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Overview Rehabilitation Sector Market Development Ireland & UK

Overview Rehabilitation Sector Market Development Ireland & UK. Michael Crowley Business Excellence Executive Rehab Group Ireland 2011. Introduction. Rehab Group Established 1949 Rehab is a Not for Profit Organisation Scope of Organisation Ireland / UK / Netherlands / Poland

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Overview Rehabilitation Sector Market Development Ireland & UK

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  1. Overview Rehabilitation Sector Market Development Ireland & UK Michael Crowley Business Excellence Executive Rehab Group Ireland 2011

  2. Introduction • Rehab Group • Established 1949 • Rehab is a Not for Profit Organisation • Scope of Organisation • Ireland / UK / Netherlands / Poland • Scope of Service Provided • Health & Social Care Services – Ire / UK • Training & Employment Services – Ire / UK • Labour Market Services – Ire / UK • Supported Employment Enterprises – Ire / UK / Neth. / Poland

  3. Rehab Services Ireland • Health & Social Care Division • Resource Centre Services • Residential Services • Respite Services • Outreach Services • Supported Accommodation Services • Home Based Services • Training & Employment Division • Training Services • Education Services • Employment Access Services • Enterprise Division • Employment Support

  4. Rehab Services UK • Health & Social Care Division • Residential Care services • Home Care Services • Learning & Education Division • Learning & Development Centres • Work Programme • Employment Division • Apprenticeships • Employment Training • Supported Enterprises • Supported Employment

  5. Key Sector Influences – Ireland / UK • Government • Legislation • Regulation • Ireland - Dept. of Health / Dept. of Enterprise & Employment • UK – Dept. of Social Care / Dept. of Work & Pensions • Statutory Authority for Standards • Ireland • Social Care Sector – HIQA • Vocational Rehabilitation – QA00 • UK • Social Care Sector – Care Commission • Vocational Rehabilitation – Ofsted

  6. Current Funding Streams • Ireland • Social Care Services • Service Level Agreements • Vocational Rehabilitation Services • Service Level Agreements • UK • Social Care Services • Care Quality Commission • Tendering • Vocational Rehabilitation Services • Skills for Sustainable Growth • Dept. Work & Pensions Framework • ESF Partnerships • Tendering

  7. Future Funding Streams • Ireland • Social Care Services • Tendering • Sub-contractor • Vocational Rehabilitation Services • Tendering • Sub-contractor • UK • Social Care Services • Personalised Agenda • Tendering – Sub contractor • Vocational Rehabilitation Services • Skills for Sustainable Growth • Work Programme Contractor • Tendering – Sub contractor

  8. How Clients are referred • Ireland – Social Care / Voc. Rehabilitation Services • Approved Service Provider – Service Level Agreement • Funding Agencies • Social Worker • Self Referral • UK • Framework listed – Tender procurement • Agency Referrals • Social Worker • Self Referral – Direct Payments

  9. Client Referral - Future • Ireland • Self Referral • Agency Referrals • Sub-contractor • Tender procurement • UK • Service Marketing & Promotion • Self Referral • Personalisation Agenda • Sub-contractor

  10. Impact of Developments on Clients - Ireland • Clients not a single disability group • Range of Profiles • Complexity of needs • No single methodology to address needs • Variety of outcomes required • Reduced in availability of Service Provision • Reduction in service choices • Reduction in advise and guidance services – difficult for clients • Reduction in quality of service • Confusion on future of service delivery

  11. Impact of Developments on Clients - UK • Confusion • Knowledge of service choices • Knowledge of what services to “buy” • Knowledge of outcomes required • Knowledge of use of money for services • Reduced in availability of Service Provision

  12. Impact of Changes - Service Providers • Open market approach • Appointed to Framework – Subcontractor • Reduction / Change in service locations • Change in service delivery model – Holistic? • Change in funding provision • Outcome focused • Payment focused • Client outcome focused? • Change in Staff Contacts • Closure of services

  13. Focus on Costs – Service Providers • Impact : • Moving from fixed Service Agreements • Public exchequer cutbacks • Reduction in Services offer / delivered • Reduction in supports provided • Reduction in Staff numbers / Staff Contracts • Uncertainty of funding of future services • Reduction in Client numbers

  14. Key Sector Challenges Ireland & UK • Social Sector/ Vocational Sector • Reduced Exchequer Funding • Competition in open market environment • Introduction of Tendering for Services – Ireland • Personalisation Agenda - UK • Identify risks to business & services provided • New collaborative ways of working / new partnerships • Move from way services are funded to how they are delivered • Manage transition from “block” funding • Identify new potential market opportunities

  15. Key Sector Language • Value for Money • Efficiency • Effectiveness • Open market approach • Tendering for Services • Personalisation Agenda / Individual Budget • Individual Choice • Accessible universal services

  16. Where there is a successful business, someone once made ​​a courageous decision Peter Drucker

  17. Thank you

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