Provider dialogue and engagement that effects change

1. Provider dialogue and engagement that effects change East Sussex County Council

2. 2008/09 – where we were • Commissioning strategies across core client groups + universal services strategy for older people • Approach to prevention embedded through POPP programme work • New quality monitoring team improving quality in home and Nursing/Residential care • Block contracts to manage home care market • RTTM implementation with block providers

3. 2008/09 where we were • Commissioning strategies developed with high levels of user, carer staff and partner agency involvement • Independent Provider Forum – strong focus on workforce development • Independent sector engagement • Improving for home care: forum meeting regularly • Residential care more challenging

4. Key challenges • Fragmented picture and relationships • Voluntary sector, multiple local networks and forums • Independent sector, no clear representative structure • Community-based, residential/nursing • Large blocks and small contracts • No clear avenue for communication • Only able to engage with contracted providers • Mainly ‘traditional’ social care market • Discussions mainly contract and finance related • Less discussion of strategic commissioning, market development, service models and joint-working

5. Providers and third sector organisations are clear on how they can respond to the needs of people using personal budgets An increase in the range of service choice is evident St’holders are clear on the impact that purchasing by individuals, both publicly and privately funded, will have on the procurement of Councils and PCTs….guaranteeing the right kind of supply of services to meet local care and support needs October 2010 October 2010 April 2011 DH PPF/TASC milestones – local commissioning

6. Provider dialogue and engagement that effects change • Developed brief to strengthen current arrangements • PPF/TASC/personalisation = clear reason to change • Methodology: • Face to face interviews and telephone conversations • Questionnaire survey distributed widely • Presence in local press, radio, Council website

7. Face to face interviews • Consultant engaged to establish dialogue with a cross section of service providers and gauge their views about: • (1) their ideas and preferences on how engagement should take place and • (2) providers’ issues and suggestions in relation to the challenges of PPF and related developments.

8. Questionnaire • Details about the organisation • Size • No.s of employees • Legal structures • Views on current and future engagement • Stimulate ideas on future roles in the market • Targeted at existing providers and new, potential providers • Closes 16th October

9. Making contact • Online SNAP questionnaire, 10 minutes to complete, housed on ESCC website • Press release, local papers, radio etc. • Chambers of Commerce contacts – 2000 businesses • All known contacts through lead commissioners and Contracts and Purchasing Unit – voluntary and independent sector. • Existing infrastructure roles, e.g. Compact/Change Up and RCHA

10. Initial findings (face to face work) • Varied experience of communication with ASC • Need to raise levels of understanding about personalisation • Some degree of anxiety about place in the market, models of procurement, ability to respond and opportunities • Difficulty with travel, therefore attending meetings • Would appreciate regular communication

11. Next Steps: Develop market development strategy Personalisation change programme for providers Refine commissioning and procurement models e.g. frameworks for home care, 3rd sector commissioning Provider conference in early 2010 – launch new structure (s) and strategy development process Dependent projects: Strategic Review of Engagement (users, carers and communities) Third Sector Commissioning – VCS Contracts for Services Homecare procurement options project ‘Market engaged’ web facility Buy Social Care With Confidence

12. East Sussex Putting People First Programme Choice, Market Development and Engagement workstream Access and Self Directed Support workstream Business Systems, Processes and Infrastructure workstream Strand A: Supporting choice infrastructure projects Strand B: Developing the market Strand C: Engaging with users, carers and communities Project: Strengthening Provider Engagement Project: Strategic Review of Engagement July – November 2009 Project: Advocacy services Project: Market Development for Personalisation Strategy Project: Support Brokerage services Project: Commissioning and procurement redesign Project: Market engaged web-based facility Project: Third Sector Commissioning (building social capital) Project: Micro-services Project: Home Care Procurement Options Project: Buy Social Care With Confidence Project: Day Opportunities for Older People Project: Developing User Led Organisations (Demonstrator) Project: Extending choice initiatives

13. Providers and third sector organisations are clear on how they can respond to the needs of people using personal budgets An increase in the range of service choice is evident St’holders are clear on the impact that purchasing by individuals, both publicly and privately funded, will have on the procurement of Councils and PCTs….guaranteeing the right kind of supply of services to meet local care and support needs October 2010 October 2010 April 2011 DH PPF/TASC milestones – local commissioning