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Learn about transitioning to outcomes-based contracts, changing tendering procedures, and developing new currency models. Engage in exercises to apply concepts in a practical setting.
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IPC OUTCOMES WORKSHOP : DAY 1Specifications and Contracts
Considerations for OBC and tendering • Ensuring that the language of outcomes firmly underpins contracts. The distinctions between outputs and outcomes are widely accepted. • Establishing the value and content of a contract. • Changing current tendering procedures. • Greater emphasis on partnership between provider and commissioner rather than arms length. • Developing a new currency that moves away from price per hour to value per outcome. Charging makes a similar shift. • Defining rewards and penalties.
Exercise • Four groups – 2 purchaser, 2 preferred provider • Commissioners identify set of outcomes to be achieved for a supported living scheme for people with learning disabilities. • Providers respond with ideas about how they might meet these outcomes. • Purchaser and provider meet to discuss and test outcomes and ideas, prior to formal tender.
Stage 1 – Purchaser • Identify 4 outcomes you want to achieve for: • 5 adults with learning disabilities who all want to live more independently. They are aged 23 to 35 years old. They all have limited verbal communication skills and 1 is a wheel chair user. • Write the desired outcomes on a piece of flipchart.
Stage 1 – Provider • You are a charitable trust providing a range of services to meet the needs of people with learning disabilities. You have a good record with this authority and good working relationships. • Describe the key aspects of your service in more detail.
Stage 2 – Provider • Consider the population and set of outcomes presented by the purchaser. • Assume you will have sufficient time for service development. • What service or services could you develop to meet the outcomes for this group of people? • Describe the characteristics of the service(s) on a flipchart. • Consider the resource implications of the service.
Stage 2 - Purchaser • Identify measures you might use to help you understand whether the outcomes you identified are being met. • Consider how you would realistically monitor a contract to get this information.
Stage 3 – Purchaser Having received the outline presentation from the provider, consider: • The match of services to outcomes. • How realistic will it be for the provider to deliver them? • What would you like the provider to look at in more detail? • How would you progress the tendering process?
Stage 3 - Provider Having received the documentation from the purchaser about proposed measures and monitoring arrangements, consider: • How realistic are they? • What improvements might you suggest?