Provider Briefing Care Homes 2017 Commissioning Plan for Care Homes 2017 -2021

Welcome and Introduction – Andrew Jepps Care Commissioning Lead

Agenda for today Commissioning Brief on the procurement process for Care Homes Questions Proposals for Staffordshire’s Pricing Strategy Close – 12:30pm/ 16:30pm

Engagement with the Care Market We’ve responded DPS price at point of demand - Fair & transparent process Streamlining processes Brokerage model – reviewing financial assessment process Market brief & engagement Care market team support Proposals for legacy placement increases You said Opportunity & Negotiation bureaucracy concerns First Payment Delays Communication with Commissioners Recruitment & Retention NLW & Unavoidable Cost Pressures

Commissioning Priorities Care Homes SUSTAINABILITY AFFORDIBILITY QUALITY

Dynamic Purchasing System Web based online fair & transparent approach Selection questionnaire & agree to T&C’s Success award will receive a contract Tender lots - type of care & care categories Electronic alerts for mini competitions (call off) Pen portrait to describe care & support needs Confirm needs can be met & price for bid

Dynamic Purchasing System Bids evaluated 100% price Most economically advantageous bid will establish individuals personal budget Successful bids presented to individual/family Where more expensive care is chosen third party top up will apply Process to confirm financially sustainability third party sponsor

Dynamic Purchasing System Once care home selected bidders will receive electronic notification Care home to assess individual If accepted contract will be issued DPS will not make payments – no change Clear timescales for responses Clarifications can be made during call off process

Tender Lots The tender will be lotted by residential or nursing care and the care category. The care categories are as follows: Older people Dementia Learning disability/autism spectrum disorder Mental health Physical disability/sensory impairment

Quality Work together to improve quality Will not trade with care homes rated Inadequate New placements will be suspended – except where they is clear demonstrable improvement Care market & quality assurance teams support Feedback from individuals, families, carers

The Market Brief for Care Homes Key messages about the strategic priorities and commitment to working together Quality Safeguarding Choice & control Partnership working & integration Prevention Financial envelope Sustainability Keep it local

Proposed Timescales Procurement to go live March 2017 Tender period 30 days Evaluation and decisions by end of May 2017 Implementation by July 2017 Introduction of DPS call off DPS 2 years, plus 1 year, plus 1 year

Existing Contracts 2016/17   Care Home Contract expires midnight 8 April 2017 An invitation to extend the Terms and Conditions of 2016/17 contract for 3 up to three months will be made to all contracted providers via email in the next few days. Once the invitation is signed and returned to the Care Home Team the Care Director system will be update to so your home is contracted and new placements can be offered. From the 1 April 2017 all new Care Home Placements will be made via the new central Brokerage Team they will only be contacting homes who are contracted for 2016/17.  Brokers will only be able to contact homes that are shown as contracted.

Brokerage Currently located assessment & care management Centralised brokerage service April 2017 Consistency of business processes Market capacity, trends and pressures Operate DPS process Setting up payments – faster first payment

Questions

Provider Briefing Care Home 2017/18 Financial Modelling and Fee Proposals

Overview Key messages about the strategic priorities and commitment to working together What we have been told by the market Financial constraints across the system and in particular for SCC 6 options for consideration by the market on fees Timeline for feedback on the proposals

Context Strategic Priorities Whole system working Avoiding hospital admissions D2A Working with Providers to foster a culture of continuous improvement and sustainability

Proposals for 2017/18 Budget £4.3 million for 2017-18 proposed for fee increases based on an affordability test £2.5 million proposed to residential and nursing for 2017 – 18 1.3 million proposed for domiciliary care 6 options are being put forward for consideration by the market

Timescales Timeline for the engagement process Engagement Sessions 27.01.17 & 30.01.17. Survey Monkey will be live from 01.02.17 (3 weeks) Inviting views on the models/financial proposals and options for implementation SCC Budget 2017/18 to be agreed by Cabinet – Legal Duty to set a balanced budget DASS has delegated authority to agree within set budget totals.

Questions