1. Colin Horne

2. Agenda 1.Which Providers Perspective 2.Duty Towards the Market 3.Prevention & Wellbeing 4.Market Oversight 5.Consumer Information 6.Implication of Financial Charges on Providers

3. Introduction to Universal Domiciliary Care Provider Supported Living Services Operating Across 3 Counties Employ 650 Staff Delivering 1.3 Million Hours of Care pa Which Provider?

4. Duty Towards The Market Market Position Statements Care Providers Understand our Market Demographics Structure Services & Processes to Deliver against the Identified Market Need Recruit & Train Personnel to Deliver Assess & Control Quality of Delivery

5. Providers will have Difficulty Figuring Out what MPS means for them at a Local Level Challenges for Providers & Commissioners Duty Towards The Market Domiciliary Care is a broad & diverse market delivered by a wide range of smaller providers who are not structured to operate strategically. Care Providers have a Typically reactive (non-strategic) approach Self Funders & Obligation to arrange care Emergence of franchises may introduce a more strategic approach amongst some smaller providers Still have a problem of lack of resources to invest in a strategic approach

6. Care Bill clearly assigns responsibility to the LA for the: Analysis of the local market Market mapping & identification of gaps in the market in terms of needs not being met through local service provision Communication of services available to the market Market Shaping. (Developing services that are best for local communities.) Duty Towards The Market Conclusion LA will need to drive Market Developments in line with MPS by implementing focused & specific procurement strategies Trusted relationships with existing providers may provide the platform to fill some gaps in the market that open up and to Pilot new Services

7. Sign posting Enablement Prevention & Wellbeing Requires Providers to Adopt a more Holistic Approach towards SU : Providers Need to Pro-Actively Link into the Activities of the Local HWB (or be linked in) to Support & Promote Local Initiatives Reasonable for LA to Pass on significant Responsibility to Providers Assess Needs of SU & Carer (where applicable) Plan Care & Support Make Recommendations about Other Activities Review & Re-Assess

8. Prevention & Wellbeing Big Society Gathering Information Implementation Planning Work Force Training ID of Service User Needs Dissemination / Sign Posting Review & Feedback

9. Market Oversight LA has a duty to provide continuity of care including self funders Financial viability of Providers – Pricing (Cost+ Model) Ratings : A Welcome Re-Introduction Ratings are a Carrot & a Stick Suppliers Concerns over Consistency Contingency Plans Diversification of Providers: Big is not bad / Small is not always good The Challenge is to get the Balance right

10. Consumer Information Prosecution for Misleading Information Providers dont typically do a lot of Information Dissemination Problem is recruitment Criminal Prosecution for SU families out to get you Dissemination of Information (LA) Universal Help Line Websites E-Market PPF

11. Implications of Financial Changes on Providers ?Whether we have to differentiate & separately account for domestic services: Cleaning Shopping Importance of Being able to Start and Accurately maintain the Meter LA Commissioning for Self funders Exerting Downward Pressure on Fees

12. Overall Conclusion (DCA Providers Perspective) Tightening and Crystallising what already exists: Personalising Care & Support Planning including Requirement to be Flexible Protecting Adults from Abuse & Neglect Ratings Opportunity & Political Will to Drive through the Holistic Approach to Care that we have been Striving for

13. Thank You Colin Horne colin.horne@carebyus.com