HIA/Handypersons Re-commissioning Market Place Day - Agenda

1. HIA/Handypersons Re-commissioningMarket Place Day - Agenda 1. Welcome and Introductions 2. National Context R McNally 3. Overview D Council/A Hunter 4. Service Specification A Hunter/N Murray 5. Procurement Process/Timeline V Rutledge/N Murray 6. Questions and Clarification All

2. The role of HIAs in keeping people safe and healthy........

3. The HIA Sector, Some Facts National Statistics Clients mostly older homeowners (85%) 170 HIAs in 230 English Local Authorities 240,000 home visits per annum £150m of building work, 120,000 HP jobs pa But... its a Local Service All HIAs deliver services in a client focused services BUT the type and extent of services vary according to local needs and objectives

4. Foundations, What we do FILT

5. HIA Services, Health and Independence Areas in which HIA’s assist Cutting fuel poverty Home safety checks Home Security Hospital Discharge Re enablement Aids and equipments DFG’s

6. Complex Needs and At Risk Groups Other Issues HIAs work with Hoarding/Gardens Living in the Community Moving on to Care Dementia Equity Release Fitting Telecare Domestic Violence Child Safety

7. Meeting Key Strategic Objectives The key messages in your JNSA are sound and person centred They can bring your citizens the services they need in a timely fashion The cost of NOT providing such help can be very high Many people are able to pay but just need advice on their choices A HIA service can help you to achieve your aims

8. roym@foundations.uk.com Any Questions?

9. SUPPORTING PEOPLE NORTH YORKSHIREHOME IMPROVEMENT AGENCY/HANDYPERSONS SERVICES PROCUREMENT Start Date of new contract(s)-1st APRIL 2014

10. Overview 1 • North Yorkshire population approx 600,000 - 2011 figures • By 2035, it is estimated to grow to over 650,000 • Over 20% of population of the county are aged 65 and over – considerably higher than national average – this is expected to grow to 31.5% by 2035 • The North Yorkshire Strategic Housing Market Assessment household survey in 2011 reported that, in terms of help or assistance in undertaking everyday tasks a substantial proportion of older person households overall across North Yorkshire suggested current need. Assistance with cleaning the home (48%), help with gardening (43%) and help with other practical tasks (42%), in particular all received high proportions of households suggesting immediate requirements.

11. Overview 2 • Health and Wellbeing Strategy • Care Bill 2015 • Tightening up of eligibility for social care services • Prevention Framework • Integration with Health

12. Overview 3 Cost effectiveness of preventative measures and highlights the following potential cost savings: • • Postponing entry into residential care by 1 year saves on average £28,080 per person • • Preventing a fall leading to a hip fracture saves the state £28,665 • • Housing adaptations reduce the cost of home care (saving £1,200 to £29,000) • Preventative interventions can reduce demand for local authority funded social care support and hospital use

13. Current Position • HIA/Handpersons Type Services • 22 Agreements – Community Care Agreements and Letters of Agreements with 4 organisations • 7 Strategic Housing Authorities – also contract for HIA and Handyperson with the 4, therefore increasing number of agreements

14. Why the need for Change • Large number of different agreements • Different locality service specifications • Unclear what outcomes and VFM is being achieved by each agreement due to the age of the originally commissioned service spec. • Different charging frameworks. • Overall – lack of consistency in how existing services across North Yorkshire are delivered • Procurement rules dictating a need to test the market to optimise quality of delivery and value for money

15. Service Specification – Service Elements 4 main service elements • Support for Choice/Home Safety Assessments • Delivery of Disabled Facilities Grant* • Handypersons Services – Minor Adaptations, including Telecare, Small Repairs and Gardening Service • Connection with the Home from Hospital Service • Self funders • Added value

16. Handyperson Activity

17. Activity – DFG’s • DFGs

18. Activity DFG ‘s - 2

19. The Re-commissioning Process So Far • Evaluate existing spec, ensuring it is robust and deliverable – current spec in operation since October 2013 • Undertake further stakeholder consultation and market development • Conduct Procurement Exercise to obtain suitable providers for the future

20. HIA/Handypersons Contracts for North Yorkshire Scarborough Lot 3 Hambleton Richmondshire Lot 2 Lot 2 Ryedale Lot 3 Craven Lot 1 Harrogate Lot 1 Lot 4 : Countywide Selby Lot 2

21. Procurement Time Line • August/September 2013 – complete consultation exercise, finalise specification and prepare ITT Document • 7th October – tender process goes live through YORtender • 27th November – tender closing date • December – tender evaluation, including interview/post clarification • Late December – notification letters and standstill period • Early January – Contract Award • Jan – Mar – Transitional period • 1st April 2014 – new contracts begin

22. Market Place Questions and Feedback (1) Finance • Whether this contact required public subsidy and, if so, the time period for which this would be required • If subsidy is required the mechanism for payment: • Fixed • % oncost per transaction • % oncost which differentiates the different type of contracted activity

23. Market Place Questions and Feedback (2) Finance • Views on a partnership approach (open book accounting) with acceptable profit margins with no agreed activity

24. Market Place Questions and Feedback (3) • How would you manage the provision to provide a local response across a large rural area? • How would you balance the provision between the different service elements • How do you think your organisation can respond to developing the service to self- funders? • What 'added value' do you believe your organisation could offer as part of your provision of any new HIA/handypersons service?

25. Market Place Questions and Feedback (4) • Feedback form and other documents can be accessed and returned through YORtender • Available later today • Return date: Friday 11th August