1. Care at Home Framework 2017-2022
Overview of the proposed framework
21 April 2017
Rose Hammond et al

2. Purpose
Ensure all Providers understand what services and contracts the Framework will cover;
Provide guidance, information and support to understand the Framework;
Ensure all Providers are aware of the process and timeline – what will happen and when;
Opportunity to ask questions to the Council.

3. Agenda Time Activity 9.15 - 9.30 Arrival and Registration 9.30 - 9.40
Introduction
Presentation
Open questions and answers on the presentation
Break
What next
Opportunity to speak to the Council

4. What we are covering today
Why
Scope
Expand of the changing scope of the new framework.
Current position
Pressures and demands currently that will need to be addressed.
Overview of the framework
Purpose of the Framework and description of the `lots’.
Operating the new Care at Home Framework
How each `lot’ will operate once in place.
Localities
Overview of the geographical zones and areas relating to each `lot’
Funding
Rationale behind the rates for the framework
Contract Management
Process for managing and delivering quality
Tendering
Approach and further information.

5. Care at Home Framework – Change of scope

6. Challenges

7. Current Position
Borough wide commissioning models delivering over 16,000 hours per week at a cost of just under £8m
5 homecare Providers covering the Borough
4 Extra Care and community outreach services
In house reablement service
Time limited rapid discharge service funded by HAST.
Spot contract arrangements with 4 providers, mainly operating in the south of the Borough.
Different models of contract for supported living arrangements (learning disabilities) .

8. Current Activity Service type Number of people “Approx.”
Number of hours
“Approx.”
Homecare - Standard
1’034 – 1’400
10’ ’620
hours per week
Extra Care
Up to 150+
1’ ’000 hours per week
Homecare - Enhanced 95
2’384 plus sleepovers
Independent Living Schemes
7 schemes supporting 37 people
1’388 plus sleepovers
Complex Care
6-12
317

9. Care at Home Framework
The framework agreement is a general term for agreements with service providers for a generic set of services which set out terms and conditions under which specific purchases (call-offs) can be made throughout the term of the agreement.
Open Tender.
Inclusive of more services than was available in 2012.
Rationalises and reduces the numbers of contracts drawing in Extra Care and Independent Living services.

10. Care at Home Framework (Lots)

11. Key features of the lots
Will allow greater focus on a locality area;
Reduced travel commitments;
Fee appropriate to that specific area or Zone;
Guaranteed support from a neighbouring service provider; and
Opportunity for planned further competition in the event of Service Provider failure or defined future work becoming available.
Ensure the “Council” can meet its statutory duty – in that referrals are picked up by contracted providers in both a timely and safe way.

12. Key features of the lots
Open to all providers who meet the essential selection criteria;
Ranked on quality and price;
Opportunity for specialist call off for individuals who are too complex for Providers in Lot 1 or 2.
Lot 4:
Open to all Providers who meet the essential selection criteria;
Ranked on quality and price; and
Accessible for purchase by people who choose to manage their own Personal Budget via a Direct Payment.

13. Care at Home Framework (Lots 1 & 2)
Successful Providers will receive all referrals for their awarded area/zone in the first instance.
Providers will need to respond and confirm within a specified timeframe by confirming if they can meet the individuals needs.
Where there is clear rational the Provider is unable to accept this referral, or to meet the requirements due to client choice, safeguarding or contract management issues, the referral will be sent to the secondary provider, who will go through the same process.

14. Care at Home Framework Lot 3
Successful Providers will be ranked in terms of cost and quality.
Care Managers will call off from the framework working through the ranked list until a suitable Provider is agreed.
Providers will need to respond within a specified timeframe to a care and support plan and / or pen picture.

15. Care at Home Framework Lot 4
Successful Providers will be ranked on cost and quality.
Successful bidders will be placed on an approved Providers list.
The clients arranging their own care may wish to use a provider from this list when arranging their own care.
Clients will be able to access this list by either requesting the list or via the Stockton information Directory (SID)

16. Care at Home Framework: localities -Standard

17. Care at Home Framework: localities – Enhanced

18. Care at Home Framework: Rates
Ceiling prices in the tender.
Ceiling prices will reflect NLW and unique challenges of the particular locality or scheme.
Rural Rate for pre defined localities on top of what is already in place.

19. Contract Management

20. Care at Home Framework Tender
Providers will be required to register an account on ProContract.
All Providers will need to complete the Selection Questionnaire (previously Pre-Qualification Questionnaire).
Each Lot will have a set of quality questions that require a full and considered response.
All Providers will be expected to submit a price.
All submissions must be submitted electronically by the deadline. No late submissions will be accepted.
All questions will then be evaluated by a panel.

21. Care at Home Framework Tender - completion
Write in a style that is clear, concise, interesting and grammatically correct.
Think about the word count – if it states 1000 words, don’t just give 2 sentences.
Read each question a number of times to ensure you understand what is being asked and the scoring methodology.

22. Care at Home Framework Tender-completion
Check to ensure your response is thorough and comprehensive covering all points raised within the question.
Give examples where required.
Be very careful if you are copying from previous bids – incredibly annoying to see “we will work with Stockport Council on ….”

23. Care at Home Framework Tender-completion
Ask someone else to read your response, is there anything they don’t understand?
Remember we will only evaluate what you say in your bid, so even if you know us & you think we know you, don’t make any assumptions as we can only evaluate based on what you write .
Ensure you submit before the deadline time.

24. Care at Home Framework Tender timescales
Key dates
Tender expected date of issue 24th of April 2017.
Tender Return May 2017.
Tender Evaluation May to June 2017.
Tender Award, mobilisation and contract start dates will be phased to minimise risk to clients, Borough and Providers.

25. Care at Home Framework Tender timescales
Mobilisation and contract table:
Geographical Zone/s
Mobilisation and contract start dates
Contract Mobilisation – South Region
June 2017 to August 2017
Contract commencement-South Region
Lot 1 -   Area, 1,2,3,4, and 5 on the 1st August 2017
Lot 2 -   Zone B,  on the 1st August 2017
Contract Mobilisation – North Region
August 2017 to September 2017
Contract commencement -North Region 
Lot 1 -   Area, 6,7,8,9, and 10 on the  1st October 2017
Lot 2 –  Zone A,   on the  1st October 2017
Contract commencement – borough wide
Lot 3 – the ranked list will be available to call off from July 2017 for call off , as and when required
Lot 4 – Approved Provider list will be available from July for clients arranging their own care.