1. The journey so far ………….

2. Split of in-house and external provision differs considerably across North Wales – Anglesey and Gwynedd having the highest proportion of in-house provision and other LA’s predominantly undertaken reablement only via in-house teams. 6 x North Wales Local Authorities 1 x LHB footprint – BCUHB Counties have a mix of urban and rural areas with significant rural areas in the south of Denbighshire and Gwynedd

3.  North Wales Social Services Improvement Collaborative (NWSSIC) – established in 2006 - 6 Directors of Social Services plus the Heads of Services groupings (adults, children and business)  North Wales Procurement Partnership – established in 2009 - regional procurement unit sponsored by the Chief Execs of the 6 North Wales Local Authorities with the aim of delivering collaborative procurement to gain cashable savings in areas of high cost spending …. including social care

4.  This was developed by Corporate Procurement Managers by choosing areas of particularly high spend:  - Care Homes  - Domiciliary Care  - Supported Living

5.  NWPP commissioned a market analysis of Domiciliary Care by PSL consulting in June 2009  Range of recommendations made: - develop regional procurement strategy  Procurement options completed end of 2009

6.  No desire by Directors and Lead Members to move to regionalised procurement due to a number of reasons - maturity of the market in some LA’s - one authority had already tendered - two authorities had the majority of dom care services being delivered by in-house provision though this is beginning to shift now - 3 LA’s set a rate with one LA setting a ceiling rate only - Other LA’s had a set fee rate

7.  Couldn’t be seen to be doing nothing – agreed to focus on two pieces of work which was common to the 6 Local Authorities: ◦ Development of a regional dom care contract with standard terms and conditions, service specification and outcomes ◦ Development of a regional quality approved provider process for approving domiciliary care providers across North Wales

8. 20 minute discussion about the development of the Regional APL process – please feel free to ask any questions 20 minute discussion about the development of the Regional Dom Car Contract – please feel free to ask any questions

9.  Right colleagues at the right level to make decisions need to be involved from the outset  Important to have a good and dedicated project sponsor  Collaborators need to learn to compromise – though this did happen over time  Make sure that the governance and any agreements are recorded ….. someone will challenge these at some point!  Collaboration is: ◦ Not easy ◦ Takes time ◦ Takes energy ………… BUT if you keep at it you will get there!!!!!!!!!........

10.  After initial difficulties worked well as a group  Learnt to agree and compromise  Built up trust between colleagues  Learnt from each other’s practices  Sharing of information  Worked with and supported providers particularly smaller providers  Strengthened the network of Commissioning and contracting across North Wales within both Local Authorities and health

11.  Have the engagement of the right people from the start  Completed the project quicker  Consistency of colleagues working on the project throughout its duration – though this cannot be avoided  Completed the work quicker - this would have happened if there was full time project management capacity and if colleagues weren’t doing this on top of their day jobs!

12.  We are starting to look at developing a regional quality monitoring framework which can be applied consistently across North Wales to monitor the requirements of the regional contract ……….