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Colin Horne
Agenda
1. Which Provider’s Perspective
2. Duty Towards the Market
3. Prevention & Wellbeing
4. Market Oversight
5. Consumer Information
6. Implication of Financial Charges on Providers
Introduction to
• Universal Domiciliary Care Provider
• Supported Living Services
• Operating Across 3 Counties
• Employ 650 Staff
• Delivering 1.3 Million Hours of Care pa
Which Provider?
Duty Towards The Market
Market Position Statements
Care Providers
Understand our Market
Demographics
Structure Services & Processes to
Deliver against the Identified Market
Need
Recruit & Train Personnel to
Deliver
Assess & Control
Quality of Delivery
Providers will have Difficulty Figuring Out what MPS means for them at a Local Level
Challenges for Providers & Commissioners
Duty Towards The Market
Domiciliary Care is a broad & diverse market delivered by a wide range of smaller providers who are not structured to operate strategically. Care Providers have a Typically reactive (non-strategic) approach
Self Funders & Obligation to arrange care
Emergence of franchises may introduce a more strategic approach amongst some smaller providers• Still have a problem of lack of resources to invest in
a strategic approach
Care Bill clearly assigns responsibility to the LA for the:
Analysis of the local market Market mapping & identification of gaps in the market in terms of
needs not being met through local service provision Communication of services available to the market Market Shaping. (Developing services that are best for local
communities.)
Duty Towards The Market
Conclusion LA will need to drive Market Developments in line with MPS by
implementing focused & specific procurement strategies
Trusted relationships with existing providers may provide the platform to fill some gaps in the market that open up and to Pilot new Services
• Sign posting• Enablement
Prevention & Wellbeing
Requires Providers to Adopt a more Holistic Approach towards SU :
Providers Need to Pro-Actively Link into the Activities of the Local HWB (or be linked in) to Support & Promote Local Initiatives
Reasonable for LA to Pass on significant Responsibility to Providers
• Assess Needs of SU & Carer (where applicable)• Plan Care & Support• Make Recommendations about Other Activities• Review & Re-Assess
Prevention & Wellbeing
Big Society
Gathering Information
Implementation Planning
Work Force Training
ID of Service User Needs
Dissemination / Sign Posting
Review & Feedback
Market Oversight
LA has a duty to provide continuity of care including self funders
Financial viability of Providers – Pricing (Cost+ Model)
Ratings :• A Welcome Re-Introduction• Ratings are a Carrot & a Stick• Suppliers Concerns over Consistency
Contingency Plans
Diversification of Providers: • Big is not bad / Small is not always good• The Challenge is to get the Balance right
Consumer Information
Prosecution for Misleading Information
Providers don’t typically do a lot of Information Dissemination Problem is recruitment Criminal Prosecution for SU families out to get you
Dissemination of Information (LA)
Universal Help Line Websites E-Market PPF
Implications of Financial Changes on Providers
? Whether we have to differentiate & separately account for domestic services:
• Cleaning• Shopping
Importance of Being able to Start and Accurately maintain the Meter
LA Commissioning for Self funders Exerting Downward Pressure on Fees
Overall Conclusion (DCA Provider’s Perspective)
Tightening and Crystallising what already exists:• Personalising Care & Support Planning including Requirement
to be Flexible• Protecting Adults from Abuse & Neglect• Ratings
Opportunity & Political Will to Drive through the Holistic Approach to Care that we have been Striving for
