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Colin Horne

Colin Horne. Agenda. Which Provider’s Perspective Duty Towards the Market Prevention & Wellbeing Market Oversight Consumer Information Implication of Financial Charges on Providers. Which Provider?. Introduction to. Universal Domiciliary Care Provider Supported Living Services

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Colin Horne

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  1. Colin Horne

  2. Agenda Which Provider’s Perspective Duty Towards the Market Prevention & Wellbeing Market Oversight Consumer Information Implication of Financial Charges on Providers

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

  4. Duty Towards The Market Market Position Statements

  5. Duty Towards The Market Challenges for Providers & Commissioners • Providers will have Difficulty Figuring Out what MPS means for them at a Local Level • 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 • 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 • Self Funders & Obligation to arrange care

  6. Duty Towards The Market • 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.) 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. Prevention & Wellbeing • Requires Providers to Adopt a more Holistic Approach towards SU : • Sign posting • Enablement • 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

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

  10. Consumer Information • Dissemination of Information (LA) • Universal Help Line • Websites • E-Market • PPF • Prosecution for Misleading Information • Providers don’t typically do a lot of Information Dissemination • Problem is recruitment • Criminal Prosecution for SU families out to get you

  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 Provider’s 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

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