online marketplace / pa register
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Online Marketplace / PA Register
Understanding the OptionsSolihull Partnership17th February 2011
Strategic Direction• Big Society Reform Agenda
– Empowering Communities, public service reform, social action• Vision for Adult Social Care
– “Capable Communities and Active Citizens”• Partnership Agreement
– “Think Local, Act Personal”• Practical Guidance
– National Market Development Forum• Modernising Commissioning proposals
– Increasing the role of charities, social enterprises, mutuals and cooperatives in public service delivery
• West Midlands Market Shaping Programme– Market Intelligence, Market Structuring, Market Interventions
Key Drivers
• Better health & quality of life• Living independently for longer• Lower overall cost of care• Stimulating choice & control• More & higher quality provision• More sustainable market for H&SC• Active ‘civil society’• Co-production
Partnership Agreement
Partnership Agreement
The Citizens’ Journey – A pathway to Personalisation
Outcome focussed
monitoring and
review
Service provision(live life)
Organising Support (getting services in place)
En
abled
E
xit?
Authorisation and
validation
Outcome focussed support planning
Initial personal budget
calculation
Assessment of needs and
financial circumstance
(apply FACS)
Interventions to support
independent living and fast
review(reablement)
Crisis intervention,
simple services or low level package
of care (if appropriate)
Initial Contact
and Screening
Self-directed SupportEarly Intervention
Multi-agency approach to health,
well-being and independent
living, including general prevention and Preventative
reablement
Universal Approaches Targeted Support
Outcome focussed
monitoring and
review
Service provision(live life)
Organising Support (getting services in place)
Enabled Exit?
Authorisation and
validation
Outcome focussed support planning
Initial personal budget
calculation
Assessment of needs and
financial circumstance
(apply FACS)
Interventions to support
independent living and fast
review(reablement)
Crisis intervention,
simple services or low level package
of care (if appropriate)
Initial Contact
and Screening
Self-directed SupportEarly Intervention
Multi-agency approach to health,
well-being and independent
living, including general prevention and Preventative
reablement
Universal Services (including
information, sign-posting,
general prevention,
etc.)
Citizens’ Journey Final 110110
£
£ £ £ £ £ £ £ £ £ £ £
• Fundamental resource shift – from right to left building a financially sustainable model•Shift from traditional service provision to early intervention, prevention, reablement•Information provision, advocacy, brokerage, ‘care navigation’
Outcome focussed
monitoring and
review
Service provision(live life)
Organising Support (getting services in place)
Enabled Exit?
Authorisation and
validation
Outcome focussed support planning
Initial personal budget
calculation
Assessment of needs and
financial circumstance
(apply FACS)
Interventions to support
independent living and fast
review(reablement)
Crisis intervention,
simple services or low level package
of care (if appropriate)
Initial Contact
and Screening
Self-directed SupportEarly Intervention
Multi-agency approach to health,
well-being and independent
living, including general prevention and Preventative
reablement
Universal Services (including
information, sign-posting,
general prevention,
etc.)
Citizens’ Journey Final 110110
£ £
£
££
£ £ £ £
£
£
£
• For Providers – Potentially different areas of operation, driven by Service User need/ demand• For the Council , different focus of spend, less controlled by us, more spent on reviewing outcomes and re-planning needs• Less spend overall ?
“Personalisation implies less council purchasing overall
and less block contracting. Some existing contracted
services may become unviable and will need to be
downsized or discontinued, in partnership with people
affected and the relevant providers. Arrangements that
enable the individual (or their representative) to agree
directly with the provider the what, how, who and
when of any support provided, are a good way to do
this.”Think Local, Act Personal (Jan 2011)
Local context• Significant reorganisation & disaggregation of
Care Trust arrangements• I&A Strategy not yet finalised, but progress
being made to develop I&A service– One Front Door – first point of contact– Provider mapping– Solihull Care Directory – jointly with Enable Solihull
• PA Register in scope for SCD• Building towards SCD as an Online Marketplace
Engaging a PA
Personal networksWord of Mouth
Informal arrangementsMore risky?
Formal supportMulti-agencyMore choice
Risk managed(but still risky!)
PA Project Dialogue Jan 2010• Information
– Being a PA / employer (rights & responsibilities) • Marketing
– Awareness of the role• Risk
– Risk awareness / risk management– Safeguarding
• Quality– Skills, knowledge & attitudes– Peer support
• Recruitment– Finding a PA / finding a vacancy– Emergency cover
Enabling the market for PAs
OM/PA Register – Design Options
• Information Service• Signposting Service• Matching Service• Transactional Service• Interactive eMarketplace
Information Service
• Existing LA websites• DPSOs• Community Network sites – e.g.
– www.cdsm.co.uk (People & Places)– www.panet.org.uk
Signposting Service
• Search for registered employers & employees– Job vacancies– People looking for work
• www.carematch.org.uk (Staffordshire)• Carewise (Worcestershire)• www.ukpar.org
Matching Service
• Applies intelligent filters in response to specified criteria (e.g. Skills, location, needs etc)
• www.icaring.co.uk• www.papool.co.uk• DPSO-held registers
Transactional Service
• List of browseable categories• Book & pay for services• www.shop4support.com• www.slivers.com/what_we_do/social_care_vi
deo.html• www.joined-up-software.com • www.southwarkcircle.com
Interactive Market
• Supply side approach• Service User creates a profile• Providers choose whether to respond / offer
support and at what price• Service User chooses from “offers” received• Potential to integrate with financial systems• E.g. Matrix-SCM (Coventry)
Some generic considerations
• Ownership & Brand– SCD / Enable• Functional Requirements – what do users want
the service to do?• Non-functional requirements – eg how should it
perform? What security is required?• Technical arrangements & level of IT integration• Development capability? Strategic partners?• Cost!
Generic Implementation Issues
• Raise Awareness• Marketing & Promotion• Recruitment• Risk & Safeguarding• Measuring success• Delivering benefits
Regional Support Offer
• Statement of Requirements• Best fit options appraisal & recommendations• Implementation plan & support• Evaluation of live solution
Moving forward...
• Questions• Discussion Points• Conclusions• Next steps
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