Children’s Wellbeing:
The Future in
Herefordshire
WELCOME
Councillor Jeremy Millar
Cabinet Member Children’s Wellbeing
Introduction
• Opportunity to network and talk to others here
today
• Commissioners and support services in the
room
• Slides will be available on council website
• Please provide feedback
Council Priorities
• Protecting children and young people and give
them a great start in life
• Enable residents to live safe, healthy and
independent lives
• Invest in projects to improve roads, create jobs
and build more homes
Financial context
• Council faces unprecedented cuts in
government grants
• £33m savings over next 3 years
• £34m savings already made since 2011/12
• Budget consultation currently live – we want to
hear your views
To meet our priorities we need to
• Encourage individuals, communities and
organisations to do more for themselves and
their local area
• Radically reduce the costs, breadth and level of
services that the council provide
• Ensure the services that we do provide are cost
effective
Today’s event
• Start of conversations about what the council will
and won’t do in future – and what you can do
• Highlight commissioning activity over next 2
years
• Achieve better value for money
• Accelerate personalisation
• Market Development
Children’s Wellbeing: Priorities &
Principles
Jo Davidson
Director of Children’s Wellbeing
Our mission
Protecting children and giving
them a great start in life
Children and young people are at the core of
the council as our future in Herefordshire
Our three priorities
• Safeguarding services are judged good by 2016
• Education and health outcomes in top quartile
by 2016
• Significant spend is moved from highly
specialised safeguarding and complex needs
models to more cost effective family and
community based models
Council’s role
• Advocate for children
• Protecting the most vulnerable
• Securing good educational outcomes
• Strategic planner enabling access
Financial Context for Children’s
Wellbeing
• Already reduced council budget by £3.5m since
2011/12
• A 20% reduction in spend is needed over the
next three years - £4.9m
• £2.5m of this to be realised in 2014/15
BUT – there are other sources of funding available
for services in Herefordshire
Financial Context for Children’s
Wellbeing
Council focus is on:
• Quality and impact of safeguarding services
• Improving educational outcomes for vulnerable
children
• Reducing numbers of young people not in
education, employment or training (NEETs)
• Children and young people with disabilities &
special educational needs (SEN)
• Children who are in care/leaving care
We need to solve problems
together
• Our financial position means the council can
only work with the most vulnerable children
• Use the strengths and assets families and
communities have – because they are the ones
who bring up children and protect them
• Use the strengths and assets early years
providers, education and training providers,
businesses and the voluntary sector have
Future options: doing things differently
Chris Baird
Assistant Director of Children’s Wellbeing
How to do things differently
• Managing demand and resource
– Better information, advice and guidance - so people
can help themselves
– Sector led improvement – sector helps themselves
– Proactive use of data and intelligence to target
resource - focused on need
– Council focussing on targeted and specialised
services - others will provide universal services
– Focus on self-reliance, personalisation, choice and
control
How to do things differently
• Reshaping services to address needs, quality,
national agenda and reduce cost
– Children’s Centres
– Safeguarding and early help
– New service models for meeting the needs of Looked
After Children and those with complex needs
– Renegotiating contracts
– Move to payment by results
– Joining with other partners to reduce cost and
increase resilience, specialisms and quality
How to do things differently
• Maximising income sources
– Benefits and grants take up
– Commercial and charitable models
opportunities for others
– Social impact bonds/sponsorship
– Charging
Commissioning
The Council’s vision is to be an “innovative, agile commissioning
organisation that secures better outcomes by commissioning the
right services from the right provider, at the right time and at the
right price.”
Commissioning is the strategic planning process to decide how to
use and prioritise the total resources available to deliver better
outcomes in the most efficient, effective, equitable and
sustainable way.
Commissioning Intentions 2013-15
Implementation of the Children and Families Bill:
– joint commissioning arrangements
– single education, health and care plan
– personal budgets
Mental Health Services:
– Therapeutic services to prevent residential placements
– Support local Looked After Children (LAC) and Special
Educational Needs (SEN) arrangements
Commissioning Intentions 2013-15
Disability Strategy:
– Short breaks
– Integrated service models i.e. 0-25 year olds service for
children and young people with disabilities, including
paediatric therapies
Systems to ensure appropriate funding for LAC placements from
other Local Authority areas
Healthy Child Programme
Commissioning Intentions 2013-15
Getting to Good – safeguarding:
– Effective services that meet needs, reduce demand at
different thresholds of need e.g.
– Early help
– Support for foster carers
– Therapeutic support
– Support for the Multi Agency Safeguarding Hub
Commissioning Plan 2013-15
Plan for Universal Needs (typically developing children)
What we will be commissioning:
Healthy Child Programme 0-5 years including health visitors and children’s
centres
Healthy Child Programme 5-19 years
What we want to develop with others to provide:
Wide range of universal services that offer choice and support for families
Information and advice for families
Commissioning Plan 2013-15
Plan for Children with Additional Needs
What we will be commissioning:
Short breaks and respite care services for children with disabilities
Integrated Equipment Store (jointly with adults services)
Mental health services
Services that support “troubled families”
Services to address alcohol and substance misuse
What we want to develop with others to provide:
Wide range of universal services that offer choice and support for families who
have a personal budget / direct payment
Family support services
Commissioning Plan 2013-15
Plan for Children with Complex Needs
What we will be commissioning:
Locally based specialist services for more challenging looked after children and
children with complex needs;
Targeted support for children who are “open” to social care
What we want to develop with others to provide:
Local arrangements with regional and local partners to provide specialist
services
Commissioning principles
•
•
•
•
•
•
•
•
Commissioning for outcomes, rather than commissioning of services
Involvement of children, young people and families
Work in collaboration with residents, service users, volunteers and voluntary
groups, community bodies, businesses and other partners to help people be
more self-reliant, devolve services and build stronger communities
Ensure safeguarding and quality is prioritised
Provide flexible services allowing choice and control
Support local delivery, diversity of suppliers, partnership and consortium
approaches and support the local economy where we can
Ensure commissioning decisions are based on evidence of local need, best
practice and innovation, effective services that provide value for money
Utilise flexible contracting approaches with proportionate tendering
exercises
Market Development
Challenges:
• Recent procurement exercises show lack of
responsiveness
• Breadth of services not available
• Need to accelerate options of personal budgets
for families
• Communities doing more as Council funds less
Business opportunities
Will be advertised on Council’s e-tendering portal
General commissioning and procurement advice
available on:
www.herefordshire.gov.uk/commissioning-andprocurement-doing-business-with-the-council
Short Breaks and Respite Services: How
we did it and what we learnt
Bridget Cameron, Lead Commissioner
Maria Munday, Parent
Julian Reeves, HVOSS
Background
Children with disabilities review 2011
• Services did not meet the needs of the children, young
people and their families
• Services did not offer choice
• Services did not offer flexibility
• There was only one overnight option
Short breaks/respite care provision
• Grants model – where organisations submit ideas for a
project or service rather than tender focusing on
outcomes.
• Contracts were for multiple aspects of service delivery
e.g. buddying and playschemes
Historic service delivery model
• Commissioners - specify what the services will look like, work with
service specialists and service users to assess need, procure them
and then monitor the services using targets
• Providers – are allocated service users, ration resources and
deliver services to recipients
• Service users and communities - are defined by what they lack
and receive care based on how needy they are perceived to be
Co-production model
• Commissioners, providers and service users have a
role in:
– assessing needs,
– mapping the current service and its assets,
– agreeing outcome targets,
– planning allocation of resources, designing services,
and
– monitoring and evaluating impact
• Professional and experiential knowledge are valued
and combined
Co-production model
Existing
model
Provider
Commissioner
Service
user
Co-production model
Coproduction
model
Commissioner
Provider
Service
user
What we learned
Involving parents and carers throughout the process
• Service users designing the outcomes produces a closer
match between the service itself and the needs of those
who use the service
• Having parents and carers on the panel brings a real
insight into the service from the service user perspective
• Service users understand the legal requirements and
restrictions which apply to the commissioning process
What we learned
Social Value Act
Having a question focusing on social value causes
confusion to many providers.
• Social value
• Social capital
• Added value
• Value for money
• Social return on investment
Were we successful?
• Award a number of contracts as a result of the process.
• We will be able to offer more choice for our children and
their families.
The process
• Outcomes-based contracts can be designed effectively
with the service users.
• Co-production models can better meet the needs of
service user.
• More support needs to be offered to providers around
social value.
Julian Reeves
Policy and Support Services Manager
Hereford Voluntary Organisations Support
Service (HVOSS)
01432 343932
julian.reeves@hvoss.org.uk
The Tender Panel
Consensus
Anonymised
No Prior Knowledge
Moderated
Scoring 0 Inadequate
1 Limited
3 Acceptable
5 Superior
Key Points
Make the word count count
RTQ/ATQ
What difference does it make?
Evidence-evidence-evidence
Non-transferable
Another pair of eyes
Maria Munday
Parent Carer
Why did I get involved?
Future tenders
•
•
Commissioners
Providers
QUESTION AND ANSWER SESSION
Speed Dating and Networking
•
•
•
•
•
Herefordshire Clinical Commissioning Group
HVOSS – third sector support service (including funding information)
Healthwatch Herefordshire
Social Enterprise West Midlands
Council reps:
– children’s wellbeing
– public health
– economic development
– communications and social media - join our Facebook page!
Please give feedback
•
•
•
•
Use the notice boards available in the room
Feedback on the budget consultation
Evaluation questionnaire will go out shortly – please respond
Future events ideas:
– How to tender events
– Sustainability and business models
– Personalisation
– Feedback on budget consultation results
• Please let us know your ideas too
Date for your diary - 10January 2014
Thank you for coming