Provider dialogue and
engagement that effects
change
East Sussex County Council
2008/09 – where we were
• Commissioning strategies across core client
groups + universal services strategy for older
people
• Approach to prevention embedded through
POPP programme work
• New quality monitoring team improving quality in
home and Nursing/Residential care
• Block contracts to manage home care market
• RTTM implementation with block providers
2008/09 where we were
• Commissioning strategies developed with
high levels of user, carer staff and partner
agency involvement
• Independent Provider Forum – strong
focus on workforce development
• Independent sector engagement
– Improving for home care: forum meeting
regularly
– Residential care more challenging
Key challenges
• Fragmented picture and relationships
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Voluntary sector, multiple local networks and forums
Independent sector, no clear representative structure
Community-based, residential/nursing
Large blocks and small contracts
No clear avenue for communication
Only able to engage with contracted providers
Mainly ‘traditional’ social care market
Discussions mainly contract and finance related
Less discussion of strategic commissioning, market
development, service models and joint-working
DH PPF/TASC milestones – local
commissioning
• Providers and third sector organisations
are clear on how they can respond to the
needs of people using personal budgets
• An increase in the range of service
choice is evident
• St’holders are clear on the impact that
purchasing by individuals, both publicly
and privately funded, will have on the
procurement of Councils and
PCTs….guaranteeing the right kind of
supply of services to meet local care and
support needs
• October
2010
• October
2010
• April 2011
Provider dialogue and
engagement that effects change
• Developed brief to strengthen current
arrangements
• PPF/TASC/personalisation = clear reason to
change
• Methodology:
– Face to face interviews and telephone conversations
– Questionnaire survey distributed widely
– Presence in local press, radio, Council website
Face to face interviews
• Consultant engaged to establish dialogue
with a cross section of service providers
and gauge their views about:
• (1) their ideas and preferences on how
engagement should take place and
• (2) providers’ issues and suggestions in
relation to the challenges of PPF and
related developments.
Questionnaire
• Details about the organisation
– Size
– No.s of employees
– Legal structures
• Views on current and future engagement
• Stimulate ideas on future roles in the market
• Targeted at existing providers and new, potential
providers
• Closes 16th October
Making contact
• Online SNAP questionnaire, 10 minutes to
complete, housed on ESCC website
• Press release, local papers, radio etc.
• Chambers of Commerce contacts – 2000
businesses
• All known contacts through lead commissioners
and Contracts and Purchasing Unit – voluntary
and independent sector.
• Existing infrastructure roles, e.g.
Compact/Change Up and RCHA
Initial findings (face to face
work)
• Varied experience of communication with ASC
• Need to raise levels of understanding about
personalisation
• Some degree of anxiety about place in the
market, models of procurement, ability to
respond and opportunities
• Difficulty with travel, therefore attending
meetings
• Would appreciate regular communication
Next Steps:
• Develop market
development strategy
• Personalisation change
programme for providers
• Refine commissioning
and procurement models
e.g. frameworks for home
care, 3rd sector
commissioning
• Provider conference in
early 2010 – launch new
structure (s) and strategy
development process
Dependent
projects:
• Strategic Review of
Engagement (users,
carers and communities)
• Third Sector
Commissioning – VCS
Contracts for Services
• Homecare procurement
options project
• ‘Market engaged’ web
facility
• Buy Social Care With
Confidence
East Sussex Putting People First
Programme
Access and Self Directed Support
workstream
Strand A: Supporting choice
infrastructure projects
Choice, Market Development and
Engagement workstream
Strand B: Developing the market
Business Systems, Processes and
Infrastructure workstream
Strand C: Engaging with users,
carers and communities
Project: Strengthening Provider
Engagement
Project: Advocacy services
Project: Support Brokerage
services
Project: Market engaged webbased facility
Project: Market Development for
Personalisation Strategy
Project: Commissioning and
procurement redesign
Project: Third Sector
Commissioning (building social
capital)
Project: Micro-services
Project: Home Care Procurement
Options
Project: Buy Social Care With
Confidence
Project: Developing User Led
Organisations (Demonstrator)
Project: Day Opportunities for
Older People
Project: Extending choice initiatives
Project: Strategic Review
of Engagement
July – November 2009
DH PPF/TASC milestones – local
commissioning
• Providers and third sector organisations
are clear on how they can respond to the
needs of people using personal budgets
• An increase in the range of service
choice is evident
• St’holders are clear on the impact that
purchasing by individuals, both publicly
and privately funded, will have on the
procurement of Councils and
PCTs….guaranteeing the right kind of
supply of services to meet local care and
support needs
• October
2010
• October
2010
• April 2011