Overview and
introduction
Angie Andrews
The future provision
of Cornwall’s
Children’s health
and wellbeing
services
Potential Provider Event
Content
This session aims to:
1. Set the landscape for commissioning of
Cornwall’s Children’s community health
and wellbeing services for Cornwall
Council, the Council for the Isles of
Scilly and NHS England
2. Provide information about Cornwall
Council’s procurement
3. Provide an opportunity for you to ask
questions
4. An opportunity for your input into the
specification
Commissioning Partners
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•
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Cornwall Council
NHS England
The Council for the Isles of Scilly
NHS Kernow
Cornwall’s Children’s Trust Vision
All children, young people and their families in
Cornwall are safe and have good opportunities
to achieve and improve themselves. We will
close the gap between those who are doing well
and those who are doing less well by effective
work with those with greater needs.
Cornwall Children & Young People’s
Plan Priorities
• To provide good quality, consistent and multi-disciplinary
practice in the help and protection we provide to children and
young people
• To develop and deliver family centered and outcome focused
early help services that are responsive to need and achieve
value for money through effective partnership working
• To ensure healthy pregnancy from conception to birth,
improving emotional wellbeing and mental health, access and
quality of services to children, young people and their families,
reducing hospital attendances and admissions
• To enable children and young people to fulfil their academic
potential and make informed choices about their futures by
raising aspiration and enabling pathways into high quality
opportunities in education, training and employment
• To develop a confident and competent workforce across the
partnership
Commissioning of Cornwall’s
Children’s community health and
wellbeing services
• In scope services:
-
Health Visiting
School Nursing
Family Nurse Partnership
Specialist speech and language
• Estimated approximate contract
value: £10m
The process
• Communication, Consultation & Involvement ongoing
• Project work team
• Anticipated timescales contract in place by April
2016
• Outcome focussed specification based on local
need
• Aligning services
• Tender package to be decided
Cornwall remains committed to…
• ensuring sustainable, high quality and accessible
children’s services that are effective in
addressing inequalities
• securing value for money and sustainability of
our children’s services
• effectively targeting resources where they are
most needed to improve outcomes, whilst
ensuring that all families feel comfortable in
accessing services
• ensuring we build upon existing good quality
provision and practice and address potential
gaps
• continue to work together in partnership
Thank you for listening
Senior Commissioning Manager:
Angie Andrews
07968 892660
aandrews@cornwall.gov.uk
Service status
and picture –
Health Visiting
and Family Nurse
Partnership
Kirsty Edlin and James Bolt
Service status
and picture –
School Nursing
Brian O’Neill
School Nursing
Brian O’Neill
School nurses
The core public health offer for school-age
children and young people encompasses
the healthy child programme (5-19 years)
including:• Health promotion and prevention by a
multi-disciplinary team
• Defined support for children and young
people with additional and complex
health needs;
• Additional or targeted school nursing
support as identified in the Joint
Strategic Needs Assessment
The healthy child programme
(5-19)
• The Healthy Child Programme
national public health programme
a robust evidence based framework
good practice for prevention and early
intervention services
• school nursing service is pivotal in the
effective delivery of evidence based
support
• Important for children and young people
to access the expertise of school nurses
and their teams
The Healthy Child Programme
(5-19)
• Identify health issues early, so support
can be provided in a timely manner;
• Make sure children are prepared for and
supported in education settings;
• Identify and help children, young people
and families with problems that might
affect their chances later in life.
Public Health 5-19
• Conception rate for under 18’s was 14.4
per 1000 women (211), the lowest since
the 1998 baseline was set.(Q3 2013)
• In 2012/13, 1.6% of all women giving
birth were aged under 18 years. (higher
than the regional average)
• 18.1% of children in CIOS are living in
poverty, which equates to 16,200
children of aged 16 and under
• 8.7% of reception age children and
16.3% of Year 6 children are obese
Public Health 5-19
• 25.2% of children aged 5 have one or
more decayed, missing or filled teeth
• A higher than national average rate for
Hospital admissions as a result of selfharm (10-24 years) at 422.1 per
100,000 in 2012/13 and affected 380
10-24 year olds
• Immunisation rates for HPV lower than
the national average
School nursing
• Improve access to public health and
early intervention
• Reduce the prevalence of obesity in
school aged children
• Build capacity e.g. supporting health
promoting education and other settings
• Promote good mental health and
wellbeing, supporting early intervention
in mental ill health, and identify and
help children and young people, and
their families, who need support with
their emotional or mental health
School nursing
• Improve readiness for school both at
primary and secondary
• Contribute to a reduction in school
absences (due to ill health) and support
educational attainment
• Increase population immunisation and
vaccination cover
• Contribute to a reduction in dental decay
and promote oral health
• Contribute to a reduction in the number
of children with continence problems
School nursing
• Contribute to a reduction in hospital
admissions due to unintentional or
deliberate injuries in under 18 year olds
• Contribute to a reduction in under 18
conception rates and supporting the
diagnosis of chlamydia in 15-24 year
olds
• Contribute to a reduction in smoking
prevalence
• Contribute to a reduction in alcohol and
drug misuse
The school age population
• 88,300 children and young people age
5-19 years
• 236 primary schools, 32 secondary
schools
• 98 Academies
• 9 independent schools
• 466 pupils electively home educated
Service status
and picture –
Specialist Speech
and Language
Therapy
Sandy Chapman
Communication Support Service
Specialist Speech and Language Therapy
Team
The team
• 3.4 Specialist Speech and Language
Therapists and 2.8 Speech and
Language Therapy Assistants.
• A therapist and assistant are based in
each of the areas Mid, East and West
• Staff are employed by CFT but funded
by Cornwall Council
• The team sit within both the paediatric
Speech and Language Therapy Service
(CFT) and Education, Health and Social
Care (CC)
What do they do?
• Provide Speech and Language support
to children in mainstream schools who
have the most complex and severe
communication difficulties
• Support school staff to develop the most
inclusive and appropriate learning
opportunities for these children
• Provide training for parents and staff in
using appropriate strategies to maximise
the communication potential of these
children
In an academic year they….
• Provide needs based support to
approximately 140 children.
• Provide 8 bespoke training packages
based around individual children’s
needs.
• Provide specialist Speech and Language
assessments and reports for tribunals
• Provide specialist training for the
community Speech and Language
Therapy service
• Participate in service developments for
both CFT and Cornwall Council.
Service status
and picture –
Isles of Scilly
Joel Williams
Service status
and picture – IS
Judi Morris
IT & IG
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•
•
•
•
Business Impact Assessment L4
Information Governance
Information Security
Information Sharing and Data Protection
Reporting
Service status
and picture –
Property
Adam Birchall
Property
Context
•
•
•
•
•
•
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Already fragmented and highly complex public sector estate – especially NHS
Cornwall Council manage property assets of £1.8bn with three framework
partners and single asset management function
NHS family forced to manage £300m of assets split across 6 different national,
local and private agencies
One Public Estate Programme to address that
Property strategy led by whole town approach
Cannot loose efficiencies through vagaries of an individual contract
Devolution of properties to Town and Parish Councils
Principles
• To consolidate the public sector estate – not further the fragmentation
• Freedom of asset management retained by client
• Managed consistently across all partners and stakeholders
What does that mean at a property
level?
• CC freehold property occupied by current CC staff – licence to occupy
on Council terms and policies, with Council freedom to lift and shift as
with any other service, or provider freedom to exit if it fits overall public
sector asset management programme (properties costed at fixed all
inclusive rate in common with other partners)
• CC property occupied by other incumbent provider – as above
• CC staff in property of other incumbent provider – would seek to
consolidate in to CC assets if possible; may be issues to resolve in
formalising some of those arrangements in parallel with the procurement
• Incumbent provider staff in incumbent provider property –
uncontrolled
• CC staff in private leasehold property – costs and risks to be passed
directly on to new provider; but desire to consolidate where
possible
What does success look like?
“That the new contract marries with the provision of more
integrated services from fewer, better properties, with
lower property revenue costs to the Council, and fully
integrated with the One Public Estate programme,
Devolution programme and Capital Asset Rationalisation
programme”
What does failure look like?
“We add yet more layers of complexity to property
management in the current health sector that block
sensible, pro-active rationalisation and revenue savings
by individual commercial interests”
Feedback
- What information do you need?
- What level of clarity on draft leases of
licences?
- What property issues will cause
obstacles?
- Where are there other opportunities?
Service status
and picture –
Procurement
Sharon Hamilton
Procurement
Children’s Community Health and
Well-being Services
December 16th 2014
Sharon Hamilton
Indicative Procurement Timetable
If restricted route…
•
Stage 1 – Pre-Qualification Questionnaire (PQQ) – used to
select providers to be invited to tender – PQQ issuance –
March 2015
•
Stage 2 – Invitation to Tender (ITT) – used to select
providers based on future service delivery standards and
price and quality – issue May 2015
If open route…
•
ITT issued March/April 2015
•
Contract award – October 2015
•
Contract Commencement – 1 April 2016
Top Tips for Tendering
• Register on tendersincornwall.co.uk and Contracts Finder
• Only bid for work that you are sure you can do
• Make sure you accurately answer all questions
• Comply precisely with the instructions
• Concentrate on what the buyer is looking for, rather than
your standard offer
• Don’t send “glossy” brochures which have not been
requested
• Do not rely on reputation
Top Tips for Tendering
• Check your word count where relevant. Any
words over the word count stipulation with not
be evaluated
• Review your policies on a regular basis to ensure
they comply with legislation and Council
requirements. All policies must have a date
showing when they were last reviewed
• Make sure your documents are up to date and
readily available electronically
• If something is not clear, ask a clarification
question
Top Tips for Tendering
• Understand the timetable and plan your bid accordingly
• Don’t miss the deadline for receipt of tenders
• Provide clear and concise contact details
• Thoroughly check your prices and all supporting data
before submitting
• Ensure you have e-mail confirmation that your application
has been received
• Request tender feedback, even if you are successful, as a
means of improving future tender prospects
Reasons why providers can fail to
submit a successful bid
•
Failure to read all documentation and to provide the required
information or to follow instructions i.e. missing a deadline.
•
Failure to answer the question asked. Answers provided
must relate to the question asked and the service you are
bidding for.
•
Attaching policies as answers where policies have not been
requested
•
Not understanding that bids will only be evaluated on the
information given in the answer; regardless of whether you
are already doing business with the Council.
Your procedures seem long and
complicated…
•
We are bound by rules and regulations in terms of
how we conduct procurement, most significantly the
EU Procurement Directives
•
We need to manage our risks. Many of the services
which we procure are high risk and we therefore have
high expectations of our suppliers
•
We are spending public sector funds and therefore
have to ensure that we get the best possible value for
money and service outcomes for children, young
people and their families and maintain continuity of
service delivery
Cornwall Supplier Development
Programme
• Aims at supporting potential providers
through the Cornwall Council tender process
• A number of resources are available at:
www.cornwall.gov.uk/supplierdevelopment
• One key resource is a series of public
procurement webinars. These are:
45-60 mins each in length
Free to access
Have no software requirements
• Webinars cover three main topics:
Introduction to public procurement
Completing a Pre-Qualification Questionnaire
Submitting an Invitation to Tender
Children’s Community Health and
Wellbeing Services
Soft Market Test
Deadline: 5th January 2015
Your organisation name and background.
Your understanding of what these services could offer to children in Cornwall
and how outcomes for children could be improved.
Explain how your organisation would ensure effective referral pathways to
other Children’s Community Health and Well-being services in Cornwall,
particularly in regard to the NHS Kernow Children’s Community Health and
Well-being services.
What factors are likely to influence your organisation’s interest in any future
procurement exercise?
Please identify any issues, concerns or risks that might prevent your
organisation from participating in any future procurement exercise to provide
these services.
How would your organisation expect to bid for this work? For example on your
own/consortium/other. What benefits/risks are associated with this model?
Do you consider that there are any innovative options available for the delivery
of these services?
Any further questions ?
Cornwall Council
County Hall
Truro TR1 3AY
Tel: 0300 1234 100
www.cornwall.gov.uk