA in service planning & commissioning

www.hertsdirect.org

JSNA – Joint Strategic Needs Assessment

• JSNA Development Board set up

• CSF Joint Board on June 21st to agree service priorities and partner involvement

• Development work ongoing to collate existing needs data, identify current and future gaps and priorities

• http://atlas.hertslis.org/ias/

www.hertsdirect.org

Commissioning Toolkit for Schools

• Gives access to specialist advice written by the experts

• Contains a number of templates for use (not tablets of stone)

• www.thegrid.org.uk/info/office/commissioning/

• The toolkit is specifically for HCC’s:

– School staff purchasing services / goods / works

– Governors

– LA staff supporting schools

13

www.hertsdirect.org

Theory

www.hertsdirect.org

Resources (cost) vs. needs (volume) 15

www.hertsdirect.org

Market management (competition, VFM) 16

Provider 1

Provider 2

Provider 3

Provider 4

School ACompetitionVFM

www.hertsdirect.org

Market management (competition, VFM) 17

Provider 1

Provider 2

Provider 3

Provider 4

School BCompetition

School A

School C

School E

School D

School F

Competition

Increase in price Increase in price

www.hertsdirect.org

Levels of commissioning

National

Regional

Sub-regional

Area or strategic

Locality or practice

Individual

www.hertsdirect.org

Deciding Which Level is Best

• The most appropriate level will be ultimately driven by ability to secure outcomes in the most efficient, effective, equitable and sustainable way.

• The following factors will impact on this decision and the system design:

– Delegation, local democracy, accountability, brokerage and control systems

– Maturity of the local market and provider relationships

– Safeguarding and risks

– Cost of implementation and change management

www.hertsdirect.org

Effort vs. value 20

• Under £5,000 – Minimum of 1 verbal Quote

• £5k - £10k – Min of 2 written quotes

• £10k - £50k – Min of 3 written quotes

• £50k - £156k – Must be Tendered

• (Services/Goods) Greater than £156k Must be EU Tender

www.hertsdirect.org

Effort vs. value 21

• If more than £100k – Must be countersigned by CSF – contact Children & Young Peoples Commissioning Team

• If more than £500k - Must be countersigned by County Secretary

www.hertsdirect.org

Effort vs. value (risk)

www.hertsdirect.org

Practical examples

www.hertsdirect.org

Service development

• Aim to achieve better outcomes at reduced cost

• CAMHS therapeutic input into Adolescent Resource Centre (ARC)

• £189,000pa – 2 specialist clinicians attending consultations with residents at ARC

• Negotiations based on appropriateness, delivery model and clinical discussions

www.hertsdirect.org

Service development

• Partnership work with:– Hertfordshire Health and Community Trust– Young people– ARC staff

• Outcome – new contract with different provider• £100,000pa – broader skills and less specialised• Flexible, responsive service• Working with service users and carers to improve

outcomes

www.hertsdirect.org

Improving Speech & Language therapy provision• Aimed to

– Improve VFM– Develop more responsive service– Create mix of SLT skills sets in relation to

need• Collective negotiating power, economy of scale• Spot purchasing, duplication, paying twice• Not all sessions delivered – no audit trail

www.hertsdirect.org

Improving Speech & Language therapy provision• Improvements focused on:

– Performance

– Payments by performance

– More for less asking for support with tribunal cases

• Service re-design underway

• New joint contract with Health from Sept 2011

www.hertsdirect.org

Buying organisations

• Hertfordshire Business Service (HBS)

• Central Buying Consortium (CBC)

• Eastern Shires Purchasing Organisation (ESPO)

• Pro 5 (CBC, ESPO, WMS, YPO & NEPO

www.hertsdirect.org

Water Coolers

• Bottled Water: Cooler unit rentals vary from £2.08 to £3.17 per month (includes sanitisation). Bottled water ranges from £3.64 to £3.74 per 18.5 litres.

• Point of Use Dispensers (i.e. plumbed in): Rentals range from £10.00 to £11.25 per month (all of the above available from ESPO contract 988 with Cooler Aid, Pressure Coolers and Eden Springs)

www.hertsdirect.org

Washroom ServicesWashroom / Hygiene Services

• Hand Dryers: rental from £60 to £300 p.a.

• Sanitary Units: £1.20 per 23 litre bin lift

• Dust Mats: rental from £104 to £236 p.a.

Roller Towel Cabinet Rental & Laundry Service

• Free on Loan cabinet plus 91p per autoroll All on CBC Contract No:18411 with Cannon, Initial and PHS

(New improved rates as from 1 February 2011)

www.hertsdirect.org

Waste Disposal and RecyclingStevenage Borough Council

• Collection of residual waste – charges from April ’10

1100l - £7.40 660l - £6.05 240l - £3.80

• Cardboard recycling – charge £6.70 per cage

• Dry recyclables: paper, glass, cans, plastic bottles Free of charge fortnightly collection – bins provided

www.hertsdirect.org

Questions/discussion

www.hertsdirect.org

Information

www.hertsdirect.org

Fire Extinguisher Maintenance

CBC Contract with Chubb

• 22 pence per extinguisher per inspection

• Spares at list price less 40%

• No attendance fee

www.hertsdirect.org

Portable Appliance Testing (PAT)

• Target Price: 85 pence per item

• Hertfordshire Technical Services (part of Hertfordshire Business Services) provide this service

www.hertsdirect.org

Waste Disposal and RecyclingSt Albans District Council

• No waste collection service offered by St Albans

• Currently no wider consortium contract available (attempts from ESPO http://www.espodealingdirect.org/ contract 379 for details)

• Contract with the private sector. Benchmark rates circa £9 per 1100 litre lift

• Recycling of paper, cans and plastic bottles is provided FOC but no internal boxes provided.

• Contact Recycling Officer Louise Palmer at louise.palmer@stalbans.gov.uk

www.hertsdirect.org

Waste Disposal and Recycling Welwyn Hatfield Borough Council

• Collection of residual waste via SERCO .

Rates vary but are approximately:

- £12.79 per 1100l lift if a school has 2 bins

- £12.11 per 1100l lift if a school has 3 bins

• Recycling of cans, glass, food and garden waste, paper and card. Request bins from Council – number of bins varies for schools size

• Collection of recyclables by SERCO – no charge to school.

• Welwyn Hatfield contact c.walker@welhat.gov.uk

• SERCO contact rebecca.pearce@serco.com

www.hertsdirect.org

Waste Disposal and RecyclingHertsmere• 1 x 660L Euro (inc. rental & collection charge but excludes

disposal/landfill charge) = £296.53 ex vat

• 1 x 1100L Euro (inc. rental & collection charge but excludes disposal/landfill charge) = £462.32 ex vat

• Customer services on 0208 207 2277 gill.stevens@hertsmere.gcsx.gov.uk

• Free recycling workshops contact gemma.godfrey@hertsmere.gov.uk

• http://192.168.61.23/environmentplanning/recyclingandwaste/schools_2/recyclingschemes.jsp

www.hertsdirect.org

Waste Disposal and RecyclingNorth Herts• Waste Charges• 1100 litre container £110.70 per quarter (£442.80 p.a)• 660 litre container £86.30 per quarter (£345.20 p.a)• Debbie Hookham on 0800 328 6023 or

debbie.hookham@north-herts.gov.uk 

• Recycling: roll out of FOC recycling trial 10/12 school at a time.

• Food/card/glass/cans• To access recycling services need to be using NH for trade

waste and also need to ‘significantly participate’ in scheme• Joanna.lines@north-herts.gov.uk

www.hertsdirect.org

Waste Disposal and RecyclingBroxbourne

• Waste £6 per 1100 litre lift plus £7.90 per month bin rental

• Most schools in District use

• Peter Linkson: pl.broxserv@broxbourne.gov.uk

• FOC recycling of paper, card and cans

• Tina Finch: 01992 642240

www.hertsdirect.org

Waste Disposal and RecyclingEast Herts

• Waste £449 per 1100 litre bin p.a.

• Admin charge £66 p.a.

• 46 lifts a year: term time plus 1 lift at Christmas & Easter and first and last weeks of the summer holidays

• Free collection of recyclables, providing 240 litre bins for paper, glass and cans

• Trevor.Watkins@eastherts.gov.uk

www.hertsdirect.org

Waste Disposal and RecyclingWatford• Waste 1100 litre euro bin - £7.35 per empty

• 660 litre euro bin - £5.95 per empty

• Hire charge per bin for all bin sizes listed above (if bin not purchased) £1.10 per week

• http://www.watford.gov.uk/ccm/navigation/environment-and-planning/recycling--rubbish-and-waste

• environmentalservices@watford.gov.uk

• Council can collect plastics, paper, cardboard and glass

• Recycling team on tel: 01923 235946

www.hertsdirect.org

Waste Disposal and RecyclingThree Rivers• Waste collection currently £222.55 per 1100litre lift for 6

months

• From April 2011 charge is £232.56

• 46 collections per year

• Jennie Moore (Environmental Projects Officer) 01923 727069

• Recycling FOC

• Plastic/cans, paper, glass, cardboard, garden and food waste collected fortnightly

www.hertsdirect.org

Waste Disposal and RecyclingDacorum BC

• Waste collection

• £5.97 ex VAT per lift of 1100 litre bin

• £68.74 ex VAT for rental of 1100 litre bin

• Jean.marsh@dacorum.gov.uk

• Recycling FOC – paper, plastic, cans, cardboard, food/garden waste

• Ashling.cronin@dacorum.gov.uk

www.hertsdirect.org

IT Related Products & Associated Services

• Pro5 contracts awarded by ESPO

• Desktops, Notebooks, Laptops, Servers, Hand Held Devices and Local Area Network Room equipment

• Network Support

• Special Needs

• Software

• Source via Hertfordshire Supplies: Claire Taylor

www.hertsdirect.org

HCC Managed Telephone Service• Free calls to over 250 other schools on Comnet and to core HCC

offices

• Local and National calls at 1 penny per minute

• Calls to mobiles at 7.8 pence per minute (average)

• First line fault reporting service

• HCC pay the suppliers and recharge quarterly to the schools

The HCC Telecoms Section is happy to carry out a free review of a school’s telephony arrangements. Contact Gerry Causer, Voice Services Officer: gerry.causer@hertscc.gov.uk

www.hertsdirect.org

Reprographics• CBC/ESPO Document Solutions contract 1770/272D. Runs until March

2012.

• Covers whole range from printers/scanners, standalone copiers, networked copiers and print room equipment

• Four manufacturers of copiers - Canon, Konica Minolta, Ricoh, Sharp

• Contract conditions – operational lease

• Copy cost in region of 0.4p b/w and 5p colour

• Quarterly rental over 3, 4 or 5 years

• HBS advice see page 903 of 2010/2011 catalogue!

www.hertsdirect.org

Toner and Cartridges

• Reduce requirements and range by networking

• Competitive market – consider non-branded, re-manufactured or a programme of re-filling.

• Keep up to date on pricing and shop around!

www.hertsdirect.org

Copier Paper

• Competitive commodity market

• Prices fluctuate

• Shop around – be aware of grade of paper and loss leaders

• Buying in bulk

Advice and quotes from Juliet.Cameron@hertscc.gov.uk