www.hertsdirect.org

HCPA presentation

Mark Janes

Head of Community Support

www.hertsdirect.org

What you asked

• What is it that providers need to do to be looked upon favourably by contracts and what the process is for new providers.

• Recommendations would you make to a small business to help them change their service and therefore be looked on favourably by either HCC or people with direct budgets/individual service funds

• Personalisation Dementia LD and enablement

www.hertsdirect.org

Commissioning Challenge

Making sure the things people need

and want are available where and

when they need them!

www.hertsdirect.org

Direction of travel

• Personalisation / choice.

• Enablement and down the care tariff.

• Electronic Market place.

• Quality of care.

• Choice.

• Value for money.

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Personal budget

Contracted or providedContracted or provided and

Direct paymentDirect Payment

Care review

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Current Market

• Complex in Hertfordshire.

• Vary by client group and Locality.

• Home care market.

• Day opportunities.

• Direct payments.

• Equipment and telecare.

• Health services.

www.hertsdirect.org

Need learning Disability and Autism

• Learning disability 4000 people with a severe moderate learning disability

• Autism 6000 people with autism

• What we know about this group.

• Multiple disability.

• Changing expectations.

• Out of county and shift form residential to community support

• Colleges.

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Dementia population growth

Hertfordshire: Total population aged 65 and over predicted to have dementia

0

5,000

10,000

15,000

20,000

25,000

2010 2015 2020 2025 2030

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Need older people

• Dementia.

• Aging population.

• Changing expectations.

• Prevention of admission.

• Shift to community care.

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Spend 10/11

• Home Care: There are currently 38 different Providers (8 block / 30 spot) delivering 2.3M commissioned hours of home care through 105K visits per week to 7500 service users. The total home care spend 10/11 was £38M.

• Equipment Solutions: Equipment is provided via joint arrangements with Health. Spend in 10/11 on equipment and delivery by HCS £2.3M total spend with health contribution £4.1M.

www.hertsdirect.org

Block vs. Spot Annual hours

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Home care

• Enablement service for 80% of all new home care service users and rising. Move to alignment with Intermediate care.

• Dementia care 20% to 30 % of existing home care service users.

• A declining market but more dependent clients.• Increasing use of telecare.• Demographic pressure.• Move to electronic market place.• Diversification into different service areas?

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Spend 10/11

• Day opportunities: Across all providers 1400 service users with a learning disability receive a service with spend in 10/11 of £ 8.2M in house and £5.9M in contracted services. In the older and physically disabled market 1200 people receive a service supplied by contracted services and in house. Spend in 10/11 was £2.4M in contracted services and £1.4M in house.

• Direct payments: are spent by service users on all of the above services in 10/11 spend was £2.8M older people,£6.7M Physically disabled under 65,and £3.1M Learning Disability.

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Day opportunities

• Older people.

• Learning disability.

• Adult mental health.

• Younger physically disabled.

• What are these services for?

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Service models

• Building based

• Land based

• Community support

• Time limited Personal development.

• Outcomes

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What is it that providers need to do to be looked upon favourably by contracts and what the process is for new providers.

• Don’t have an approved list we either have a contract or we don’t.

• Accommodation solutions, Community support, Community and Wellbeing, Joint Commissioning Team. So no contracts team.

• Does the service need to be registered CQC?

• Track record / innovation.

• Moving to a world of Direct payment ,service funds and spot contracts.

• Think about price, sessions or hourly.

• Marketing into an e-market place.

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Recommendations would you make to a small business to help them change their service and therefore be looked on favourably by either HCC or people with direct budgets/individual service funds?

• Talk to service users and carers

• Talk to us I / we will listen.

• Outcomes

• Personalisation, promoting independence, prevention of admission, development. Think about quality.

• Look at local services and Gaps.

www.hertsdirect.org

Mark JanesHead of Community Support

Mobile 07768121867mark.janes@hertsc.gov.uk

Community Support (SFAR203)HERTFORDSHIRE COUNTY COUNCIL

Health and Community Services DepartmentFarnham House

Six Hills WayStevenageSG1 2FQ