The Monday Club At the Southville Centre. Trinity Care Service At Holy Trinity Church, Hotwells.
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Transcript of The Monday Club At the Southville Centre. Trinity Care Service At Holy Trinity Church, Hotwells.
The Monday ClubAt the Southville Centre
Trinity Care ServiceAt Holy Trinity Church, Hotwells
De-commissioning…..
● Poor communications● Unclear objectives, processes & timescale● Changing expectations & outcomes● Unclear who responsible for what● Building-based Day Care not valued● “One solution for all” approach● Little practical support● Focused on saving money, not focused on
people.
De-commissioning…..
● Last-minute information● SCDA only 7 of 15 (47%) eligible● TCS only 16 of 60 (27%) eligible● No transition period● Provider explained consequences to
Service-users● No time to secure alternative funding● Staff morale collapsed.
New business model…..
● No support● No idea of how many current Service-users
would be eligible for a Personal Budget● No idea of what the potential market size /
demand would be● No idea of what price the market would
accept● Too many unknowns to enable
development of a realistic business plan.
SCDA Approach…..
● Re-model service offer● Developed a pricing approach● Developed a business model & budget● Planned for an initial reduction in
customers & then a steady increase.
SCDA Approach…..● Developed a set of marketing tools● Recognised different market segments
– BCC HSC staff & teams– OP with Managed Budgets– OP receiving Direct payments– OP who are Self-funded– Carers / family– Other decision makers / influencers.
● Previously 1-option, all-day, building-based Day Care
● Now flexible, 6-option Day Opportunity Services offering Choice & Control.
SCDA Re-model service…
● Option 1: Morning arts & crafts● Option 2: Morning arts & crafts + Lunch● Option 3: Morning arts & crafts + Lunch +
Afternoon entertainment● Option 4: Lunch● Option 5: Lunch + Afternoon entertainment● Option 6: Afternoon entertainment.
SCDA Options Choice & Control…
● Flexible provision by a local taxi firm● Older people know & trust the drivers● Drivers see the older people get into their
homes safely.
SCDA Transport…..
● BCC HSC provided additional 6-weeks up-front payment
● SCDA funded none-eligible historic Service-users for 6-weeks
● SCDA secured Charitable Trust grant funding to support the transition.
SCDA After de-commissioning
TCS Transport…..
● Consider all possible outcomes / income & cost projections
● Raise public awareness● Immediate fundraising campaign● Issue protective redundancy notices to
staff (no guarantee of future funding)● Press BCC HSC for funding for non-
eligible Service-users.
TCS Approach…..
● Reduced days open from 4 to 3● Extended existing services into morning
sessions● Develop 2-tier price model, using successful
fundraising proceeds to support “non-eligible” Service-users (several over 90 years old!)
● Continue wide range & choice of opportunities
● Improved marketing, publicity, website, (BCC HSC teams & other referrers as well as local publicity).
TCS Re-model service…..
De-commissioning today….
● Clearer objectives & expectations● Better communication & processes● Clarity regarding who is responsible for
what● Building-based Day Care valued (for some
client groups)● Better understanding of VCS & willingness
to provide support● Greater focus on people.
Learning…..● FACs assessments to be completed well
before de-commissioning● Providers to secure alternative funding
before transition commences● BCC HSC & Providers to jointly promote &
market available services● BCC HSC & Provider to jointly explain
consequences to Service-users● Transition period of 6 weeks required after
de-commissioning (continued BCC HSC funding).
Today…..
● Support & advocacy available via VOSCUR● Will know how many current Service-users
have Personal Budgets well before transition so can tweak model
● More informed idea of market size● Price ceiling set by BCC HSC● Staff kept informed● Cooperation with other Providers
invaluable.
Current issues…..
● CSS Contract contains errors & too onerous● Fixed unit price includes travel – a variable cost● Payment-terms unacceptable for informed non-
attendances● Process of securing payment cumbersome● Payment schedule every 4-weeks - make
monthly● System cannot cope with differential pricing● Payments inaccurate - BCC Accountancy does
not communicate.
Current issues…..
● Need to treat services within CSS Contract separately
● BCC HSC need to support Providers to market / promote their services, particularly internally
● TCS eligible (i.e. BCC HSC-funded Managed Budgets & Direct Payments) referrals falling
● Non-FACs eligible, historic Service-users not supported
● No prevention work being commissioned.
Thank YouAnd
Good Luck