Online Marketplace / PA Register

Understanding the OptionsSolihull Partnership17th February 2011

Strategic Direction• Big Society Reform Agenda

– Empowering Communities, public service reform, social action

• Vision for Adult Social Care– “Capable Communities and Active Citizens”

• Partnership Agreement– “Think Local, Act Personal”

• Practical Guidance– National Market Development Forum

• Modernising Commissioning proposals– Increasing the role of charities, social enterprises, mutuals and

cooperatives in public service delivery

• West Midlands Market Shaping Programme– Market Intelligence, Market Structuring, Market Interventions

Key Drivers

• Better health & quality of life• Living independently for longer• Lower overall cost of care• Stimulating choice & control• More & higher quality provision• More sustainable market for H&SC• Active ‘civil society’• Co-production

Partnership Agreement

Partnership Agreement

The Citizens’ Journey – A pathway to Personalisation

Outcome focussed

monitoring and

review

Service provision(live life)

Organising Support (getting services in place)

En

ab

led

E

xit?

Authorisation and

validation

Outcome focussed support planning

Initial personal budget

calculation

Assessment of needs and

financial circumstance

(apply FACS)

Interventions to support

independent living and fast

review(reablement)

Crisis intervention,

simple services or low level package

of care (if appropriate)

Initial Contact

and Screening

Self-directed SupportEarly Intervention

Multi-agency approach to health,

well-being and independent

living, including general prevention and Preventative

reablement

Universal Approaches Targeted Support

Outcome focussed

monitoring and

review

Service provision(live life)

Organising Support (getting services in place)

En

abled

E

xit?

Authorisation and

validation

Outcome focussed support planning

Initial personal budget

calculation

Assessment of needs and

financial circumstance

(apply FACS)

Interventions to support

independent living and fast

review(reablement)

Crisis intervention,

simple services or low level package

of care (if appropriate)

Initial Contact

and Screening

Self-directed SupportEarly Intervention

Multi-agency approach to health,

well-being and independent

living, including general prevention and Preventative

reablement

Universal Services (including

information, sign-posting,

general prevention,

etc.)

Citizens’ Journey Final 110110

£

£ £ £ £ £ £ £ £ £ £ £

• Fundamental resource shift – from right to left building a financially sustainable model•Shift from traditional service provision to early intervention, prevention, reablement•Information provision, advocacy, brokerage, ‘care navigation’

Outcome focussed

monitoring and

review

Service provision(live life)

Organising Support (getting services in place)

En

abled

E

xit?

Authorisation and

validation

Outcome focussed support planning

Initial personal budget

calculation

Assessment of needs and

financial circumstance

(apply FACS)

Interventions to support

independent living and fast

review(reablement)

Crisis intervention,

simple services or low level package

of care (if appropriate)

Initial Contact

and Screening

Self-directed SupportEarly Intervention

Multi-agency approach to health,

well-being and independent

living, including general prevention and Preventative

reablement

Universal Services (including

information, sign-posting,

general prevention,

etc.)

Citizens’ Journey Final 110110

£ £

£

££

£ £ £ £

£

£

£

• For Providers – Potentially different areas of operation, driven by Service User need/ demand• For the Council , different focus of spend, less controlled by us, more spent on reviewing outcomes and re-planning needs• Less spend overall ?

“Personalisation implies less council purchasing overall

and less block contracting. Some existing contracted

services may become unviable and will need to be

downsized or discontinued, in partnership with people

affected and the relevant providers. Arrangements that

enable the individual (or their representative) to agree

directly with the provider the what, how, who and

when of any support provided, are a good way to do

this.”Think Local, Act Personal (Jan 2011)

Local context• Significant reorganisation & disaggregation of

Care Trust arrangements• I&A Strategy not yet finalised, but progress

being made to develop I&A service– One Front Door – first point of contact– Provider mapping– Solihull Care Directory – jointly with Enable Solihull

• PA Register in scope for SCD• Building towards SCD as an Online Marketplace

Engaging a PA

Personal networksWord of Mouth

Informal arrangementsMore risky?

Formal supportMulti-agencyMore choice

Risk managed(but still risky!)

PA Project Dialogue Jan 2010• Information

– Being a PA / employer (rights & responsibilities) • Marketing

– Awareness of the role• Risk

– Risk awareness / risk management– Safeguarding

• Quality– Skills, knowledge & attitudes– Peer support

• Recruitment– Finding a PA / finding a vacancy– Emergency cover

Enabling the market for PAs

OM/PA Register – Design Options

• Information Service• Signposting Service• Matching Service• Transactional Service• Interactive eMarketplace

Information Service

• Existing LA websites• DPSOs• Community Network sites – e.g.

– www.cdsm.co.uk (People & Places)– www.panet.org.uk

Signposting Service

• Search for registered employers & employees– Job vacancies– People looking for work

• www.carematch.org.uk (Staffordshire)• Carewise (Worcestershire)• www.ukpar.org

Matching Service

• Applies intelligent filters in response to specified criteria (e.g. Skills, location, needs etc)

• www.icaring.co.uk• www.papool.co.uk• DPSO-held registers

Transactional Service

• List of browseable categories• Book & pay for services• www.shop4support.com• www.slivers.com/what_we_do/social_care_vi

deo.html• www.joined-up-software.com • www.southwarkcircle.com

Interactive Market

• Supply side approach• Service User creates a profile• Providers choose whether to respond / offer

support and at what price• Service User chooses from “offers” received• Potential to integrate with financial systems• E.g. Matrix-SCM (Coventry)

Some generic considerations

• Ownership & Brand– SCD / Enable• Functional Requirements – what do users want

the service to do?• Non-functional requirements – eg how should it

perform? What security is required?• Technical arrangements & level of IT integration• Development capability? Strategic partners?• Cost!

Generic Implementation Issues

• Raise Awareness• Marketing & Promotion• Recruitment• Risk & Safeguarding• Measuring success• Delivering benefits

Regional Support Offer

• Statement of Requirements• Best fit options appraisal & recommendations• Implementation plan & support• Evaluation of live solution

Moving forward...

• Questions• Discussion Points• Conclusions• Next steps