Supporting People JIMI MACKAY/CIA As Supporting People funding shrinks, Andy Ricketts asks whether it’s better to be a small, medium or large provider ‘If it wasn’t for you, I wouldn’t be here.’ For many of those who work on the frontline of Supporting People services, it’s a sentiment they will have heard time and again from the vulnerable people they’ve helped. Often it’s no exaggeration. But the gradual squeeze on central government funding to prop up what can be life-changing services has meant tough decisions for service providers. Many have found themselves scratching their heads and wondering where the next savings can come from as it becomes harder to balance the books. Tales of providers selling off assets, family silver-like, to stay in the game are common. Now there’s a debate – with providers falling into three broad size categories, is it the small, the medium or the large which are bearing the brunt of the cuts? First impressions suggest the smaller providers are suffering more than the sector’s big boys. For example, Colchester Quaker Housing Association – with fewer than 300 supported housing units – hit the headlines last year when a money-saving procurement drive by Essex Council deprived it of the bulk of its floating support contracts. The association was eventually swallowed up by Family Mosaic. Councils across the country have since followed Essex’s lead, cutting providers and advertising tenders. Supporting People consultant Nigel Rogers says that initially all sizes of organisation were worried about the cuts and procurement drives, but the smaller providers are proving most at risk. ‘We were going through this phase where all the small providers thought that the big providers were going to win all the contracts and the big providers were scared because the local authorities were saying they wanted local providers,’ he says. ‘But now it is much harder for the smaller providers to hang on to their side of the market. You do not tender for 25 units of floating support – you tender for services across the city or county.’ 26 Inside Housing 23 March 2007 Supersize me Not only does that mean disproportionate bureaucratic costs for smaller organisations, but it’s tougher for them to repackage services if they are not meeting local need, he adds. But Emma Daniel, chief executive of SITRA, says the cuts have bitten across the board. ‘In terms of how [the cuts] are impacting on people’s businesses I do not think there is a big difference between big and small providers,’ she argues. ‘Salary costs are the main costs in providing support services and in that respect the pressures are not vastly different across different sizes of provider.’ That said, she also claims that larger providers are gaining some ground over their smaller counterparts. ‘One advantage that the large providers have, if they have one, is that they have the infrastructure to respond quicker to the procurement agenda. They are also able to take on risk in the way that smaller ones are not able to.’ According to Sue Ramsden, policy leader at the National Housing Federation, as commissioning decisions are taken locally, the way in which providers are affected by cuts varies. Overall, smaller organisations find themselves in the most perilous circumstances, she says. ‘Some [councils] have gone for large contracts to provide services which are very difficult for small organisations to bid for, and for them to deliver on.’ She adds, ‘You can say that they [small providers] are vulnerable but you cannot say across the board that they have suffered.’ Size notwithstanding, all providers have undoubtedly suffered cuts. But in the current environment, it seems as if most providers acknowledge the unique struggles faced by the smaller organisations, particularly in competing with the big providers for large contracts. And there is still a long way to go before the future landscape of the supported housing sector is settled. The provision of SP services may be at times a dirty business, but few would decry their purpose. ➔ Continued overleaf Not all their own way: large providers The large providers look set to dominate the market place, or so most smaller of those than them murmur. But the bigger players themselves insist they’re not having it all their own way. Andrew Painton, chief executive of Stonham, the largest individual recipient of Supporting People cash, says his organisation axed more than 200 staff in a massive SP-prompted cost-reduction drive. The organisation has effectively suffered an almost 12 per cent cut in real terms funding over three years, he says. ‘We have absorbed that in making efficiency savings but you just cannot keep doing that,’ he says. ‘What is happening is pretty much applicable to all sizes of provider – it is hitting everyone.’ But further chunks of lost funding would lead to Stonham having to cut services – something it has managed to avoid so far. ‘We are pared right back now, so what we are talking about now is reductions in the level of services,’ warns Mr Painton. Stonham has beaten competition from local consortia to land a couple of large Supporting People contracts, which has seen its popularity dive with some of the losing providers. Mr Painton acknowledges their sentiment, but says: ‘We want to be a successful organisation, we think we are good at what we do and we want to go for new business.’ Barbara Laing, housing services managing director at Anchor Trust, which supports around 24,000 older people, says she’s worried about the trend for schemes previously run by a single provider being split between several. ‘It means we face having scheme managers having to have their hours reduced,’ she explains. She adds that larger providers are more likely than more modest organisations to contract out certain functions – such as call centre and alarm services – which run across their services. This can be expensive, besides making it trickier to explain to service users who is providing the various parts of their care packages. Cut-ometer 3/5 ✗✗✗ It is much harder for smaller providers to hang on to their side of the market. You do not tender for 25 units of floating support – you tender for services across the city or county Poised to dominate? medium providers Dominic Games, Supporting People coordinator at Paradigm Housing Group, is fairly upbeat about its position. ‘The situation for us at the moment is not that bad,’ he says. The provider has not yet lost any contracts or had to scale back any of its programmes across the 1,000 or so units of support it provides. He argues that uncertainty about the Supporting People regime is providers’ biggest problem. ‘It has been permanently shifting sands. And for us, whose many services are quite low level support, it has created a disproportionate amount of support cost to keep up with those shifting sands.’ Some suggest that medium-sized providers are poised to take over the market – they have the infrastructure to bid for contracts and may not have to slash services to move forward. Mr Games doesn’t think this applies to Paradigm, but agrees there are opportunities for medium-sized providers. Yet he warns against organisations stretching themselves too much in the current changing climate. ‘One big change and you could be in trouble,’ he says. The providers suffering the most, he thinks, are doing so regardless of size. Their pain, he says, comes as a result of having relied too heavily on Supporting People funding for services which later turned out to be ineligible for the cash. Mr Games says Paradigm had a lucky escape. ‘If we had not prepared as well for Supporting People we could have been hit. We decided not to go down the road of overloading services, as we were encouraged to do, but we were honest and that has served us well.’ Cut-ometer 2/5 ✗✗ 23 March 2007 Inside Housing 27 Supporting People Unable to compete: small providers John O’Sullivan, chief executive of St Johns Housing Trust, which provides support for around 200 individuals, reveals that the trust has been forced to prop up its support programmes by dipping into its cash reserves to the tune of around £80,000. ‘We are still setting deficit budgets which is not the best way of going about our business,’ he admits. ‘It has been incredibly difficult with the lack of inflationary uplift over the last three years.’ The cuts are affecting jobs and services and raising safety issues. ‘We do not have enough cover for double cover at some of our hostels which is a bit risky,’ concedes Mr O’Sullivan. ‘We have not lost any services but with local authorities putting everything up for grabs there will be losers. Local authorities are in an incredible rush to go out to tender in some of these areas and I think it will result in the demise of more organisations. ‘Some of the really small providers have voted with their feet already and some have just said we will walk away from it,’ he adds. ‘That will be happening quite a lot – one or two post schemes are just disappearing and inevitably the service users will miss out.’ Halford Hewitt, director of Ipswich Housing Action Group, says small providers find it harder than larger organisations to cut costs. ‘You cannot keep making savings of 3 or 4 per cent each year if you have got, say, four staff on one contract,’ he says. ‘You can of course save 25 per cent by getting rid of a staff member but you cannot get rid of 10 per cent of a staff member.’ And he is pessimistic about the future for smaller providers. ‘Five years down the line there will have been a huge transformation in the way services are provided. There will only be large organisations, I think.’ That would be a shame, he argues. ‘There is also an issue from a county point of view. If you award a contract to a provider like Stonham, how much of that money goes out of the county to account for central costs? ‘We live in Ipswich, we spend our money in Ipswich, and the money gets recycled locally. People talk about best value [achieved by larger providers] but you have to consider how much that is costing the local community.’ Cut-ometer 4/5 ✗✗✗✗ JIMI MACKAY/CIA You cannot keep making savings of 3 or 4 per cent each year if you have got, say, four staff on one contract. You can of course save 25 per cent by getting rid of a staff member but you cannot get rid of 10 per cent of a staff member 28 Inside Housing 23 March 2007
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