THE TRI-BOROUGH PROGRAMME Home Care Model for Tri-Borough Paul Rackham Tri-Borough Head of Community...

THE TRI-BOROUGH PROGRAMME

Home Care Model for Tri-Borough

Paul RackhamTri-Borough Head of Community

Commissioning Adult Social Care

Will Tate (PPL), representing Robert Sainsbury

Deputy Managing Director and Out of Hospital Programme Manager

Hammersmith and Fulham CCG


Background • A tri-borough approach for commissioning and

operational teams• A commitment to develop integrated approaches

between NHS and ASC community services• Demographics and the Out of Hospital strategies

leading to an increase in the number of people with complex health and social care needs, living independently in the community

• Reduction in use of Residential Care• Decreasing budgets and increasing demand so

need to prevent avoidable deterioration• Positive experience of electronic monitoring and

centralised brokerage team• Political support for improvements in home care


Future Model: Flexible Support to Live at Home

Commissioned Service-Flexible and personalised, based on principles of dignity, respect and compassion.

- Strong emphasis on setting and meeting individual outcomes, with maximising independence at the heart of this.

-Strong emphasis on consistency of care workers

-Changed role for e- monitoring

Supported Direct Payments

-Councils provide a range of support services to help people take up and manage a DP.

-DPs provide a positive option in more cases.

- This puts pressure on commissioned services to perform better.

INTERNAL RE-DESIGN AND WORKFORCE DEVELOPMENT-to create the infrastructure to support this service model . Will mean significant changes both for

frontline and back office staff.

TRI-B ASC MISSION: TO DELIVER BETTER FOR LESSMore people stay independent for longerPeople have a good experience of support

Costs reduce


A Big Culture Change• Whole system approach: Improved health and

wellbeing focus and improved partnership working• Prevention: A reablement approach• Personalisation: Developing a more

personalised service, aligning and improving assessment processes and improving Direct Payments systems

• Local approach: Patch based, familiar workers, connecting with the local community and health services

• Shaping a Healthier Future strategy for Inner, North West London is a major NHS reconfiguration initiative

• NHS Community Services are changing through Primary Care Networks


Elements of the Model

– Scope: The ongoing support to people with dementia, learning disabilities, mental health problems, challenging behaviour, physical disabilities.

– Workforce: Emphasis on the quality and skills of a mixed workforce. Customers want regular care workers, who know the local area and facilities and who have a good customer relationship with them.

– Health input: Close working with health and social care professionals to provide joined up care to customers.

– Patches: Nine patches across the three boroughs, all around 3,000 hrs per week.


Elements of the Model– Single Brokerage Team handling all

ordering and ongoing contact with providers.

– Focus on Outcomes: As part of the assessment, support plan and review.

– Flexibility: Customers will be given a block of hours (or budget) each month that they can use flexibly.

– E-monitoring: The model will be underpinned by electronic monitoring and a homecare management service.

– Payment: Providers will be paid automatically based on the actual hours delivered as monitored by the system.


Elements of the Model

• Reablement approach – “doing with” – maintaining or reducing levels of support.

• Multidisciplinary working, between health and ASC, will be central to the service.


Restricted Tender

Two Stages

• Stage 1 – Pre Qualifying Questionnaire (PQQ)

• Stage 2 – Invitation to Tender (ITT)


• The PQQ will normally look at the following:

- That your organisation has the correct policies and procedures in place covering insurances, health and safety and quality assurance, equal opportunities, safeguarding, business continuity etc.

- Previous experience of delivering homecare, which will be tested by a number of questions covering service delivery, safeguarding, working in diverse communities, workforce training and organisation, patch working etc.

- That your organisation is of sufficient financial standing.

• Rank patches in order of preference

• Only shortlisted for two patches

• Maximum of five providers per patch

invited to tender


•Recognise the value of mixed market

•Welcome bids from small, medium and large

providers

•Consortium - Two or more organisations joining to form

a separate legal entity.- Contract is with the consortium not

individual organisations.- Information from all organisations will be

assessed.

•Sub-contracting - Council has contract with one lead

organisation. - Lead organisation subcontracts with other

organisations to deliver care on their behalf.

- Lead organisation is responsible for ensuring delivery and quality of all care provided.


For advice and guidance on this area please

contact:

• Westminster Action for Voluntary Engagement on http://wave-vcs.org.uk/

• Voluntary Action Westminster http://www.vawcvs.org/

• Hammersmith Council for Voluntary Service http://www.cavsa.org.uk/

• Kensington and Chelsea Social Council http://www.kcsc.org.uk/about-kensington-chelsea-social-council

http://wave-vcs.org.uk/

http://www.vawcvs.org/

http://www.cavsa.org.uk/

http://www.kcsc.org.uk/about-kensington-chelsea-social-council

http://www.kcsc.org.uk/about-kensington-chelsea-social-council


Invitation to Tender (ITT)

• Evaluated on 50% price, 50 % quality

• Price – based on a number of elements including hourly rate

• Quality - your proposal for delivering the service


Contract Award and Implementation

• No more than two patches

• Patches cannot be in the same borough

• Minimum of five, maximum of nine providers

• Feedback to unsuccessful Providers

• Direct Payment and Personal Budgets


Indicative Timetable

Action TimescalePre Qualification Questionnaire

End of May 2014

Return of PQQ 2nd July 2014Invitation to Tender 11th August 2014Return of Tenders 19th September 2014Contract Award December 2014Implementation January 2015 – April

2015www.capitalesourcing.com

Collaboration Questions

• What your organisation does

• What you would bring to a collaboration

• What role you want to have in these contracts

• What arrangement you would be interested in.

THE TRI-BOROUGH PROGRAMME Home Care Model for Tri-Borough Paul Rackham Tri-Borough Head of Community...

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