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Care and Health Improvement Programme
Care and Health Improvement Programme (CHIP)
Adult Care Markets –
Shaping for the future
Leon Goddard, LGA CHIP
Rachel Carter, LGA CHIP
Fiona Richardson, IPC
Care and Health Improvement programmewww.local.gov.uk/chip
In this workshop ……
1. We will tell you more about what CHIP and IPC are
doing to help commissioners
2. CHIP will explain our work to support market shaping
3. IPC will talk about their market shaping work with
councils
4. We will all discuss the help and support commissioners
want from IPC and CHIP in relation to Market Shaping
Care and Health Improvement programmewww.local.gov.uk/chip
What is CHIP and how do we support
commissioners?
1. Care and Health Improvement Programme – Funded by
DHSC and jointly delivered by the LGA / ADASS
2. Supports councils' care and health sector-led
improvement
3. One CHIP work stream is commissioning and market
shaping
4. Aims to “support councils to facilitate and shape diverse
and sustainable markets for high quality care and
support which benefit the whole population.”
Care and Health Improvement programmewww.local.gov.uk/chip
Market Shaping
CHIP is developing a suite of support offers, to include:
- Tools to improve knowledge of markets and commissioning activity
- Modelling work to support forward planning and decision making
- Web based guidance to support council’s with market shaping
- Share emerging approaches and bring together like minded councils
- Offer of bespoke support for individual council’s / regions
Focus and features of council’s market shaping
approach:
- High-level view – Considering place, community and needs
- See this is an ongoing process, not a document to be produced
- Investment in the process and in relationships with stakeholders
- Build on, but not restricted by, traditional services and relationships
Care and Health Improvement programmewww.local.gov.uk/chip
The Markets and Modelling Project
- to help councils better understand their
current and future markets 1. A suite of new “proof of concept” on line tools have just been
launched after a data collection exercise earlier this year - we
are keen to get feedback on these tools
2. 82 councils took part and 6 out of 9 ADASS regions have 100%
or near 100% data submission
3. the Market Provision Tool is publically available here - anyone
can try it and give us feedback
4. the Market Analysis Tool is available only to the councils that
took part because the data is protected - 45 out of 82 are
engaged so far
www.local.gov.uk/chipCare and Health Improvement Programme
New Tools – The Market Provision Tool
Help to understand your market - benefits include
• Visualise your market
• See both local provider markets and the bigger regional
and national market picture
• Understand and compare market quality and capacity
• Map based tool of all CQC
registered care providers across
England
• 2 versions care homes and
care and support at home
• Uses filters to select specific
criteria and information
• Presents information in maps,
graphs and tables
• Updated monthly and publically
available
IncludesAll CQC registered locations, filtered to show those
providing ‘social care’
Map can be filtered by:
• Brand / provider name and characteristics - e.g. all
homes for brand x
• Location characteristics - e.g. all homes in an council
area
• Service type - e.g. all domiciliary care agencies
• Service user types - e.g. number of care home beds for
LD
• Area in which it is located - e.g. council or ADASS Region
• Latest quality rating - e.g. care homes rated as ‘requiring
improvement’
Care and Health Improvement programmewww.local.gov.uk/chip
The Market Provision Tool
www.local.gov.uk/chipCare and Health Improvement ProgrammeIf your council is one of the 82 that participated, to access this tool, or for
further information email [email protected]
Questions this tool helps answer
Market Shaping / Risk Assessment
• Where do we commission and which other councils commission in our area / region?
• How much of the local capacity is commissioned by us / other councils?
• In / out of the area or regional picture?
• Risk assessment – do we over-rely on a particular brand, provider or type of provision
(e.g. are most people placed in a few large homes)?
Quality
• What are the quality ratings of the services we commission from?
• How many people receive services from providers rated inadequate / RI?
• Which other councils commission services in a specific RI home?
Spend / Cost
• How do the rates we pay a provider, compare to what other councils pay them?
• Where do we spend the most?
Market Analysis Tool
Does everything the other tool does - with added contract data - benefits include
- quality, capacity and cost data in one place
- helps commissioners understand the bigger regional/national picture
- potential to support regional commissioning activity and co-operation
The Institute of Public Care
Part of Oxford Brookes University
IPC works with national and local government, NHS
and care provider organisations to deliver better
health and social care outcomes
MPS database: https://ipc.brookes.ac.uk/what-we-
do/market-shaping/market-position-statement-
database.html
POPPI https://www.poppi.org.uk/ and PANSI
https://www.pansi.org.uk/ free on-line needs
projection systems
MPS Guidance (2016) and example statements
https://ipc.brookes.ac.uk/what-we-do/market-
shaping/market-position-statements.html
9
5 key areas for improvement
Focus group and workshops with councils and care
provider associations, review of published MPS,
and our work with commissioners:
1. Market shaping should be owned at a senior
level
2. Work closely with providers and people
accessing care and support, and carers
3. Think carefully about your MPS scope
4. Provide clarity to service providers to assist
their business planning
5. Review your market shaping approach
regularly
The document versus the process
10
Key themes of emerging best practice
Relationships - collaborative working and an
ongoing process of engagement
Assess the stability of the market - including
workforce, market entrances and exits, and key
risks
Place-based – joint teams, support and
communities of practice
11
www.local.gov.uk/chipCare and Health Improvement Programme
Discussion
Questions to consider -
1.What has your experience been of what has
worked well in market shaping, and what to
avoid?
2.What further help could CHIP or IPC offer to your
council or region with market shaping?
3.How would you like to see CHIP further develop
its markets and modelling tools?
Care and Health Improvement Programme
For more about CHIP commissioning & market
shaping resources and projects see
Commissioning and market shaping | Local
Government Association
Bespoke support information is here
Case studies are here
for further information email