1. Home & Community Support Strategy Provider meeting 28 th November 2013

2. Agenda Recap on activity progress to date Feedback on ceiling rate Actions following consultations - ceiling rate - 15 and 30 min calls - packages of care over 3.00 hours Other items - Brokerage process - EMS – update and Q&A with PM

3. Progress To date Consultation with Service Users via Herefordshire Carers 1 st and 2 nd round consultations complete One 2 one financial consultation meetings Decision to use a ceiling price approach Decision for whole county zoning Decision on improving allocation process Decision to use EMS & allied support to suppliers agreed

4. One 2 one summary 19 th and 21 st November 2013 Total scheduled = 18 cancellations = 4 Ceiling price – yes = 8 no = 5 unconfirmed = 5 15 and 30 minute calls Prices for other ‘types’ of calls Business development rate – process to be published within tender documents

5. Other items raised Brokerage Process – seen as non transparent Volume requirement – hand in hand with lower price EMS support – confirmation of support Direct payments – clarity around councils role

6. Pricing structure Type of careRatePrice A Standard 15 minute calls 30 minute calls £3.63 £7.25 Hourly rate (0-2.59) including 45 minutes durations £13.98 B Specialist Hourly rate (3.00 hour plus continuous) Provider determined (under celling rate £13.98) Hourly rate – sleeping nights (10 hours plus) Provider determined (under celling rate £13.98) Hourly rate – 24 hour care packages Provider determined (under celling rate £13.98) Ceiling rate - £13.98 for hour calls 15/30 minute calls with be pro rata of £14.50 suggested rate from the market ‘B’ type care will be market determined but must equal or less than ceiling hourly rate

7. Other items Brokerage process – Commitment to improve and develop on current Ensure transparent and equitable process Based on Service User choice, provider quality performance Full debrief on all outcomes EMS – Support from the Council Q&A session – Tim Mulrey

8. Next Steps Consideration of todays consultation Tender documents available 9 th December 13 Follow timetable as below

9. Timetable ActivityOriginal datesTarget Date OJEU Notice25 th November 2013 4 th December 2013 ITT Publication29 th November 20139 th December 2013 ITT Returns13 th January 201322 nd January 2014 Evaluation13 th Jan – 7 th Feb 201422 nd Jan – 12 th Feb 2014 Award Approval14 th February 2014 Award28 th February 2014 Mobilisation1 st March 2014 Start DateTBC April/May 2014