Quality Services in Salford

Provider Forum15th January 2010

Keith DarraghInterim Deputy Director

Quality

We know that we have some excellent services in Salford

We know we have many organisations that have been rated good and excellent

All providers can identify staff who have given an extra piece of support or care which has been greatly appreciated by a service user or their family.

Quality – Care Quality Commission

Annual Performance Assessment

National Indicators - messagesPeople who say their health is good or very good is higher than

for comparable authorities

Key National Minimum Standards, improvements needed

Management of medication

Care Planning

Nutrition

Salford Priorities

Improve Quality of Care in 5 Key areas

Medication

Care Planning

Nutrition

Hygiene and Infection Control

Recruitment

Joint Improvement

Build on best practice and local expertise

Using

Joint working teams to build practice and specifications

Contracting processes to support improvement in quality

Salford Care Training Partnership, support, guidance and development

Joint Working Team

City Council – Procurement team, commissioners and operational providers

Salford Providers – Volunteers

Primary Care Trust – Medication and Nutrition

Volunteers – Thank You

• Broughton House• Carewatch (North

Cheshire)• Carewatch (Salford)• Community Homecare

Services• Concern In Homecare• Independent Advocacy

Services (IAS)• Home Focus

• Living Ambitions• Premier Care• Pemberton Fold (C.I.C) • Southern Cross• Swinton Hall • The Fountains • The Willows• Wentworth House

Procurement in Salford

Salford Provider Forum15 January 2010

Mark Griffiths Gary AmosProcurement Manager Head of ProcurementCommunity Health & Social Care

So what is procurement anyway?

• Procurement is a process which encompasses the full life cycle of the asset or service contract.

• The ‘life cycle’ is the period from the initial definition of the business need through to the end of the useful life of the asset or service contract.

• It is about – securing services and products that best meet the needs of users and

the local community in its widest sense.

– Reducing costs and ensuring value for money

The Northwest

3 COUNTY

4 UNITARY

15 METROPOLITAN

24 DISTRICT

1 NATIONAL PARK

Salford City Council % Spend with SME’s

Corporate Procurement

• Mark's procurement group reports into the Corporate Procurement Team (CPT), but works with the Community Heath and Social Care Directorate.

• The procurement service supports, co-ordinates and advises directorates to achieve their objectives in all dealings with third party spend;

in the most cost effective way to achieve year on year service delivery

improvements to ensure compliance with legal requirements

Drivers for change

• Improved service provision quality and capacity• Value for money • “Releasing resources to the front line” • Compliance with UK and European legislation • Best practice procurement • Improved efficiency

Corporate Procurement Objectives

• Sourcing strategy• Category Management• Supplier Management• Market analysis and building capacity • Cost control – monitored at most senior level• Quick wins – areas to focus on• Flexible contract models (e.g. personalisation agenda)

Category Management

• Business wide process covering expenditure with providers and contractors

• An agreed framework for managing specific areas of expenditure to identify the most appropriate and effective approach to future sourcing

• Increasing the value provided by the supply chain• Working in partnership with directorates to provide cost

effective solutions to requirements• Not a cost cutting exercise, but it is a VFM exercise,

including reducing costs

Supplier Management

• Formalised, proactive and robust way of managing, monitoring and developing supplier performance

• It is embedded in the contract but is concerned with the overall supplier relationship rather than around a specific contract

• Way of continuously working with suppliers to improve performance & value

Community Health & Social Care

Procurement Manager Mark Griffiths

Supplier Manager Judith Proctor

Category Manager Andrew Briffa

Procurement Officers Joanne Boardman / Ursula Hurst (2 recruiting)

Procurement Assistant (2 recruiting)

Objectives – meeting outcomes for Salford people• Support and deliver the personalisation agenda• Consistently high quality of care provision• Continuous improvement• Value for money• Sustainable capacity in the market• Innovative, flexible, responsive providers

Benefits

• Procurement, social care commissioners, SCTP, other commissioning partners and providers working to common goals, open communication & transparent dealings

• Trust, honesty & mutual respect

• Aligned systems and processes to reduce costs

• Reciprocal learning to build confidence and competence

• Clear responsibility & accountability

• Robust and flexible contractual arrangements

• Minimise risk to suppliers and to the authority

How will we do it?

• Together, we have lots of ideas but not all of the solutions. Solutions will be generated by joint working

• Evolution rather than revolution• The process has been defined but will change as we;

– work together– play to each of our strengths – find best working practices for ourselves and our

users

Domiciliary Care

• Comprehensive Project• Multi Disciplinary Approach• Develop specification with outcomes and the

personalisation agenda in mind• Best Value Requirements• Planned session to update providers on developments• Tendering workshop

We’ve been thinking . . . .

• Standard accreditation system across the Northwest

• Frameworks

• Tendering toolkit

How do you find out about tenders?

The Chest

https://www.thechest.nwce.gov.uk

Improving Quality of in Care Homes

Objectives of Project

• Care Planning

• Administration of Medication

• Nutrition

New Vision

• Provider engagement• Problems / challenges• Solutions / innovation / improvements• Communication and collaborative working are the key

– Identify Best Practice – which works in practice!– Share the knowledge – through-out the marketplace– Deliver the best possible service to Salford people

Project Plan

• Organise a Provider Workshop 2nd March 2010• All Care Home providers, phased approach • Letter will be posted next week to those involved • Providers will work in groups / teams to respond to our

brief• From the workshop we will have a “supplier led” review • Formal presentation end April by groups of providers• Demonstrate what they have learnt to the wider group

Supporting People – Mental Health

• Re-shaping the Market• Clean sheet review

– Individual discussion with providers– providers to deliver their ideas

• Specific objectives – Improving outcomes– Reducing Cost– Deliver and develop Personalisation

Going forward

• Very exciting time to be involved• Every provider large and small has a part to play • Opportunity to share expertise• Opportunity to get free advice and support • Opportunity for you to influence best practice going

forwards• Opportunity to network with customers, professionals

and like minded colleagues