Buying Better Buying for Less Tim Parlow, Commissioning Manager Children & Young People’s Commissioning Team tim.parlow@hertscc.gov.uk 01992 555749 www.hertsdirect.org Introduction • Context • Theory • Practical examples • Questions/discussion • Information www.hertsdirect.org Context www.hertsdirect.org What is commissioning? ‘Commissioning is the process for deciding how to use the total resource available for children, young people and parents and carers in order to improve outcomes in the most efficient, effective, equitable and sustainable way.’ www.hertsdirect.org Procurement and Contracting are… • Procurement is the process of acquiring goods, works or services from (usually external) providers / suppliers and managing these through to the end of contract. • Contracting is the process of negotiating and agreeing the terms of a contract for services, and on-going management of the contract including payment and monitoring. • These two elements or tools amongst others, form part of the “Do” part of the commissioning cycle. They do not constitute all elements of the cycle. www.hertsdirect.org www.hertsdirect.org What is Commissioning? www.hertsdirect.org 7 What is commissioning? Total Resource available: Outcomes for children and young people: • Finance • Attendance • Workforce • Service providers • Other forms of capital Commissioning is the most efficient, effective, equitable and sustainable route • Attainment •? •? • Community •? • Co-production www.hertsdirect.org The changing landscape… • Development of Hertfordshire Integrated Targeted Support teams – Behaviour & attendance – ESC/ESTMA – Central attendance & school employment support – Early years SEND – Educational psychology – Access to education for refugees and travellers – SEND – Specialist advisory service www.hertsdirect.org The changing landscape… • School partnerships • Schools as commissioners (academies and traded services) • Schools as contract managers www.hertsdirect.org JSNA – Joint Strategic Needs Assessment • Collection of data around health and social care needs – extensively used already by Health • Linked to developments in the Health Bill and the Health and Wellbeing Boards • Legal requirement for commissioners to have due regard to JSNA in service planning & commissioning www.hertsdirect.org JSNA – Joint Strategic Needs Assessment • JSNA Development Board set up • CSF Joint Board on June 21st to agree service priorities and partner involvement • Development work ongoing to collate existing needs data, identify current and future gaps and priorities • http://atlas.hertslis.org/ias/ www.hertsdirect.org 13 Commissioning Toolkit for Schools • Gives access to specialist advice written by the experts • Contains a number of templates for use (not tablets of stone) • www.thegrid.org.uk/info/office/commissioning/ • The toolkit is specifically for HCC’s: – School staff purchasing services / goods / works – Governors – LA staff supporting schools www.hertsdirect.org Theory www.hertsdirect.org 15 Resources (cost) vs. needs (volume) www.hertsdirect.org 16 Market management (competition, VFM) Provider 1 Provider 2 VFM Competition Provider 3 Provider 4 www.hertsdirect.org School A 17 Market management (competition, VFM) Provider 1 School A School D Increase in price Increase in price Provider 2 School E School B Competition Competition Provider 3 School F www.hertsdirect.org Provider 4 School C Levels of commissioning National Regional Sub-regional Area or strategic Locality or practice www.hertsdirect.org Individual Deciding Which Level is Best • The most appropriate level will be ultimately driven by ability to secure outcomes in the most efficient, effective, equitable and sustainable way. • The following factors will impact on this decision and the system design: – Delegation, local democracy, accountability, brokerage and control systems – Maturity of the local market and provider relationships – Safeguarding and risks – Cost of implementation and change management www.hertsdirect.org 20 Effort vs. value • Under £5,000 – Minimum of 1 verbal Quote • £5k - £10k – Min of 2 written quotes • £10k - £50k – Min of 3 written quotes • £50k - £156k – Must be Tendered • (Services/Goods) Greater than £156k Must be EU Tender www.hertsdirect.org 21 Effort vs. value • If more than £100k – Must be countersigned by CSF – contact Children & Young Peoples Commissioning Team • If more than £500k - Must be countersigned by County Secretary www.hertsdirect.org Effort vs. value (risk) www.hertsdirect.org Practical examples www.hertsdirect.org Service development • Aim to achieve better outcomes at reduced cost • CAMHS therapeutic input into Adolescent Resource Centre (ARC) • £189,000pa – 2 specialist clinicians attending consultations with residents at ARC • Negotiations based on appropriateness, delivery model and clinical discussions www.hertsdirect.org Service development • Partnership work with: – Hertfordshire Health and Community Trust – Young people – ARC staff • Outcome – new contract with different provider • £100,000pa – broader skills and less specialised • Flexible, responsive service • Working with service users and carers to improve outcomes www.hertsdirect.org Improving Speech & Language therapy provision • Aimed to – Improve VFM – Develop more responsive service – Create mix of SLT skills sets in relation to need • Collective negotiating power, economy of scale • Spot purchasing, duplication, paying twice • Not all sessions delivered – no audit trail www.hertsdirect.org Improving Speech & Language therapy provision • Improvements focused on: – Performance – Payments by performance – More for less asking for support with tribunal cases • Service re-design underway • New joint contract with Health from Sept 2011 www.hertsdirect.org Buying organisations • Hertfordshire Business Service (HBS) • Central Buying Consortium (CBC) • Eastern Shires Purchasing Organisation (ESPO) • Pro 5 (CBC, ESPO, WMS, YPO & NEPO www.hertsdirect.org Water Coolers • Bottled Water: Cooler unit rentals vary from £2.08 to £3.17 per month (includes sanitisation). Bottled water ranges from £3.64 to £3.74 per 18.5 litres. • Point of Use Dispensers (i.e. plumbed in): Rentals range from £10.00 to £11.25 per month (all of the above available from ESPO contract 988 with Cooler Aid, Pressure Coolers and Eden Springs) www.hertsdirect.org Washroom Services Washroom / Hygiene Services • Hand Dryers: rental from £60 to £300 p.a. • Sanitary Units: £1.20 per 23 litre bin lift • Dust Mats: rental from £104 to £236 p.a. Roller Towel Cabinet Rental & Laundry Service • Free on Loan cabinet plus 91p per autoroll All on CBC Contract No:18411 with Cannon, Initial and PHS (New improved rates as from 1 February 2011) www.hertsdirect.org Waste Disposal and Recycling Stevenage Borough Council • Collection of residual waste – charges from April ’10 1100l - £7.40 660l - £6.05 240l - £3.80 • Cardboard recycling – charge £6.70 per cage • Dry recyclables: paper, glass, cans, plastic bottles Free of charge fortnightly collection – bins provided www.hertsdirect.org Questions/discussion www.hertsdirect.org Information www.hertsdirect.org Fire Extinguisher Maintenance CBC Contract with Chubb • 22 pence per extinguisher per inspection • Spares at list price less 40% • No attendance fee www.hertsdirect.org Portable Appliance Testing (PAT) • Target Price: 85 pence per item • Hertfordshire Technical Services (part of Hertfordshire Business Services) provide this service www.hertsdirect.org Waste Disposal and Recycling St Albans District Council • No waste collection service offered by St Albans • Currently no wider consortium contract available (attempts from ESPO http://www.espodealingdirect.org/ contract 379 for details) • Contract with the private sector. Benchmark rates circa £9 per 1100 litre lift • Recycling of paper, cans and plastic bottles is provided FOC but no internal boxes provided. • Contact Recycling Officer Louise Palmer at louise.palmer@stalbans.gov.uk www.hertsdirect.org Waste Disposal and Recycling Welwyn Hatfield Borough Council • Collection of residual waste via SERCO . Rates vary but are approximately: - £12.79 per 1100l lift if a school has 2 bins - £12.11 per 1100l lift if a school has 3 bins • Recycling of cans, glass, food and garden waste, paper and card. Request bins from Council – number of bins varies for schools size • Collection of recyclables by SERCO – no charge to school. • Welwyn Hatfield contact c.walker@welhat.gov.uk • SERCO contact rebecca.pearce@serco.com www.hertsdirect.org Waste Disposal and Recycling Hertsmere • 1 x 660L Euro (inc. rental & collection charge but excludes disposal/landfill charge) = £296.53 ex vat • 1 x 1100L Euro (inc. rental & collection charge but excludes disposal/landfill charge) = £462.32 ex vat • Customer services on 0208 207 2277 gill.stevens@hertsmere.gcsx.gov.uk • Free recycling workshops contact gemma.godfrey@hertsmere.gov.uk • http://192.168.61.23/environmentplanning/recyclingand waste/schools_2/recyclingschemes.jsp www.hertsdirect.org Waste Disposal and Recycling North Herts • • • • Waste Charges 1100 litre container £110.70 per quarter (£442.80 p.a) 660 litre container £86.30 per quarter (£345.20 p.a) Debbie Hookham on 0800 328 6023 or debbie.hookham@north-herts.gov.uk • Recycling: roll out of FOC recycling trial 10/12 school at a time. • Food/card/glass/cans • To access recycling services need to be using NH for trade waste and also need to ‘significantly participate’ in scheme • Joanna.lines@north-herts.gov.uk www.hertsdirect.org Waste Disposal and Recycling Broxbourne • Waste £6 per 1100 litre lift plus £7.90 per month bin rental • Most schools in District use • Peter Linkson: pl.broxserv@broxbourne.gov.uk • FOC recycling of paper, card and cans • Tina Finch: 01992 642240 www.hertsdirect.org Waste Disposal and Recycling East Herts • Waste £449 per 1100 litre bin p.a. • Admin charge £66 p.a. • 46 lifts a year: term time plus 1 lift at Christmas & Easter and first and last weeks of the summer holidays • Free collection of recyclables, providing 240 litre bins for paper, glass and cans • Trevor.Watkins@eastherts.gov.uk www.hertsdirect.org Waste Disposal and Recycling Watford • Waste 1100 litre euro bin - £7.35 per empty • 660 litre euro bin - £5.95 per empty • Hire charge per bin for all bin sizes listed above (if bin not purchased) £1.10 per week • http://www.watford.gov.uk/ccm/navigation/environmentand-planning/recycling--rubbish-and-waste • environmentalservices@watford.gov.uk • Council can collect plastics, paper, cardboard and glass • Recycling team on tel: 01923 235946 www.hertsdirect.org Waste Disposal and Recycling Three Rivers • Waste collection currently £222.55 per 1100litre lift for 6 months • From April 2011 charge is £232.56 • 46 collections per year • Jennie Moore (Environmental Projects Officer) 01923 727069 • Recycling FOC • Plastic/cans, paper, glass, cardboard, garden and food waste collected fortnightly www.hertsdirect.org Waste Disposal and Recycling Dacorum BC • Waste collection • £5.97 ex VAT per lift of 1100 litre bin • £68.74 ex VAT for rental of 1100 litre bin • Jean.marsh@dacorum.gov.uk • Recycling FOC – paper, plastic, cans, cardboard, food/garden waste • Ashling.cronin@dacorum.gov.uk www.hertsdirect.org IT Related Products & Associated Services • Pro5 contracts awarded by ESPO • Desktops, Notebooks, Laptops, Servers, Hand Held Devices and Local Area Network Room equipment • Network Support • Special Needs • Software • Source via Hertfordshire Supplies: Claire Taylor www.hertsdirect.org HCC Managed Telephone Service • Free calls to over 250 other schools on Comnet and to core HCC offices • Local and National calls at 1 penny per minute • Calls to mobiles at 7.8 pence per minute (average) • First line fault reporting service • HCC pay the suppliers and recharge quarterly to the schools The HCC Telecoms Section is happy to carry out a free review of a school’s telephony arrangements. Contact Gerry Causer, Voice Services Officer: gerry.causer@hertscc.gov.uk www.hertsdirect.org Reprographics • CBC/ESPO Document Solutions contract 1770/272D. Runs until March 2012. • Covers whole range from printers/scanners, standalone copiers, networked copiers and print room equipment • Four manufacturers of copiers - Canon, Konica Minolta, Ricoh, Sharp • Contract conditions – operational lease • Copy cost in region of 0.4p b/w and 5p colour • Quarterly rental over 3, 4 or 5 years • HBS advice see page 903 of 2010/2011 catalogue! www.hertsdirect.org Toner and Cartridges • Reduce requirements and range by networking • Competitive market – consider non-branded, re-manufactured or a programme of re-filling. • Keep up to date on pricing and shop around! www.hertsdirect.org Copier Paper • Competitive commodity market • Prices fluctuate • Shop around – be aware of grade of paper and loss leaders • Buying in bulk Advice and quotes from Juliet.Cameron@hertscc.gov.uk www.hertsdirect.org