Provider Forum 5 th July – Supported Lodgings & Floating Support Value for Money –“the relationship between economy, efficiency and effectiveness” –“a judgement of the quality of services, and/or outcomes against the monetary cost of providing services, and/or achieving the outcomes”

Provider Forum 5 th July – Supported Lodgings & Floating Support The quality requirements are as follows; –Organisations must meet the standards required within the Framework, Criteria One – Financial Viability Criteria Two – Competent Admin Procedures Criteria Three – Effective Employment Policies Criteria Four – Robust Management Procedures Criteria Five – Competence / Track Record

Provider Forum 5 th July – Supported Lodgings & Floating Support The requirements of the terms and conditions of the contract The supporting people services standards Performance of the support service, CRB, Health & Safety, Safeguarding, Insurance Contract management Best Value

Provider Forum 5 th July – Supported Lodgings & Floating Support The performance requirements –the reporting requirements (Access to services, Client Records, SP workbooks, outcomes monitoring, serious incident notification, safeguarding, proposed service change) –the quantity measures agreed (staffing, service availability, utilisation)

Provider Forum 5 th July – Supported Lodgings & Floating Support The quality measures agreed –Operating at level B of the Quality Assessment Framework –Key Performance Indicators NI 141 & NI 142 –National Outcomes Framework (targets yet to be agreed)

Provider Forum 5 th July – Supported Lodgings & Floating Support Cost Modelling –“An activity which combines a mechanical process and subjective expertise to assess and predict the total cost” –What we are hoping to achieve are a revised set of parameters on which we can base future contracts

Provider Forum 5 th July – Supported Lodgings & Floating Support What is the background? –The 2005 VFM policy –The 2010 SP position –The 2010 Needs Assessment –The NW benchmarking data 2009/10 –The LD Domiciliary Care Benchmark Review

Provider Forum 5 th July – Supported Lodgings & Floating Support April Loss of the SP ring fence, to become an element of the Area Based Grant April Loss of the SP administration grant, Reduction in Local Authority housing budgets June 2010 – Budget announcement of an average 25% reduction in 'departmental budgets' April 2011 Comprehensive Spending Review (announced 20 th October 2010)

Provider Forum 5 th July – Supported Lodgings & Floating Support Floating Support SP Unit Cost No of RecordsAverage Lower QuartileMedian Upper QuartileMinMax Lancs SP 2010Rates 14£71.70£68.50£87.78£155.00£33.22£ % reduction14£60.94£58.22£74.61£ % reduction14£50.19£47.95£61.44£108.50

Provider Forum 5 th July – Supported Lodgings & Floating Support Floating Support Cost per Hour No of Records AverageLower Quartile MedianUpper Quartile MinMax Lancs SP 2010 Rates 14£19.60£16.32£18.23£19.83£6.95£ % reduction14£16.66£13.87£15.50£ % reduction14£13.72£11.42£12.76£13.88

Provider Forum 5 th July – Supported Lodgings & Floating Support NW Benchmark Data Figures for Total Unit Cost Service Type No of RecordsAverage Lower QuartileMedian Upper QuartileMinMax Floating Support Figures for Hourly SP Rate

Provider Forum 5 th July – Supported Lodgings & Floating Support 2010/11 allocation £29.13m 1% reduction = £291,000 5% reduction = £4.37M 30% reduction = £8.74M NW Average Number of hours per week = 3.3 Lancashire Average Number of Hours per week = 3.67 NW Unit cost and hourly rate lower than Lancs.

Provider Forum 5 th July – Supported Lodgings & Floating Support Lancashire Joint Commissioning Boards, Learning Disability Domiciliary Care Benchmarking Review 2008/9, Final Report. What the LD Benchmark review does differently is to understand the individual cost elements of the service better in order to create an agreed hourly rate. The 2006 report concluded that from Jan 2006, new business would be paid at no more than £11.95 per hour. After yearly uplifts; in 2010/11 ACS pays no more than £13.15 per hour for domiciliary care.

Examples2008/092010/11 £ Rate of pay National insurance8.00% Maternity leave1.50%0.13 Training2.50%0.21 Pension5.50% Annual leave10.50% Bank holidays3.00% Sickness4.00% Development & contingency1.00%0.08 Direct management3.00% Other1.00%0.09 (40% of rate of pay) Subtotal management 10% total hrly rate

Provider Forum 5 th July – Supported Lodgings & Floating Support Low, Medium and High Level Support The agreed average number of hours of support per client across a particular service For Floating Support the hours provided divided by the hours per client is translated into the Service Capacity

Low Support Initial support maybe at the higher end of the scale but tapers down to weekly visits Service user is fairly independent but understands they can contact provider in case of an emergency Service users may receive intensive social/health care package

Medium Support Service users are fairly independent but may lack confidence Staff are available in case of an emergency or when service users are able to do something themselves but lack confidence. Support plan is likely to address some behavioural issues as well as practical tasks. Initial support is at the higher end of the scale but tapers down to weekly visits/one to one sessions to discuss support plan Service users may need guidance in contacting other agencies to receive a complete package of support Service users may attend college/work/Day services during working hours.

High Support Service user has multiple needs and need one to one at least twice a week to discuss support plan Staff are available at other times if required There is likely to be more than one agency involved in the overall care/support of the service user Service users need supervision on health and safety issues Level of support may vary slightly from week to week Service users may attend college/work/day services during working hours Support plan addresses emotional and behavioural issues Service may deal with crisis situations

Provider Forum 5 th July – Supported Lodgings & Floating Support What are we looking to achieve? The purpose of today is to begin to understand the individual cost elements of the service and begin to construct an agreed rate, or range of rates applicable to Floating Support and Supported Lodgings (not including host families contribution) and understand the hours required.

Provider Forum 5 th July – Supported Lodgings & Floating Support How are we going to do this? 3 groups (or 2 sets of 3 groups) 1 discussing salaries, 1 discussing other costs, 1discussing hours If there is sufficient time we can re- run the groups covering the alternative subject areas.