County Council Budget - Suffolk Association of Independent Care

Support to live at Home
Providers event
29th August 2014
Agenda
10-10.05
Housekeeping & Agenda
Alison Donald
10.05-10.15
Welcome & Financial update
Evelyn Wheeler
10.15 – 10.30
Support to live at Home – Presentation
Robin Guy
CCG
Jon Reynolds
10-30 – 11-15
Table discussion led by facilitators
All
11.15 – 11.30
Break
11.30 – 12.30
Questions from facilitators for each group & open Q&A’s as time
permits
Alison Donald & Panel
Why are we doing this?
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Service redesign – SLCC principles
Ageing population – Different needs at different ages
Spot contracts based on “time & Task”
Does not promote personalisation
Inadequate capacity in some areas
Wide geographic spread of customers
Inefficient carer rounds
Retain & recruit
Community led service, more choice and control
Community Based Approach
Expert input support from Acute local
responses from commissioned services
including specialist resources
Risk Assessment of local
population
Neighbourhood Network/
Community
Hub/Providers
Locality Based
Responsive
Neighbourhood
Team
Admission Prevention links to
urgent care and then returning
to independence
Pull based hospital discharge
focussed on re-ablement/rehab
and return to independence
What's been happening?
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Market Engagement Day
Cabinet report 25th March
Tender “Support to live at Home”
Provider for each locality lot
Policy Development Panel – April – June
Procurement surgeries
SAICP AGM – June
Today will be the sixth presentation to providers
County Council Budget – Scene
Setting
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The government is determined to cut country’s budget
deficit – until at least 2018-19.
This is having a major impact on most areas of public
spending .
Suffolk County Council has been required to make
significant savings every year since 2011-12 totalling
more than £130m. The easier options have been done.
The savings challenge for the Council for the 3 year
period 2015-16 to 2017-18 is forecast at £120m.
On a straight line basis – this equals £40m per year.
The savings challenge is getting greater and can only
be achieved by different ways of working and being
even more efficient.
The Council is developing savings options for the next 3
years to 2017-18.
ACS Budget – Scene Setting
ACS has already made significant efficiencies.
The Adult & Community Services of c£200m
makes up 40% of the Council’s Revenue budget.
The care purchasing budget of £150m makes up
75% of what ACS spends.
ACS will need to make a significant contribution as
the budget is a large share of the Council’s total
budget.
ACS Current & Last 2 Years
Savings that ACS have achieved in last 2 years –
plus requirement for financial current year.
ACS has met the
savings challenge of
the past two years
through a
combination of
internal re-structuring
and planned
efficiencies in the
way it purchases
care.
Savings for the
current year are
planned to be made
from Supporting
Lives Connecting
Communities plus
Savings
£32m
Savings
£22m
Savings
£12m
14/15 Savings
£10m
13/14 Savings
13/14 Savings
£10m
£10m
12/13 Savings
12/13 Savings
£12m
£12m
2012/13
2013/14
12/13 Savings
£12m
2014/15
The model
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Community led service
Generic service for all customers
Co-commission with CCG’s
Aligned to social work teams – CCG areas
Direct payments – Individual Service Funds
Electronic monitoring – banking hours
Outcome based Support Plan development
Support development
Competent workforce
Continuing Health Care
Likely Inclusions:
• Domiciliary Care
• Enhanced Nursing Care (Separate lot with a larger geography)
Likely Exclusions:
• Live ins
• Learning Disability (health packages)
What still needs to be done?
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Publish specification
Bidders Day – 30th September
Implementation Programme
Consortiums, Partnerships welcome
TUPE
Procurement News
Draft Timetable;
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23rd September - Notice published in the Official Journal of the
European Communities
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30th October – PQQ Submission Deadline
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25th November – Invitation to Tender Issued
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27th January – ITT Submission Deadline
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1st July 2015 – Contract Commencement
Please register on our online tendering system
www.suffolksourcing.co.uk
Or follow us on Twitter;
@SuffolkSourcing or @SuffolkPCM
Over to you
• 10.30 -11.15
• Facilitator on each table
• Consider – Model strength
• Concerns – formulate questions
• Break until 11.30
• 11.30-12-30 – Questions to Panel via facilitators
• Supplementary questions as time allows.
Round up
• Plenary feedback
• Thank-you for attending & please register at
Please register on our online tendering system
www.suffolksourcing.co.uk
Twitter; @SuffolkSourcing or @SuffolkPCM
Slides & information
http://www.suffolk.gov.uk/care-and-support/adult-social-care/homecare-and-community-meals/ (link on agenda)