1. Community Prevention and Wellbeing Services Potential Provider Event 9 th March 2016

2. Agenda Welcome Introduction Rutland Demographics and Needs Rutland’s Vision for Services Overview of the Procurement Process Questions

3. Rutland Demographics One of the smallest unitary authorities Population of 38,000 Rural with 2 main towns: Oakham and Uppingham, along with lots of villages and smaller communities Physical geography of Rutland, split by Rutland Water Two barracks with four regiments, totalling nearly 1500 serving army personnel in the county plus 1000 dependents.

4. Rutland Demographics Current Over 85 years:1,180 Over 65 years: 8,540 0-19 years: 8,870 By 2037 Over 85 years: 227% growth to 3,600. 65-84 years: 49% growth to 10,600. Under 24s: 4% reduction to 10,000.

5. Rutland Demographics Rutland is one of the most affluent counties in England; although there is variation across the county in levels of income deprivation. Unemployment rates are extremely low in comparison to both regional and national averages. 17,200 people are economically active. The average gross weekly pay is slightly above the regional average, but falls short of the national average by 5% for males, and 9.4% for females. The wage difference between men and women is 4% wider than the national average. Rutland is significantly better than the England average for Healthy life expectancy at birth (female) Life expectancy at birth (male & female) Life expectancy at 65 (male & female)

6. Public Health Outcomes DomainBetterSimilarWorse Overarching Indicators71 Improving the Wider Determinants of Health 11101 Health Improvement2318 Health Protection3 1 Healthcare, Public Health and Preventing Premature Mortality 17261 Rutland is significantly better than the England average for: Healthy life expectancy at birth (female) Life expectancy at birth (male & female) Life expectancy at 65 (male & female)

7. Ageing Population c1,700 of those aged over 75 were estimated to live alone in 2010, and this is predicted to increase by 120% to 3,800 by 2030. Total number of people aged 65 and over who have a significant health problem:

8. Healthy - Independent - Sustainable Rutland’s Vision for Services Enable individuals and families to achieve their full potential and be safe from harm Target services at the most vulnerable and those who need us the most Integrate services more closely with the Health and VCF Sectors with care pathways that support independent living Be clearer about what individuals, families and our community can expect Find different ways to do things rather than reduce or remove services Adopt an early help and prevention approach

9. Scope Range of services likely to be included: Support to voluntary and community organisations; Development and support of volunteering across the county; Advice and information services; Universal and targeted information & brief advice and preventative interventions to improve wellness; Services to support individuals to help themselves and remain independent, including tenancy support; Services to reduce social isolation amongst older people and aid them to remain well and at home for longer; Advice, information and support for individuals with disabilities including sensory impairments; Community transport. Value of c£350-550,000 per annum Five year contract with option to extend further 2 years

10. Overview of the Procurement Process

11. Co-designed service structure leading to opportunity to bid for the delivery of those services. The process comprises two phases: Phase 1 Initial bid to participate including a pre-qualification questionnaire and tender specific criteria. This phase will determine which providers are suitable to engage in co-design and to potentially deliver services. Co-design meetings focussing on the service structure and what types of services we need to meet needs. The level of detail discussed will be sufficient for the Council to draw up the service specifications for the requirement. The exact detail of delivery will not be discussed. A Terms of Engagement document has been drawn up setting out providers’ responsibilities and allowing the Council to remove providers from the process during co-design if necessary.

12. Phase 2 Submission of tenders against the service specification(s) drawn up as a result of the co-design. Those providers who engaged in the co-design will be the only providers eligible to submit tenders. Indicative Timetable  Tender publication (Phase 1) 21 st March  Requests to Participate deadline 22 nd April 2016  Co-design meetings June – mid-August 2016  Tender publication (Phase 2) 1 st September 2016  Tender submission deadline 23 rd September 2016  Contract award December 2016  Implementation Phase 3 rd January 2016  Contract start date 1 st April 2017

13. What makes you the right provider for Rutland ? Passion to deliver something unique for Rutland that really works for our communities Understanding of what makes Rutland special Commitment to reducing the long-term impact on acute services, supporting the shift to prevention Willingness to work in partnership with other providers to ensure services are seamless and work in harmony for service users Strong commitment to social value

14. Questions ? http://www.rutland.gov.uk/health_and_social_care/co- design_procurement.aspx

15. Questions asked on 9 th March What transitions work will be included? The scope may include work to support young people moving to adulthood, in particular where they are accessing support services that may have higher thresholds or not be available past the age of 18. This will include young people with disabilities. When will TUPE information be available? TUPE information will not be available until the service specifications are determined. Initial TUPE information will be made available as soon as possible with the process.

16. What are the risks of the process in terms of co-design? Particularly in relation to RCC wanting to providers to work partnership Providers will be asked to sign-up to the Terms of Engagement to support partnership working and RCC see the ability to work together for the best outcome for service users as part of the process and also a demonstration of provider willingness to deliver the services. There are no preferred voluntary sector partners. RCC will have the ability to remove services from the process and commission separately where there is a need to protect specialist and/or niche provision for service users.

17. Is RCC looking for a single provider or consortium to deliver the whole set of services? RCC has no pre-determined idea currently of the structure or number of providers who will ultimately deliver the services encompassed within this procurement process. The current position is one of a number of small contracts which do not link across coherently into seamless service pathways, and therefore RCC is looking to gain better designed service pathways, with a likely reduction in the number of overall contracts to manage. The final number of providers which RCC will contract with is not pre-determined. The arrangement may be via: a single prime provider with sub-contracting arrangements; a formal consortium; an informal partnership; a range of larger contracts encompassing more services each; or some other combination or providers and/or contracts.

18. Will service users be involved in the co-design process? There have been a number of consultations with service users and the public on a range of services over the past 18 months in Rutland and we will draw on these through the co-design process. In addition, further service user input is planned but may be limited due to the timescales.