Buckinghamshire County Council
Preferred Provider List Event
Future Commissioning of
Adult Accommodation Based
Care and Supported Housing
Buckinghamshire County Council
Kelly Taylor
Project Manager-My Life
My Home
Buckinghamshire County Council
Welcome
House Keeping
Agenda Overview
Further Events
• Aim of these sessions is for the Council to facilitate
partnership / joint working with care and support and
property providers
Feedback
Buckinghamshire County Council
Ainsley MacDonnell
Achievements over the past 5 years
Buckinghamshire County Council
Accommodation & Support
Adults and Family Wellbeing
Buckinghamshire County Council
Different kinds of accommodation and support matched to need –
Individual Supported Living with 24 hour a day support
Self contained flat or house - own front door – with tenancy – paying rent
Support can be up to 24 hours a day and tailored to meet individual’s needs
Shared House Supported Living with 24 hour a day support
Own room in a shared house with communal kitchen, lounge etc. – with tenancy –
paying rent
Support can be up to 24 hours a day and tailored to meet individual’s needs
Share responsibilities with housemates like cooking, cleaning and paying the bills
.
Registered Residential Care
Own room in a shared property with staff on shift 24 hours a day
Registered with and inspected by The Care Quality Commission (CQC)
Rent and support in one package.
Nursing Care
Similar to residential care but for people who may need care from a registered nurse
Registered with and inspected by The Care Quality Commission (CQC)
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Buckinghamshire County Council
Key Accommodation & Support Projects
• Shared Lives
• Project Care
• Project Abode
• Home Options
• My Life My Home
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Buckinghamshire County Council
Project Care
• Reprovision of accommodation and support services for older
people and people with learning disabilities - countywide
• Completed – 7 care homes for older people
81 units of supported living and 30 registered care
beds for people with learning disabilities
• In progress –
8th and last older people’s care home – Chesham
– 2014
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Buckinghamshire County Council
Project Abode
• Developing a mix of new Supported Living
and Registered Care services for 52
people previously living in 8 NHS homes –
countywide.
• Completed
• – 43 units of supported living and 6
registered care beds
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Buckinghamshire County Council
Home Options
•
Reprovision of accommodation and support services for people with mental
health needs
•
•
Replace 4 registered care homes and 2 supported living services with 9
new supported living schemes and 1 registered care unit - 79 units of care
in 10 locations across the county
Completed – 58 supported living flats and 9 registered care beds
•
In progress - 12 supported living flats – Amersham – 2014
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Buckinghamshire County Council
My Life My Home
Major programme of work to develop new accommodation and support
services for all specialist adult care groups
Framework contract for support and use of Care Funding Calculator
•
Ensuring choice for individuals
•
Ensuring good quality providers
•
Ensuring best value
•
Ensuring improved outcomes
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Buckinghamshire County Council
Completed –
•
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•
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5 x I bed flats
6 studio flats
5 beds shared s/living
6 x 1 bed flats
4 beds shared living
11 x 1 bed flats
28 x 1 bed flats – extra care
2 x 2 bed flats – extra care
5 bed shared s/living
Wycombe
Wycombe
Wycombe
Aylesbury
Aylesbury
Aylesbury
Aylesbury
Aylesbury
Wycombe
LD
LD
LD
LD
LD
LD (50+)
55+
55+
ABI
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Buckinghamshire County Council
In progress –
•
6 x I bed flats
Amersham
LD (challenging behaviour)
•
4 x 1 bed flats
Amersham
Autistic Spectrum Disorder
•
8-10 x 1 bed flats
TBC
Acquired Brain Injury
•
8-10 x 1 bed flats
TBC
Physical/ Sensory Disabilities
•
10 Shared Lives placements
Countywide
LD / OP
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Buckinghamshire County Council
Future -
Identified key groups requiring accommodation
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10 x Physical & Sensory Disability
8-10 x Acquired Brain Injury
10-12 x young people with disabilities aged 18 to 25
8 x generic Learning Disability
Extra care for older people with learning disabilities
Single sex services for people with learning disabilities
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Buckinghamshire County Council
What we need from you
• Organisations who are able to provide –
• Housing - RSL
• Support (CQC Dom Care Registered)
• Housing & Support – single organisation or
partnership
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Buckinghamshire County Council
Steve GoldenSmith
Lead Commissioner Housing, Housing Related
Support and Prevention
Buckinghamshire County Council
Future Need Projection
• Demographics
• Supply & Demand
• Change in expectation
– Client
– Family
– Society
• Trends in Care Provision
– Prevention & Rehabilitation
– Telecare/ Medicine
– Independence
• Government Legislation
• Resources
Buckinghamshire County Council
Learning Disability
LD
Type
Nursing
Residential
Shared Lives
Supported
Living
BCC AFW Purchasing Trend
In County
09/10
10/11
11/12
No
5
5
4
Yes
4
5
5
9
10
9
No
203
189
167
Yes
161
169
168
364
358
335
Yes
1
10
19
1
10
19
No
76
67
77
Yes
132
143
184
207
210
252
12/13
3
5
8
147
165
312
23
23
55
239
287
Future
200- 220 units of specialist accommodation will need to be developed before
2035.
This equates to an average of 8 -12 units of accommodation per year.
In the first 5 years we would wish for an accelerated provision so as to maximise
transition from current market position to one that meets current needs and
demand and as such we would wish to see growth of approximately 16-24 units
each year for the next five years.
Buckinghamshire County Council
Mental Health
Mental Health
Type
Nursing
Residential
Extra Care
Supported Living
BCC AFW Purchasing Trend
In County
No
Yes
No
Yes
Yes
No
Yes
09/10
10
0
10
41
5
46
0
0
23
14
37
10/11
10
0
10
46
6
52
0
0
17
16
33
11/12
6
3
9
19
14
33
16
16
18
37
55
12/13
6
3
9
15
16
31
25
25
7
57
64
Future
It is predicted that to in order to meet anticipated demand an additional 25-30 units
of specialist accommodation will need to be developed by 2035.
There is need for 8 units of accommodation to be delivered within the next two
years and then a further 8 units within the next 5 years.
Buckinghamshire County Council
Physical Disability
Provision
Type
Nursing
In
County
No
Yes
Residential
No
Yes
Supported
Living
No
Yes
9/10
18
14
32
31
32
63
10/11
19
11
30
30
32
62
11/12
11
19
30
26
33
59
12/13
12
17
29
25
34
59
1
0
1
1
0
1
5
1
6
2
5
Future
It is predicted that to in order to meet anticipated demand an additional 20-25 units of
specialist accommodation will need to be developed by 2035.
There is immediate need for 8-10 units and then 6-10 units of accommodation to be
delivered within the next three years and then a further 6-10 units every following 5/6
years.
Buckinghamshire County Council
Older People
Older People (not
EMI)
Type
Nursing
Residential
BCC AFW Purchasing Trend
In
County
No
Yes
No
Yes
09/10
156
262
418
141
390
531
10/11
149
304
453
103
385
488
11/12
70
387
457
72
419
491
12/13
69
448
517
73
431
504
Future
It is predicted that to in order to meet anticipated demand an additional 2000 units of
specialist accommodation will need to be developed by 2035.
There is need for 100 units to be delivered each year in a mix of approximately 50%
Nursing Care & 50% Residential/ Extra Care.
Buckinghamshire County Council
What Type of Accommodation
•Size
•Location
•Build
•Rent
•Nominations
•Voids
Buckinghamshire County Council
Market Position Statement & Update
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Annual Refresh
Signal need in short & long term
Gaps, priorities and opportunities
React to changing circumstance
Links to strategic priorities
Highlight Good Practice
Engagement with Providers : Meet again
Providers ability to signal housing intent/ability using the Portal
Buckinghamshire County Council
Coffee Break
& Networking Opportunity
Buckinghamshire County Council
Amy Moore
Joint Commissioner
Transitions
Buckinghamshire County Council
Background: Why are we looking to commission this
support ?
• Children and Families Bill
• 4 main outcomes including Independent Living Skills
• Preparing for Adulthood
• Local Post 16+ Provision
• Transitions Work
• Very little specialist support regarding independent living for young
people aged 18-25
Buckinghamshire County Council
Objectives
• Promote independent living skills
• Promote access to education , employment and training
opportunities
• Promote learning and development skills that will enable individuals
to live fulfilled lives and make the most of their abilities and potential
• Offer practical support and personal care to meet individual
assessed needs that will enable individuals to remain safe and
secure
• To work closely with local post 16+ specialist units
• To promote health and well being. Outcome tools are available
some which have been developed locally
Buckinghamshire County Council
Service Model
• Care and support will be a three step model
• It will need to link into their educational, vocational and employment
programmes
• Not permanent, it will provide short to medium term support
• Young Person needs to be eligible under Fairer Access to Care
services
• 18-25
• Preparation work might need to take place before this
• Provider will need to support person to identify and access move on
• Partnership working essential with education including local
colleges and employers is essential
Buckinghamshire County Council
1st Step
• High intensity
• Support will meet their needs and link in with their Bespoke
Education Package or engage with work place
• Will need to provide core hours
• Outcomes will include evidence of skills to help with independent
living
• Person Centred work using Education, Health and Social Care
plans as a basis
Buckinghamshire County Council
2nd stage /3rd stage
• Less intensive support
• Emphasis on accessing activities in the community
• Regular multi agency reviews of progress
• Making links regarding accessing employment
• Focus on employment /voluntary work
• Preparation for move on
Buckinghamshire County Council
Parent and young people Feedback
• Support in keeping safe
• Support around nutrition and healthy eating
• Support regarding healthy relationships
• Support in accessing activities
Buckinghamshire County Council
Outcomes
• Improvement in Independent Living Skills
• Accessing support within the Community
• Successful move on
• Effective partnership working
Buckinghamshire County Council
National Outcomes
• Paid Employment
• Better links with the community and relationships
• Improved health
Buckinghamshire County Council
Christopher Reid
Senior Joint Commissioner
Physical and Sensory Disability,
Long Term Neurological
Conditions and Older People
Support & Accommodation requirements for Physical
Disabilities (PSD)
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•
•
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Background to PSD commissioning for accommodation based care
Supported living developments for PSD so far – Acquired Brain Injury
PSD reviews & analysis
Risks & mitigation
Buckinghamshire County Council
Bharti Quinn & Pat Milner
Joint Commissioning Manager &
Commissioning Manager
Buckinghamshire County Council
Re-provision of support and accommodation for
Learning Disability services
Current Position
• Some of the LD housing across the county is no longer
‘fit for purpose’
• Some care support services will be re-tendered as no
recent market testing
• Opportunities from 2014
• To meet future needs in purpose built accommodation
with modern facilities
• Potential for new care and support services
• Potential for new accommodation for 20 beds, increase
capacity
Buckinghamshire County Council
Lindsay Sheen
Category Specialist
Commercial Services
PREFERRED PROVIDER LIST EVENT
 It is the Council’s intention that we secure sufficient
accommodation and care and support in Buckinghamshire
to meet the current and future needs clients in eligible for
registered care and supported living.
 The current Supported Living Framework is due to expire
in November 2013, with no option to extend.
Strategy
The option offering best value and flexibility is:
A. A preferred provider list for ‘Care and Support’ only; and
B. A rolling list of expressions of interest for
‘Accommodation’
Both processes will be commissioned via the South East
Business Portal.
Care & Support
The Preferred Provider list will:
 Be open to new entrants on a six monthly basis
 Be maintained for 3 years
 Be a two stage process:
- Approval: Providers will be required to meet a predetermined minimum criteria.
- Call Off: A mini competition is undertaken for each activity
where more than one provider on the preferred list has the
potential to deliver the service requirement(s).
Care & Support: Approval Process
Providers will be accepted onto the Preferred
Provider List if they meet certain criteria, similar
to a Pre-Qualification (PQQ). The areas of
Assessment consist of:
Technical and Professional Ability
Legal Standing
Financial Standing
Call Off Process
Call Off / Direct Award:
 The second stage of the process will involve a call off or
direct award depending on the nature of the service(s)
commissioned.
 A call off (also known as a mini-competition) is undertaken
by AFW Commissioners for each activity where more than
one provider on the preferred list has the potential to
deliver the service requirement
Mini-Competition Process
 Providers will be required to demonstrate a much more
detailed understanding of the specific service model.
 A direct award will only be undertaken by AFW
Commissioners when there is only one provider on the
preferred list who is capable for delivering the service
requirement
 Evaluation of providers at the call off / direct award should
be based on a price (40%) and quality (60%) weightings
Accommodation
 Accommodation Only:
 AFW Commissioners and the Council’s Legal team will
develop a standard set of terms and conditions (the basis
for the nominations agreement) under which the Council
will conduct business with property developers for the
purposes of supported living.
 The Terms & Conditions will be published on the South
East Business Portal (SEBP)
Accommodation
 Property Developers may express an interest in building
properties in Buckinghamshire at any time, subject to
terms and conditions.
 A rolling list of providers is established and maintained.
 When AFW Commissioners identify a property
requirement, it is uploaded onto the SEBP
 If more than one provider expresses an interest, then AFW
Commissioners will conduct a mini competition exercise to
identify best overall value.
We would be grateful for any feedback.
Examples…
Buckinghamshire County Council
Kelly Taylor
Project Manager My Life
My Home
Buckinghamshire County Council
Examples
• Tender from list A only-Care and Support
Providers
• Tender from list B only-Housing Providers
• Tender from list A and B
• Providers who provide both-apply to both lists
• Providers develop partnership arrangements for
the specific tender
Buckinghamshire County Council
Any Questions?