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Buying Better Buying for Less
Tim Parlow, Commissioning Manager
Children & Young People’s Commissioning Team
01992 555749
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Introduction
• Context
• Theory
• Practical examples
• Questions/discussion
• Information
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Context
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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.’
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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.
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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?
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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
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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
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The changing landscape…
• School partnerships
• Schools as commissioners (academies and traded services)
• Schools as contract managers
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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
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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/
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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
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Theory
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Resources (cost) vs. needs (volume) 15
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Market management (competition, VFM) 16
Provider 1
Provider 2
Provider 3
Provider 4
School ACompetitionVFM
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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
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Levels of commissioning
National
Regional
Sub-regional
Area or strategic
Locality or practice
Individual
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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
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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
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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
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Effort vs. value (risk)
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Practical examples
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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
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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
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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
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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
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Buying organisations
• Hertfordshire Business Service (HBS)
• Central Buying Consortium (CBC)
• Eastern Shires Purchasing Organisation (ESPO)
• Pro 5 (CBC, ESPO, WMS, YPO & NEPO
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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)
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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)
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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
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Questions/discussion
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Information
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Fire Extinguisher Maintenance
CBC Contract with Chubb
• 22 pence per extinguisher per inspection
• Spares at list price less 40%
• No attendance fee
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Portable Appliance Testing (PAT)
• Target Price: 85 pence per item
• Hertfordshire Technical Services (part of Hertfordshire Business Services) provide this service
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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 [email protected]
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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 [email protected]
• SERCO contact [email protected]
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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 [email protected]
• Free recycling workshops contact [email protected]
• http://192.168.61.23/environmentplanning/recyclingandwaste/schools_2/recyclingschemes.jsp
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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
• 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• [email protected]
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Waste Disposal and RecyclingBroxbourne
• Waste £6 per 1100 litre lift plus £7.90 per month bin rental
• Most schools in District use
• Peter Linkson: [email protected]
• FOC recycling of paper, card and cans
• Tina Finch: 01992 642240
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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
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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
• Council can collect plastics, paper, cardboard and glass
• Recycling team on tel: 01923 235946
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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
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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
• Recycling FOC – paper, plastic, cans, cardboard, food/garden waste
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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
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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: [email protected]
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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!
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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!
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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 [email protected]
