1. Slide 1 Children First Short breaks & other services for disabled children and their families Targeted services Provider-commissioner event 25 th June 2014 The right help, in the right place, at the right time

2. Slide 2 Children First What are short breaks? Short breaks are activities and family support services for disabled children and young people who are unable to access mainstream activities and clubs  To give disabled children an enjoyable break from their families  To give parents and carers a break from their caring role The short breaks covered by the plan are funded by Bristol City Council and NHS Bristol Clinical Commissioning Group.

3. Slide 3 Children First Who has short breaks Children and young people aged 0-18 years With a life-limiting or long-term health condition or disability With multiple needs because of emotional or physical difficulties and /or affected by issues in their family Specialist services are for those with more severe and complex needs (about 300 children) About 780 activities / holidays / sessions of targeted About two-thirds are boys

4. Slide 4 Children First Why need to change Not about saving money – but making money go further Child population is increasing Numbers of disabled children are increasing Currently spend more than half of the total short breaks budget of £3.3M on residential short breaks for 85 children (costing about £450 per night) Compare costs of overnight short breaks Vision Help greater numbers of children and families Give children, young people and their parents/carers more choice Make sure services are targeted at those who most need them Services help people to step up and down through services as needs change Short breaks are enjoyable for children and young people Parents get a real break and better quality of life Invest in the most cost effective services

5. Slide 5 Children First We are consulting on a draft commissioning plan Until 30 th June Workshops and focus groups with parents/carers, practitioners and providers Questionnaire In July we will consider all consultation feedback and revise the plan Final plan to be adopted by the Mayor in September Consultation

6. Children First What we’re changing Short breaks for more children & families Increase availability of a range of options More flexibility & choice Targeted services Residential short breaks Community care & palliative care Foster-based short breaks Direct payments Residential holidays

7. Children First What we’re changing Residential overnight Short breaks 8563 Direct payments 168188 Community care & palliative care 5972 Summary of proposals Providing specialist short break services for 469 = 57 more children & young people Foster-based short-breaks 5682 Residential holidays 4464 Targeted services Not known 527

8. Slide 8 Children First Outcomes for children and young people We will fund services to achieve these outcomes For disabled children and young people Have safe and stable lives Improved physical health through physical activities Improved emotional health and well-being Enjoy their short breaks Less dependent on their parent or carer Learn and develop skills and abilities Young people develop skills that help toward independence in adulthood

9. Slide 9 Children First Outcomes for parents / carers & strategic outcomes And for parents / carers and families Improved quality of life for parents/carers/siblings Improved emotional well-being Have more time to do other things (e.g. leisure, work, study, spend time with other children) Family is able to lead a more ordinary life Family environment is less chaotic and more sustainable And strategic outcomes Fewer CYP become looked after because of their disability Reduced need for unplanned placements in residential units Families have increased choice & control over the short breaks they get

10. Slide 10 Children First Consultation feedback so far

11. Slide 11 Children First General  Providing transport is necessary for some families – otherwise their child is unable to attend, or they will not get a meaningful break  Parent/carers would like more stay and play opportunities  Need more places for befrienders and PAs to take children  Parent/carers would like more chances to network with each other – do would personal assistants  Need contracts that maximise collaboration between providers (including role in upskilling and coordinating the workforce)  Importance of trust to parents/carers  Lack of information about what is available  Personal budgets coming... Specialist BME service  South Asian and Somali families said would welcome a service open to all communities with focus on their cultural needs and workers who speak their language.  Some practitioners concerned KHAAS may lose the reach it has achieved

12. Slide 12 Children First Special schools holiday playschemes Often the only targeted service accessed by CYP with more complex needs Parent/carers say it works for their child because of familiar surroundings and staff (& feels safe for the parent) Highly valued, but not enough available and is being reduced Parent/carers would like it to be available not just at beginning of holidays Not available to CYP who do not attend the four schools Some schools face challenges staffing the schemes VCS are saying they could offer services from the schools premises Mixing children Some parents say they are happy for older children and younger to mix Other parents say mixed activities are not suitable for their teenage children Some parents whose children have significant physical needs and/or complex health needs are concerned about mixing with children with more challenging behaviour Very little accessible provision for above CYP

13. Slide 13 Children First Proposed evaluation criteria for bids How well proposed services will meet outcomes Number of children and young people who will benefit Breadth and range of activities and their suitability for different ages and impairment groups Providers’ ability to work in partnership with the council, health providers, schools and other local providers Providers’ ability and track record of meeting the needs of children who are hardest to reach Plans to bring added value, e.g. use of volunteers, making premises available to other groups, helping to develop pool of workers in the city How well the services will respond to changes in demand and provide choice to children and families (and enable increased “personalisation”)

14. Slide 14 Children First Residential holidays

15. Slide 15 Children First Residential Holidays Proposal Action for Children Total proposed children = 64 Residential Holiday Contract Total current children = 44 +46% Total value after = £75,000

16. Slide 16 Children First Residential holidays Indicative procurement timetable Which is best? TaskTime Time (2) Provider day2 nd week September 2014 Sep-14 Advertise opportunity1 st October 2014 Provider response time (40 days/30 days) End December 2014 31st October 2014 EvaluationJanuary – February 2015 Nov-14 Contract awardMar-15 Dec-14 New service startsJul-15 Mar-15

17. Slide 17 Children First T argeted services Afterschool, holiday & weekend activities Befrienders

18. Slide 18 Children First Targeted services – current Play, leisure and sport activities and befriending Total value = £235,000 6 contracts 3 council services Families in Touch Time 2 Share Playbus National Autistic Society KHASS WECIL New Fosse- way Briar- wood Kings- weston Clare- mont Bridging workers & inclusive play Bristol Autism Project WECIL Consortium Special Schools Consortium KHASS Befrienders Time 2 Share

19. Slide 19 Children First Targeted services proposal Play, leisure and sport activities and befriending Total children = min 400 Total value = £270,000 +15% Re-commission all services with increased funding Plus keep council-run bridging and inclusive play service

20. Slide 20 Children First Targeted services original proposal Play, leisure and sport activities and befriending Consortia A Consortia B BME Be- friending Competitive tender for two city-wide contracts – preferably consortia

21. Slide 21 Children First Alternative proposal – preferred option 2 lots – ideally 2 consortia A - holiday play schemes in special schools Joint working befrienders BME targeted B – Weekend, after-school and holiday activities

22. Slide 22 Children First Alternative proposal – not preferred One city-wide lot – ideally one consortium holiday schemes in schools other holiday activities Weekend & after-school activities BME targeted service befrienders family fun days

23. Slide 23 Children First Targeted services Indicative procurement timetable Will this work? TaskTime Provider day2 nd week September 2014 Advertise opportunityMid November 2014 Provider response time (80 days)Early March 2015 EvaluationMarch – April 2015 Contract awardMay 2015 New services startsSeptember 2015

24. Slide 24 Children First Introduction to Collaborative Arrangements Kirsty Barrett Procurement Specialist Strategic Commissioning & Procurement Service

25. Slide 25 Children First Targeted Services Collaborative Bids Consortium Members MUST take their own legal advice http://www.supporthub.org.uk/resources/collabo ration-agreement-template http://www.supporthub.org.uk/resources/collabo ration-agreement-template Council has sight of draft agreement at PQQ (in this case, Open Tender) stage Sight of final agreement at award Consortiums formed at start of process

26. Slide 26 Children First Models of Collaborative Arrangements Lead partner consortium Joint and several liability consortium Sub-contracting

27. Slide 27 Children First Lead Partner Consortium Consortium of providers working together to bid for/deliver services One provider (Lead) contracts with the Council Lead Provider SOLELY liable for delivery of contract A fail for one member at minimum standards (e.g. Insurance Levels) may constitute a fail for the entire organisation. See Invitation for full details. Technical capability Financial capacity

28. Slide 28 Children First Joint and Several Liability Consortium Contractual relationship with ALL members of consortium May appoint ‘Lead Organisation’ ALL members of consortium equally responsible Cumulative strength assessed All members joint and severally liable

29. Slide 29 Children First Sub-contracting Council contracts with one provider (Prime Contractor) Provider enters into sub-contracting arrangements Subcontractor performance responsibility of Prime Contractor At tender stage (minimum requirements), details of proposed sub contractors given Minor/specialist elements only – Prime Contractor responsible for core. Payments & Intervention

30. Slide 30 Children First Multiple Bids Bid as member of more than one consortium Comply with http://www.oft.gov.uk/OFTwork/competition-act- and-cartels/competition-lawcompliance/ http://www.oft.gov.uk/OFTwork/competition-act- and-cartels/competition-lawcompliance/ Legal advice Certificate ‘regarding involvement in other bids’

31. Slide 31 Children First Consortiums & Collaboration Check the Invitation to Tender & Terms Ask collaboration questions early on If in doubt - Legal advice Any Questions?

32. Slide 32 Children First Table top discussion A How should the lots for targeted services be split? Which outcomes should be monitored to measure service quality?

33. Slide 33 Children First Table top discussion B How can providers be encouraged and enabled to collaborate and what are the benefits?

34. Slide 34 Children First Table top discussion C How can we make sure the right children get services? Should we define categories of need and/or age groups? What should be the key features of the services and how should they be reflected in the specs?

35. Slide 35 Children First Target group – current services Varies across all contracts Some refer to Group A and Group B Group A - children and young people with ASD or those children and young people whose challenging behaviour is associated with other impairments such as severe learning disabilities Group B - children and young people with complex health needs including those with a disability and life limiting conditions, palliative care, cognitive or sensory impairments or have moving/handling needs or require special equipment adaptation. These groups include where relevant, those with:  ASD  complex health needs, including the technology dependent child and those requiring palliative care;  moving and handling needs that will require equipment and adaptations up to age 18  challenging behaviour as a result of their impairment;  severely disabled young people 14+

36. Slide 36 Children First Target group – new services Significant learning disability Sensory & physical and/or complex health needs Challenging behaviour New SEN “areas of need” Communication & interaction Cognition & learning Social, emotional & mental health difficulties Sensory and/or physical needs 1 3 2 Who might miss out?

37. Slide 37 Children First Next steps Revise commissioning plan Mayor adopt revised plan on 2 nd September Provider event second week September Advertise tenders Any questions contact:  ann.james@bristol.gov.uk ann.james@bristol.gov.uk  joanna.roberts@bristol.gov.uk joanna.roberts@bristol.gov.uk  mark.hamilton@bristol.gov.uk mark.hamilton@bristol.gov.uk