1. Advocacy Market Event 3 December 2015 Janet Cole Head of Early Intervention, Prevention & Rehabilitation Adult & Community Services, LBRuT Anca Costinas Commissioning Manager Richmond Clinical Commissioning Group

2. Programme TimeActivityPerson 09.30 – 10.00Refreshments and registrationn/a 10.00 – 10.15Welcome and introductionsJanet Cole 10.15 – 10.20Purpose of the event  Engage with the local market about future commissioning of the advocacy provision  Gather feedback on key themes for future commissioning  Support providers to network and consider opportunities for joint working Anca Costinas 10.20 – 10.35Overview of the current Advocacy services in Richmond and proposed commissioning model (presentation) Janet Cole Anca Costinas 10.35 – 10.45Q and A sessionAll 10.45 - 12.15Workshop sessions (over lunch)All 12.15 – 12.30Closure and Next stepsJanet Cole

3. What is advocacy? Advocacy in all its forms seeks to ensure that people, particularly those who are most vulnerable in society, are able to:  Have their voice heard on issues that are important to them.  Defend and safeguard their rights.  Have their views and wishes genuinely considered when decisions are being made about their lives. Advocacy is a process of supporting and enabling people to:  Express their views and concerns.  Access information and services.  Defend and promote their rights and responsibilities.  Explore choices and options

4. Advocacy provision in Richmond (1) Type of serviceProviderContractual requirement Independent Advocacy (including Community Advocacy) POhWERThe overall outcome sought was to provide a single access point in the borough of Richmond-upon-Thames for people in need of general/community advocacy and signposting to more specialised advocacy services as required. If a Service User/Carer would have substantial difficulty in being involved in the assessment or care planning process and there is no other appropriate person/individual, who is able and willing to help, an independent advocate must be arranged. Independent Mental Capacity Advocacy KAGThe aim of the IMCA is to provide independent safeguards for people who lack capacity to make certain important decisions about serious medical treatment and changes in accommodation.

5. Advocacy provision in Richmond (2) Type of serviceProviderContractual requirement Independent Mental Health Advocacy Services KAGPeople are eligible for independent mental health advocacy services if they are: Detained under the Mental Health Act 1983 (excluding people detained under certain short term sections) Conditionally discharged restricted patients Subject to guardianship Subject to community treatment orders (CTOs) Appropriate AdultKAGAdults detainees in the Police Station who are mentally vulnerable The Appropriate Adult is there to ensure that the detained person understands the questions which are being asked and that the police do not ask questions in a way which is confusing, repetitive or oppressive. NHS Complaints Advocacy VoiceabilityThe service aims to provide support to people who want to make a complaint about the NHS and need some support to do this.

6. Drivers for change  Care Act 2014 requires Local Authorities to :  Listen to people`s views  Assume people are the best judge of their own wellbeing  Ensure individuals can participate as fully as possible in decisions about their care  Not make unjustified assumptions based on people`s age, appearance or behaviour  Increased demand for services (due to change in legislation e.g. IMCA and potentially due to further awareness raising)  Need to streamline services for a holistic approach  Local residents/their carers and professionals` feedback

7. Care Act requirements  The Care Act focuses mainly on Independent Advocacy provision and how this can be developed to support the principle of wellbeing.  In order to develop a service that meets the care and support needs of the entire population, it needs to be looked at in conjunction with the statutory advocacy provision (IMCA/IMHA) and other types of advocacy delivered (NHS complaints advocacy)

8. Rationale for change

9. What you told us already… Feedback from local residents and their carers Professionals (social workers, GPs) I want to feel more confident when I access and use information… I want to be able to understand the wishes of my patient/client… I want to be able to understand and be involved in my care and support process… I want to feel reassured that the rights of my client/patient are respected… I want to feel more independent and empowered knowing that my voice is being heard.. I want to speak to a single person about my patient/client… I want to feel safe and secure..I want to be able to refer my patient/client without being passed from service to service… I want to tell my story once…I want to be able to use the information I receive on time…

10. Proposed commissioning model  One single service with a lead provider  Possibility to subcontract for specialist provision  Single Point of Contact/Access  More engagement with “hard to reach” groups  Online referral system  Continuity of advocates  Trained and skilled advocates  Strong working relationships with the voluntary sector and professionals (e.g. social care teams, GPs)

11. Procurement activity Advocacy Services contract period of 3 years plus 2 further extensions option of 1 year each This will be a single stage process Timetable Issue Contract Notice and the release of Invitation to tender (ITT) May 2016 Contract Award (Alcatel Period)July 2016 MobilisationAugust - October Contract CommencementNovember 2016