Tendering for Sensitive Claims training sessions

1. Tendering for Sensitive Claims training sessions Presentation 3 – 21 February 2014

2. Welcome Introductions A couple of quick questions: 1. How many people are here today as: Counsellors Psychotherapists Psychologists Social workers Psychiatrists Other interested parties? 2. How many people have received and read all the stakeholder updates?

3. Agenda for today Improving the sensitive claims service The new service in detail Pricing for the new service BREAK: Questions and refreshments Contract models Completing the tender Questions from the floor FINISH ISSCTender @acc.co.nz

4. Improving the sensitive claims service

5. Why the sensitive claims service needs to change The short answer is we want to create an excellent service based on: the recommendations made during an independent review led by Dr Barbara Disley, the Massey Guidelines, past learning, feedback from providers, and the experiences of former Sensitive Claims clients. Opportunity Opportunity

6. Catalyst for change We know we do some things really well and that many providers are delivering excellent sensitive claims services to clients. But… It sometimes feels like the current system is about the process and not about the clients. This change is about ensuring we can focus on delivering what our clients need in the best way possible.

7. Two key changes 1. There will be a new contract for sensitive claims 2.There will be a new integrated service for ACC sensitive claims clients

8. The new service

11. The new service has three key parts: The new service in more detail 1. Pre-cover services: currently part of the up to 16 support sessions 2. Supported assessment: mental injury cover assessment 3. Support to Wellbeing: treatment provided after a mental injury claim has been accepted.

12. Pre-coverservices NEW • Getting startedFinding the right therapist from the outset is vital. A strong and therapeutic relationship is the foundation for successful therapy. • Paid time for client and therapist to build rapport • Client can make a choice about whether they want to proceed with the therapist • Time for clients to learn about how their sensitive claim will be managed and learn what support is available to them.

13. Pre-cover services NEW • Early planning • Find out the client’s needs as safely and early as possible • This means the client can get what they need more quickly • For example, client moves to a supported assessment because longer term treatment is needed or the client may wish to have support to wellbeing (short term) as ongoing treatment is not necessary at this stage.

14. Pre-cover services Support to wellbeing (short term)This is immediate support for clients who decide they need short term early intervention, but don’t feel they’ll need longer term treatment, so choose not to progress to supported assessment.Support for next stepsThis is for clients who don’t meet ACC’s criteria for cover or further funded services. It does, however, ensure the client receives the support they need to find another provider, funded by another agency or self-funded.

15. Supported Assessment NEW NEW The new service will include a supported assessment which can be completed over a number of sessions. These sessions could include an introductory meeting with the assessor first (if the assessor is a different person to the original therapist). Collaboration between providers A requirement of the new Integrated Services for Sensitive Claims contract will be that providers need to align themselves with other providers who can deliver services they cannot, such as the supported assessment. Involving clients early in the assessment report Providers will be funded to review their assessment report with the client, prior to it going to ACC, so the client knows what it says and also has the opportunity to correct any errors before it goes to ACC.

16. Support to wellbeing NEW • My Wellbeing Plan (treatment plan) can be developed for a period of up to 12 months • Providers will be given certainty of funding for up to 12 months • My Wellbeing Plans can include additional client needs, for example, group work counselling, inappropriate sexualised behaviour services, or family and whānau sessions.

17. Maintaining wellbeing NEW Maintaining wellbeing sessions are for clients who’ve completed their treatment, are self managing, but would like a check-in with a therapist. Clients will be able to go straight back to their provider to arrange pre-approved appointments without needing to contact ACC.

18. Maximum units *Usually delivered in hourly sessions, but can be delivered flexibly at the discretion of the provider and supplier

19. Pricing

20. Indicative pricing The new pricing has been set by taking into consideration co-payments currently charged by providers, existing market prices, and ACC contractual rates. The new pricing aims to: Be fair and reasonable for our suppliers Be responsive to client needs – supporting the service design Recognise the different experience and qualifications of providers Identify additional costs incurred by providers eg. time taken report writing and liaising Take into consideration the purchasing methodology and understand that the provider is not always the supplier of the contract.

21. New indicative prices Note: We haven’t published the indicative pricing schedule online as this is commercially sensitive information. The full indicative pricing schedule for the new service will be available as pre-reading material in Trade Interchange, the online tender tool. Trade Interchange will be accessible once the Expression of Interest starts.

22. The integrated service Peter Campbell, Procurement Specialist, ACC Sara Brown, Procurement Specialist, ACC

23. Key concepts The integrated service Pre-cover, assessment and treatment are all part of the same service and are to be delivered together, seamlessly Primary services Collectively, pre-cover, assessment and treatment are called the Primary Services The new integrated contract The integrated service contract calls for organisations, individuals or teams who can provide the primary services together Supplier and Provider

24. Suppliers and providers A Supplier is the holder of the contract with ACC. A Provider is the person who directly provides services to a client under the new contract. You can be a Supplier, a Provider or both.

25. How this works in practice The Supplier can be a company, a partnership, or a person. If the Supplier can’t provide all of the three primary services as a provider in their own right, they will need to bring in other practitioners who can. Providers will be able to provide services on any number of contracts for any number of Suppliers. It is up to each Supplier how they engage their Providers (ie, it could be a contract, as an employee, or a formal or informal agreement).

26. Different models for contracts There is no right size or right structure for teams. Some organisations may be large and have professional administration and others may be one-man-bands (with backup). Backup needed for illness, holidays and training for all suppliers Supplier and Provider This model represents an agency or larger group of providers working together. Some providers may have particular specialities or the whole organisation may be focused on one client group (ie children). This model represents a small team, that may be working across regional locations. They work together to ensure clients receive coverage across the regions but do not need to be in the same location all the time. This model shows a sole provider. This treatment and assessment provider does all three primary services (with an additional provider for backup to cover illness, holidays and training etc) tx = treatment ax = assessment

27. Don’t meet the criteria to hold a contract as a supplier now? Explore your existing professional networks, including your supervisor and find out who provides assessments or treatment for ACC clients. Subcontract to a larger organisation Seek subcontractors to provide services Form alliances or joint ventures. Even if you haven’t sorted out who you want to work with, or you’re not sure which parts of the new service you can supply, we’d still like you to take part in the EOI.

28. Staying on Regulations Cost of Treatment Regulations continues You’ll be able to see clients with an existing covered claim Current rates continue Some changes to process to align with new service Clinical psychiatrists • Choice of remaining under existing Clinical Psychiatric Services contract • Or, being part of the Integrated Service for Sensitive Claims contract

29. Completing the tender

30. What is a tender? A tender is an open and transparent way of buying goods or services used by Government agencies There are strict rules for tenders which ACC must follow These include ensuring that all participants in the tender are treated fairly and equally and have access to exactly the same information. Brand new service with elements of the existing service Government rules around new contracts No change to current sensitive claims contracts since 2006 Why the need to reapply?

31. Stages of the tender Stage 1: The Expression of Interest (EOI) Assists ACC in identifying suppliers and providers interested in and capable of supplying the new integrated service Provides suppliers and providers with detailed information about the new integrated service and outlines ACC’s expectations Allows suppliers to register their interest and intent in proceeding to the next stage. Stage 2: The Request for Tender (RFT) Invites suppliers to submit a full tender response to provide more detailed information on their ability to provide the new integrated service.

32. How you respond to the tender ACC is using the Government Electronic Tendering Service (GETS) to advertise the tender (EOI and RFT) If you haven’t already done so, register with GETS before the EOI starts. You can do this now. When the tender opens GETS will email you a link that gives you access to the online tender tool, Trade Interchange. You’ll use Trade Interchange to respond to the Expression of Interest and later the Request for Tender. We’ll only accept Expressions of Interest entered in Trade Interchange. GUIDES AVAILABLE AT END OF TODAY’S SESSION

33. Trade Interchange The online tool for completing and submitting your tender Similar to banking online, online surveys, or booking flights online No special software needed Instructions and information provided as soon as you log in. Read all of this before you start filling in your EOI.

34. Navigating sections - tabs

35. Navigating sections – tabs cont…

36. The provider questionnaire

37. Help during the EOI • If you’d like to ask a question about the EOI when it’s running you must use the email function in Trade Interchange. • This provides quick answers (within 48 hours) from the experts. • We’re expecting hundreds of responses to the EOI and need to keep track of who has been told what; to be fair and transparent. • Commonly asked questions will be answered and published on Trade Interchange and GETS.

38. Tender timeframes TENDER

39. Final thoughts on the EOI Don’t leave it to the last minute! Allow time to read everything carefully Ask ACC any questions by 18 March.

40. What do I do next? Make sure you’re registered on GETS. There’s a guide in the information pack we’re handing out today Once the EOI opens (26 Feb) you’ll get a notice from GETS with a link to register on Trade Interchange Logon to Trade Interchange and read the pre-reading material. We recommend you read this as soon as the EOI opens so you have as much time as possible to understand the criteria and get help if you need it Gather the materials you need to answer questions in the EOI, including the required information about each provider you are including Submit your EOI response in Trade Interchange. For sole practitioners and smaller organisations, it should take no longer than 30 minutes. 1 2 3 4 5

41. Finish