1. Provider Briefing Care Homes 2017
Commissioning Plan for Care Homes

2. Welcome and Introduction – Andrew Jepps Care Commissioning Lead

3. Agenda for today
Commissioning Brief on the procurement process for Care Homes
Questions
Proposals for Staffordshire’s Pricing Strategy
Close – 12:30pm/ 16:30pm

4. Engagement with the Care Market
We’ve responded
DPS price at point of demand -
Fair & transparent process
Streamlining processes
Brokerage model – reviewing financial assessment process
Market brief & engagement
Care market team support
Proposals for legacy placement increases
You said
Opportunity & Negotiation bureaucracy concerns
First Payment Delays
Communication with Commissioners
Recruitment & Retention
NLW & Unavoidable Cost Pressures

5. Commissioning Priorities Care Homes
SUSTAINABILITY
AFFORDIBILITY
QUALITY

6. Dynamic Purchasing System
Web based online fair & transparent approach
Selection questionnaire & agree to T&C’s
Success award will receive a contract
Tender lots - type of care & care categories
Electronic alerts for mini competitions (call off)
Pen portrait to describe care & support needs
Confirm needs can be met & price for bid

7. Dynamic Purchasing System
Bids evaluated 100% price
Most economically advantageous bid will establish individuals personal budget
Successful bids presented to individual/family
Where more expensive care is chosen third party top up will apply
Process to confirm financially sustainability third party sponsor

8. Dynamic Purchasing System
Once care home selected bidders will receive electronic notification
Care home to assess individual
If accepted contract will be issued
DPS will not make payments – no change
Clear timescales for responses
Clarifications can be made during call off process

9. Tender Lots
The tender will be lotted by residential or nursing care and the care category. The care categories are as follows:
Older people
Dementia
Learning disability/autism spectrum disorder
Mental health
Physical disability/sensory impairment

10. Quality Work together to improve quality
Will not trade with care homes rated Inadequate
New placements will be suspended – except where they is clear demonstrable improvement
Care market & quality assurance teams support
Feedback from individuals, families, carers

11. The Market Brief for Care Homes
Key messages about the strategic priorities and commitment to working together
Quality
Safeguarding
Choice & control
Partnership working & integration
Prevention
Financial envelope
Sustainability
Keep it local

12. Proposed Timescales Procurement to go live March 2017
Tender period 30 days
Evaluation and decisions by end of May 2017
Implementation by July 2017
Introduction of DPS call off
DPS 2 years, plus 1 year, plus 1 year

13. Existing Contracts
2016/17   Care Home Contract expires midnight 8 April 2017
An invitation to extend the Terms and Conditions of 2016/17 contract for 3 up to three months will be made to all contracted providers via in the next few days.
Once the invitation is signed and returned to the Care Home Team the Care Director system will be update to so your home is contracted and new placements can be offered.
From the 1 April 2017 all new Care Home Placements will be made via the new central Brokerage Team they will only be contacting homes who are contracted for 2016/17.  Brokers will only be able to contact homes that are shown as contracted.

14. Brokerage Currently located assessment & care management
Centralised brokerage service April 2017
Consistency of business processes
Market capacity, trends and pressures
Operate DPS process
Setting up payments – faster first payment

15. Questions

16. Provider Briefing Care Home 2017/18
Financial Modelling and Fee Proposals

17. Overview
Key messages about the strategic priorities and commitment to working together
What we have been told by the market
Financial constraints across the system and in particular for SCC
6 options for consideration by the market on fees
Timeline for feedback on the proposals

18. Context Strategic Priorities Whole system working
Avoiding hospital admissions
D2A
Working with Providers to foster a culture of continuous improvement and sustainability

19. Proposals for 2017/18 Budget
£4.3 million for proposed for fee increases based on an affordability test
£2.5 million proposed to residential and nursing for 2017 – 18
1.3 million proposed for domiciliary care
6 options are being put forward for consideration by the market

20. Timescales Timeline for the engagement process
Engagement Sessions &
Survey Monkey will be live from (3 weeks)
Inviting views on the models/financial proposals and options for implementation
SCC Budget 2017/18 to be agreed by Cabinet – Legal Duty to set a balanced budget
DASS has delegated authority to agree within set budget totals.

21. Questions