Setting the Scene for Providers

1. Setting the Scene for Providers Sue Ramsden National Housing Federation

2. Choices?

3. The Agenda • Economic reality • Localisation & Regionalisation • Commissioning and Procurement • Partnership & Capacity Building • Quality, Efficiency and VFM • Personalisation • Choices?

4. The Future housing market • Housing need has not gone away • Average house price £222,600 • Prices will fall during 2009, but then recover strongly - forecast to grow by more than 9% in 2012 and 2013 • 1,674,000 households on waiting lists. • One in 13 households • 48% of all new households will be over 65s • Average projected household growth 223,300 per year

5. The finance markets • Personal and corporate lending • More expensive • Less available • Concentration on lowest risk / highest return • Challenge to the housing association business model

6. NHF survey results • In 2006/07 and 07/08 average increase was 1.4 per cent. • In 2006/07 28% no uplift in 2007/08 35% • Examples of positive partnership wit commissioners • Gap between costs and income: • Cross subsidising • Seeking additional funding from partners or through fundraising • Savings

7. NHF asks • Strategic review of priorities. • No across the board cuts • Level playing field between different types of providers • Manage the local market with regard to maintaining a healthy range of providers and choice for service users. • Uphold the principles of VCS compacts • Implement good practice in commissioning and procurement • Work with providers to deliver efficiency savings including cross authority and regional work • Reduce the burden of bureaucracy • Cost V quality?

8. Decision re funding in 2009/10 • In 2009/10 Supporting People will be allocated to councils as a named but non-ringfenced grant. • This removal of the ring fence provides councils and their partners with the opportunity to come up with new and innovative ways to support vulnerable people. • Supporting People will be included in Area Based Grant from 2010/11.

9. Transition • Financial modelling tool which will provide evidence at a local level on the financial benefits of investment in housing support. • Guidance and good practice e.g. on understanding regional need for housing related support. • Further work informed by the Audit Commission’s forthcoming national report into SP (due Spring 2009).

10. Localism and regionalisation • 2008/09 New LAAs/Pathfinders • 2009/10 SP Un-ringfenced • 2010/11 Last year Comprehensive Spending Review • 2011/12 LAAs Start Again • Widespread Personalisation

11. Impact of LAAs

12. LAAs - targets NI 7 Environment for a thriving third sector NI 18 Adult re-offending rates for those under probation supervision NI 32 Repeat incidents of domestic violence NI 39 Alcohol-harm related hospital admission rates NI 40 Drug users in effective treatment NI 46 Young offenders access to suitable accommodation NI 124 People with a long-term condition supported in control of their condition NI 125 Achieving independence for older people through NI 130 Social Care clients receiving Self Directed Support NI 136 People supported to live independently through social services NI 137 Healthy life expectancy at age 65 NI 138 Satisfaction of people over 65 with both home and neighbourhood NI 143 Offenders living in settled and suitable accommodation at the end of their order or licence NI 145 Adults with learning disabilities in settled accommodation NI 147 Care leavers in suitable accommodation NI 149 Adults in contact with secondary mental health services in settled accommodation NI 152 Working age people on out of work benefits NI 156 Number of households living in temporary accommodation

13. Efficiency agenda: procurement or commissioning? ‘Procurement’ is not the same as ‘Commissioning’ • Commissioning is the process of specifying, securing and monitoring services to meet people’s needs at a strategic level. • Procurement is the process involved in identifying and selecting a provider.

14. Partnership & Capacity Building • Responding to local needs and shrinking number of contracts • Independence and collaboration • What do we do, what don’t we do? • Models and Tools – hact Collaborate project • different collaborative approaches, • how to influence procurement processes • developing collaborative bids incl legal and technical advice.

15. Quality, Efficiency & VFM • New QAF • Knowing costs • Outcomes data • Making the case – CSED work • Can you achieve yet more for less?

16. QAF - Key changes • Streamlining and raising the bar • Format • Needs & Risk Assessment & Support Planning joined • Safeguarding and Protection (including children) • Client Involvement (including Complaints) • Less process driven

17. New format • No Level D • Levels A and B separated from C to emphasise: • Difference in evidence requirements (C) and examples (A & B) • 5 core objectives, standards within each

19. Number of standards

20. Personalisation • All LAs expected to offer personal budgets by 2009 • Care and SP largest funding sources • Move from block to individual payments for providers • New skill set for LAs • Understanding demand – menu of options • Speed of change

21. Advocacy/ A helping hand Job Hunting Cleaning Advice to Employers Cooking Training Shopping Washing Help with getting around Needs Home maintenance Employer responsibility and vetting Help with medication Social Activities Financial & tax advice Bathing

22. Risks and rewards Direct relationship with service users More money to support what people want to do Build on experience on delivering flexible VFM person centred services Uncertain funding Quality checks Prevention Social care driven Resource allocation

23. Resources • Local networks • SITRA, hact and NHF • Housing LIN – www.csip.org.uk • CSED - www.csip.org.uk/~csed