Transcript Document
The Challenge for Local Commissioners Sanna Westwood, Snr Commissioning Officer, Essex County Council • • • • 2 Context Commissioning Challenges The Market And now • The squeeze is on • Changes are afoot • Where have the good old days gone? 3 Our roles • Housing providers • Social care authorities • Care providers 4 What now? • • • • • • 5 Still need range of housing and services for older people Reducing public sector resources Requirement to reduce numbers of OP placed in reg care Increasing numbers of older people with changing requirements Older people looking for choice across all areas of delivery Closer working with health partners Commissioning • More innovatively in order that better outcomes can be delivered • Innovation = better ways to deliver better performance • Collaborative relationships between commissioners and investors • Mutual understanding of partners drivers 6 Commissioning • Local requirements to increase numbers of general needs housing • >70% owner occupation • Range of housing options needed to meet the needs of the whole community • Health impacts – preventative role of housing 7 CHALLENGES The ageing society poses one of our greatest housing challenges. By 2026 older people will account for almost half (48%) of the increase in the total number of households …. Older people’s housing options are too often limited to care homes or sheltered housing ……. National Strategy for Housing in an Ageing Population – “Lifetime Homes, Lifetime neighbourhoods” February 2008 8 Our challenges • • • • • • 9 12 LAs 5 PCTs Implementing review recommendations VFM – care contracts Market responses to care Housing engagement with the Personalisation agenda Challenges - Personalisation • • • • • • • 10 You choose – we pay…. Transaction costs Moving from a wholesale market to a retail market Individual Service Funds Reducing funding whilst increasing choice for service users Marketing Information The Market • Large numbers of Essex residents who we have no direct relationship with – toolkit and risk management • Influence – housing options • Language of – CILs – LDFs – CCRC – Planning – Appeals 11 The Market • Influence design – to meet current and future needs • Respond to applications • Design guides 12