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Challenges and opportunities facing the independent sector

Challenges and opportunities facing the independent sector. Challenges. Early intervention Thresholds, Assessments, and care plans Commissioning Continued growth?. Opportunities. Right-sourcing Partnerships. Early intervention.

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Challenges and opportunities facing the independent sector

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  1. Challenges and opportunities facing the independent sector

  2. Challenges • Early intervention • Thresholds, Assessments, and care plans • Commissioning • Continued growth?

  3. Opportunities • Right-sourcing • Partnerships

  4. Early intervention • Emphasis of social work practice – keeping children in their families where it is safe and in the child’s best interests • Impact: Key reports – ‘Couldn’t care Less’ (CSJ) & ‘In Loco Parentis’ recommend early intervention and investment in preventative services • Investment: ‘Backing the future’ report (NEF) highlights that For every £1 invested in targeted services, designed to catch problems early and prevent problems from reoccurring, society benefits by between £7.60 and £9.20 • Down-side: Should intervention prove ineffective problems are more complex to address

  5. Thresholds, assessments and care planning • Thresholds - impact of cost saving & budgets and social work decisions • Quality of assessments • Quality of information • Emergency placements • Outcomes and care planning

  6. Commissioning Key issue: Level playing field • Spot Purchase (with discount) • Cost and volume (discount) • Preferred Providers (single or consortium) • Single provider • Outsource part or whole of service Quality improvement? Cost Effectiveness?

  7. Effective Commissioning Relationships Key Issues • Structure & process • Support systems • Cultural differences • Threats & myths • Trust & transparency • Monitoring & reporting on outcomes & service delivery

  8. Continued growth? • Impact of Spending Review • Commissioning IFA’s as a last resort • Outcomes for children – placement choice • 14% rise in IFA placements 11,200 in 2009 to 12,800 in 2010, 1,600 out of 3,300 • Shortage of carers – ‘Bursting at the Seams’ report (Fostering Network) • Provision of appropriate placements – capacity and meeting needs

  9. Right-sourcing • Insourcing & outsourcing • Delivering on • Confidence & trust • Carers and placements • Staffing and infrastructure • Sustainability • price • Value for money • quality

  10. Partnerships • Is outsourcing a threat or an opportunity? • IFA acting as the local authority • Different delivery models • joint ventures • Private/3rd sector/LA

  11. Summary • Intervene early but delivery has to be right • Thresholds need to be appropriate and need good quality information • Establish desired outcomes at the outset and enshrine in the care plan • Commissioners need to decide what they want, form good relationships and monitor performance and delivery of services and outcomes • Opportunities will remain to develop services • Right source • Our sector to develop partnerships??

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