LONDON CARE AND SUPPORT FORUM
18/09/13
TRI-BOROUGH ADULT SOCIAL CARE
COMMISSIONING TEAM
THE TRI-BOROUGH PROGRAMME
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Context
Introduction to the team
The activities of market facilitation
The Market Position Statement
Questions
Demographic pressures and projected increase in demand
INCREASING
DEMAND
2012 - 2020
3
Draft Care and Support Bill
“1) A local authority must promote the efficient and effective operation in its area of a
market in services for meeting care and support needs with a view to ensuring that
any person wishing to access services in the market:
(a) has a variety of providers to choose from;
(b) has a variety of high quality services to choose from;
(c) has sufficient information to make an informed decision about how to meet the needs
in question.
(2) In exercising that duty, a local authority must have regard to the following matters in
particular—
(a) the need to ensure that the authority has, and makes available, information about the
providers of services for meeting care and support needs and the types of services
they provide;
(b) the need to ensure that it is aware of current and likely future demand for such
services and to consider how providers might meet that demand;
(c) the importance of ensuring the sustainability of the market (in circumstances where it
is operating effectively as well as in circumstances where it is not);
(d) the importance of fostering continuous improvement in the quality of such services
and the efficiency and effectiveness with which such services are provided and of
encouraging innovation in their provision.”
An example of a tri-borough market
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Home Care predicted spend 13/14
LBHF £7.2m
RBKC £4.55m
WCC £10.63m
Total £22.38m
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Direct Payments predicted spend 13/14
LBHF £5.68m
RBKC £3.58m
WCC £5.89m
Total £15.15m
Introduction
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Tri-Borough Adult Social Care –
assessment and care
management teams / in house
provider services / commissioning
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There is no Tri-Borough legal
entity – the three boroughs retain
sovreignty
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Significant savings made through
reductions in senior management,
joint commissioning and
procurement, streamlining
processes.
The Commissioning team
• Executive Director – Sue Redmond (till 11/10/13) then Liz Bruce
• Director of Procurement, Contracts, Business Intelligence and
Workforce (acting Director of Commissioning) – Martin Waddington
• Head of Community Commissioning – Paul Rackham
• Head of Complex Commissioning – Mary Dalton
• Head of Contracts and Procurement – Sherifa Scott
• Head of Business Intelligence – Mike Rogers
• Lead for Personalisation – Toni Camp
• Assistant Director of Joint Commissioning – Cath Atlee
• Head of Joint Commissioning Older People and Vulnerable Adults –
Monique Caryol
• Head of Joint Commissioning Mental Health – Shelley Shenker
The activities of market facilitation
(from IPC)
The interventions commissioners
make in order to deliver the kind
of market believed to be
necessary for any
given community.
Market
intervention
Market
intelligence
The development of a common
and shared perspective of
supply and demand, leading
to an evidenced, published,
market position statement
for a given market.
Market
structuring
The activities designed to give the market shape and
structure, where commissioner behaviour is visible and the
outcomes they are trying to achieve agreed, or at least
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accepted.
Some examples of what we are doing now
Market Intelligence
History of commissioning reviews
JSNA Deep Dive Reports – Supported Employment / Learning Disability
Market Position Statement
Market Structuring
Tri Borough Older Peoples’ Day Services Providers Forum
Soft market testing of the principles for an outcome based specification
Different contract models in supported housing
Market Intervention
People First website
RecommendCare
Innovation Grant Funding in RBKC and H&F
Workforce development with Home Care providers
We want to do more, so what next
Market Position Statement
•What works?
•What doesn‘t?
•What next?
•Market Intelligence
•Have you been involved in providing or using any?
•What would you like to see more of?
•Market Structuring
•Have you been involved in any of these type of activities?
•What would you like to see more of?
•Market Intervention
•Do you know about any of these services?
•What else can we do?
Useful information
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www.recommendcare.com/
A website for people to use to feedback on the quality of their homecare service
www.jsna.info
Reports and information as well as the JSNA for each borough
www.rbkc.gov.uk/healthandsocialcare/peoplefirst/gettingintouch/policyandleaflet/adult
spolicy/marketpositionstatement.aspx
The Tri-Borough Market Position Statement
www.peoplefirstinfo.org.uk/
RBKC and WCC website for people who use services, people who provide services
and anyone who needs to provide advice and information
Contacts
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Mary Dalton, Head of Complex Needs Commissioning
mdalton@westminster.gov.uk
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Paul Rackham, Head of Community Commissioning
Paul.rackham@rbkc.gov.uk
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Sherifa Scott, Head of Procurement
sscott@westminster.gov.uk
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Martin Waddington, Director of Commissioning, Procurement, Business
Intelligence and Workforce
Martin.waddington@lbhf.gov.uk
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