Transcript Document

The Evolving Market
What does it mean for Domiciliary Care?
Nicola Mould and Mandy Curran, Somerset Care At Home
The Political Landscape
– Who’s in power?
• Personal Care At Home Bill
– CQC
– The Public Purse
– Fuel
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Personalisation
– Service User Expectations
• Challenges versus Opportunities
• Vulnerability Issues
– The National Agenda
• Personalised Budgets
• Legislative Changes
• Training
– Disparity of Commissioning Strategies
Recession
– Recruitment
– Retention
– Choice and Control
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What Barriers Do We Face?
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Demographic
– Living longer – 44% increase in the over 85 year
old population countrywide over the next 17 years.
– Fewer available carers proportionately.
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Census 2001 - % Men & Women by Age Group
Torbay UA
printer friendly version
http://www.statistics.gov.uk/census2001/pyramids/pages/00hh.asp
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Recruitment and Retention
– Competitive Market Place
• Personalisation – Other providers/PA’s
• Supermarkets
• Seasonal Work
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Economic
– Public Sector Fee Cuts
• Efficiency agenda presents a barrier to innovation
– Rising Fuel Costs
– Increasing Legislative Costs
• Pensions 2012 (1-3% pa)
• Rising Tax Burden (1% NIC 1.4.11)
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Opportunities For The Future
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Marketing
– Increase Customer Awareness
– Improved Signposting by Providers to other
services – eg. day care, respite
– Use of Assistive Technology
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Improving Outcomes
– Introduction Of Specialist Care Teams
• Career Opportunities for Staff
• Better Equipped to deal with Service User needs &
provide a more personalised service
– ‘Enabling’ Rather Than ‘Doing’
• Better outcome for both Service User and Care and
Support Worker
• Reduction in duration of package, efficiency saving
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‘Cash Savings’!
– Much Improved Integration of Health And
Social Care Funding
• Domiciliary Care providers to supply low level
health related tasks, thus releasing the pressures
on the Health Service at a lower cost
• Nursing Care in the community
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‘Cash Savings’!
– Improved Co-Production
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Provider Brokering
Single Assessment Process
Shared knowledge from other Counties
More efficient administration nationally
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‘We believe it essential, and entirely
consistent with good procurement practice,
for commissioners to develop effective and
strong partnerships with current and
potential providers. This includes more
strategic, earlier discussion with provider
communities about need’
Commissioning Framework for Health and Well-being –
DH March 2007
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