Transcript Dynamic Provider Framework Home Care

YOUR COUNCIL
Dynamic Provider Framework
Home Care
Presented by:
Preeya Madhoo – Head of Category
Management
Jane Love – Interim Head of Commissioning Adult social care
YOUR COUNCIL
Why did we do this?
• The Council’s current provider framework was
ending.
• The Council needed to make significant savings,
whilst maintaining frontline services and wanted to
provide opportunity for local providers on a level
playing field.
• Promote more and better choice and control &
provide greater flexibility and person-centred care to
the service user.
• Adopt an approach to using quality thresholds and
KPIs that continually incentivises providers to
demonstrate high performance.
• Mainstream enablement services to enable a wider
access to the service and in doing so continuity of
care
• Consider how use of technology could help meet key
objectives
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Baseline position
• Population of Medway is c.260,000.
• Over the next 10 years, there is expected to be
an increase of 16,300 people over the age of 65
living in Medway.
• The Joint Commissioning Strategy for Older
People estimates that there are 2,367 people
with dementia in Medway. In ten years’ time this
could increase by 8%.
• 2817 people (majority Older People) received
Homecare in 2011/12.
• c.14,000 hours of Homecare delivered every
week.
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Current Homecare Provision
• Current spend £12 million p.a
• 7 providers deliver c.90% of volumes (by
spend).
• 9 providers delivering c10% of volumes (by
spend)
• Price variation
• Zone commissioning
• Rely on contractual relationships for
continuous improvement
• No incentive to improve
• Lack of choice for customers
• Target savings £1.4m
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What did we do?
Short term strategy
• A procurement can take between 9 and 12
months, so we renegotiated contracts
• £600,000 in year savings achieved
Longer term strategy
• We researched what other local authorities
were doing – redesign eg placement team
• Identified Dynamic Provider Framework –
KPI’s
• Met with providers to discuss framework
and ideas
• Framework built on 70% quality and 30%
price
• We encouraged competition – removal of
bond requirement/ Parent guarantee
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Timeframe
• 25 May 2012 – Deadline for receipt of RFI
• July 2012 - Issue of OJEU notice
• July 2012 - Issue of PQQ / ITT documentation
• August 2012 - Deadline for receipt of tenders
• September 2012 - Evaluation of tenders
• October 2012 - Contract award
• November 2012 - Mobilisation
• December 2012 - Contract ‘go-live’
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Pricing Regime – 30%
Current position: Each provider has different
prices for visits
2 options considered
• Fixed price
- Save on Council transaction costs
- The right price: achieve required savings
level and not too low to exclude SME’s.
• Pricing envelope
- Achieves flexibility for providers
- Savings built in, and less risky/restrictive
than a single price.
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Quality Regime – 70%
Quality evaluated on the areas outlined below:
• Meeting Care Plan needs and creation of Service User
Support Plan
• Management Structure, incl. supervisions, checks, risk
assessments
• Care Worker recruitment, development and training
• Exceptions and variations to Care Plans
• Continuity of care and more challenging service users
• Enabling care and increasing user independence
• Service User choice and flexibility of care
• Service User safeguarding
• Communication and information provision
• Complaint response and Service User Feedback
• Contract management and performance monitoring
• Service innovation and future development
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Framework Evaluation
• Score out of 5 given for each section
• 19 evaluators – paired according to
specialisms
• Pricing 30%
- 15% - 30min calls
- 7.5% - 45 & 60 min calls each
• Quality – 70%
- Enablement, safeguarding & Staff
recruitment attracted high weighting
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Outcome
• 129 expressions of Interest
• 20 providers – 5 gold, 8 silver, 7
bronze
• 7 unsuccessful providers
• 6 new providers entering the market,
of which 4 were local providers
• Outcome focused service
• Savings of £1.9m achieved ( £0.5m
over target)
• Pricing envelope
• 30 Minutes (£6.90 - £7.30 )
• 45 Minutes (£9.30 - £9.60)
• 60 Minutes (£11.65 - £12.15 )
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Mobilisation
• Existing care packages with provdiers on
the framework would remain, but move to
the new prices from 1st December
• All New care packages will be presented to
the gold providers, then silver, then bronze.
• Placement team – new care packages
• Existing care packages with providers not
on framework, will be looked at case by
case basis. Possible mini-tender for any
providers with a large number of cases
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Mobilisation cont.
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•
•
•
•
Establishment of a placement team
Update systems to reflect new prices
Decisions on providers not on framework
Provider briefing 25th October
KPIs – defined set of KPIs, monitored 6
monthly
• Annual review of Framework
• ETMS – built into framework to improve
invoicing, payment, performance
management
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Questions