Quality Services in Salford

1. Quality Services in Salford Provider Forum 15th January 2010 Keith Darragh Interim Deputy Director

2. Quality • We know that we have some excellent services in Salford • We know we have many organisations that have been rated good and excellent • All providers can identify staff who have given an extra piece of support or care which has been greatly appreciated by a service user or their family.

3. Quality – Care Quality Commission • Annual Performance Assessment • National Indicators - messages • People who say their health is good or very good is higher than for comparable authorities • Key National Minimum Standards, improvements needed • Management of medication • Care Planning • Nutrition

4. Salford Priorities • Improve Quality of Care in 5 Key areas • Medication • Care Planning • Nutrition • Hygiene and Infection Control • Recruitment

5. Joint Improvement • Build on best practice and local expertise • Using • Joint working teams to build practice and specifications • Contracting processes to support improvement in quality • Salford Care Training Partnership, support, guidance and development

6. Joint Working Team • City Council – Procurement team, commissioners and operational providers • Salford Providers – Volunteers • Primary Care Trust – Medication and Nutrition

7. Broughton House Carewatch (North Cheshire) Carewatch (Salford) Community Homecare Services Concern In Homecare Independent Advocacy Services (IAS) Home Focus Living Ambitions Premier Care Pemberton Fold (C.I.C) Southern Cross Swinton Hall The Fountains The Willows Wentworth House Volunteers – Thank You

8. Mark Griffiths Gary Amos Procurement Manager Head of Procurement Community Health & Social Care Procurement in Salford Salford Provider Forum15 January 2010

9. So what is procurement anyway? Procurement is a process which encompasses thefull life cycleof the asset or service contract. The ‘life cycle’ is the periodfrom the initial definition of the businessneed throughto the end of the useful lifeof the asset or service contract. It is about securing services and products that best meet the needs of users and the local community in its widest sense. Reducing costs and ensuring value for money

10. The Northwest 3 COUNTY 4 UNITARY 15 METROPOLITAN 24 DISTRICT 1 NATIONAL PARK

11. Salford City Council % Spend with SME’s

13. Corporate Procurement Mark's procurement group reports into the Corporate Procurement Team (CPT), but works with the Community Heath and Social Care Directorate. The procurement service supports, co-ordinates and advises directorates to achieve their objectives in all dealings with third party spend; in the most cost effective way to achieve year on year service delivery improvements to ensure compliance with legal requirements

14. Drivers for change Improved service provision quality and capacity Value for money “Releasing resources to the front line” Compliance with UK and European legislation Best practice procurement Improved efficiency

15. Corporate Procurement Objectives Sourcing strategy Category Management Supplier Management Market analysis and building capacity Cost control – monitored at most senior level Quick wins – areas to focus on Flexible contract models (e.g. personalisation agenda)

16. Category Management Business wide process covering expenditure with providers and contractors An agreed framework for managing specific areas of expenditure to identify the most appropriate and effective approach to future sourcing Increasing the value provided by the supply chain Working in partnership with directorates to provide cost effective solutions to requirements Not a cost cutting exercise, but it is a VFM exercise, including reducing costs

17. Supplier Management Formalised, proactive and robust way of managing, monitoring and developing supplier performance It is embedded in the contract but is concerned with the overall supplier relationship rather than around a specific contract Way of continuously working with suppliers to improve performance & value

18. Community Health & Social Care Procurement Manager Mark Griffiths Supplier Manager Judith Proctor Category Manager Andrew Briffa Procurement Officers Joanne Boardman / Ursula Hurst (2 recruiting) Procurement Assistant (2 recruiting)

19. Objectives – meeting outcomes for Salford people Support and deliver the personalisation agenda Consistently high quality of care provision Continuous improvement Value for money Sustainable capacity in the market Innovative, flexible, responsive providers

20. Benefits Procurement, social care commissioners, SCTP, other commissioning partners and providers working to common goals, open communication & transparent dealings Trust, honesty & mutual respect Aligned systems and processes to reduce costs Reciprocal learning to build confidence and competence Clear responsibility & accountability Robust and flexible contractual arrangements Minimise risk to suppliers and to the authority

21. How will we do it? • Together, we have lots of ideas but not all of the solutions. Solutions will be generated by joint working • Evolution rather than revolution • The process has been defined but will change as we; • work together • play to each of our strengths • find best working practices for ourselves and our users

22. Domiciliary Care • Comprehensive Project • Multi Disciplinary Approach • Develop specification with outcomes and the personalisation agenda in mind • Best Value Requirements • Planned session to update providers on developments • Tendering workshop

23. We’ve been thinking . . . . Standard accreditation system across the Northwest Frameworks Tendering toolkit

24. How do you find out about tenders? The Chest https://www.thechest.nwce.gov.uk

25. Improving Quality of in Care Homes • Objectives of Project • Care Planning • Administration of Medication • Nutrition

26. New Vision • Provider engagement • Problems / challenges • Solutions / innovation / improvements • Communication and collaborative working are the key • Identify Best Practice – which works in practice! • Share the knowledge – through-out the marketplace • Deliver the best possible service to Salford people

27. Project Plan • Organise a Provider Workshop 2nd March 2010 • All Care Home providers, phased approach • Letter will be posted next week to those involved • Providers will work in groups / teams to respond to our brief • From the workshop we will have a “supplier led” review • Formal presentation end April by groups of providers • Demonstrate what they have learnt to the wider group

28. Supporting People – Mental Health • Re-shaping the Market • Clean sheet review • Individual discussion with providers • providers to deliver their ideas • Specific objectives • Improving outcomes • Reducing Cost • Deliver and develop Personalisation

29. Going forward • Very exciting time to be involved • Every provider large and small has a part to play • Opportunity to share expertise • Opportunity to get free advice and support • Opportunity for you to influence best practice going forwards • Opportunity to network with customers, professionals and like minded colleagues