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Fairer Contracting Personalising Services in Brighton & Hove

Fairer Contracting Personalising Services in Brighton & Hove. Context. History of good partnership working with providers and local (commissioning only) PCT Key drivers for change: Outdated contractual arrangements in Council and no formal arrangements in PCT Variable cost to purchasers

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Fairer Contracting Personalising Services in Brighton & Hove

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  1. Fairer ContractingPersonalising Services inBrighton & Hove

  2. Context • History of good partnership working with providers and local (commissioning only) PCT • Key drivers for change: • Outdated contractual arrangements in Council and no formal arrangements in PCT • Variable cost to purchasers • Concerns re clinical quality in nursing homes • Lack of coherent information available to the public on cost and quality issues

  3. Initial Steps • Agreement between Council and PCT to joint contractual arrangements • Sign up from politicians • Engagement with CSCI • Winter 2007- 8 Active engagement with providers on tying quality to cost • Recruitment of Quality Review Nurse

  4. Process • Consideration of contract models and negotiation on Specification • Agreed set rates - with incentives • Developed user friendly web based information for public and professionals • Sign up from providers to Preferred Provider list • Implementation of Fairer Contracting April 2009

  5. Rating comparisons

  6. Challenges • Future partnerships with the NHS: • Introduction of NHS contracts - where does this leave use of Local Authority contracts? • NHS use of Procurement Hub • Uncertainty with future role of CQC/QRN • Balance of block and framework agreements: • Choice versus security • Future market development - role for the statutory sector commissioners, hard commissioning or soft influencing?

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