Slide 1Children First

Short breaks & other services for disabled children and their families

Targeted servicesProvider-commissioner event

25th June 2014

The right help, in the right place, at the right time

Slide 2Children First

What are short breaks?

Short breaks are activities and family support services for disabled children and young people who are unable to access mainstream activities and clubs

To give disabled children an enjoyable break from their families To give parents and carers a break from their caring role

The short breaks covered by the plan are funded by Bristol City Council and NHS Bristol Clinical Commissioning Group.

Slide 3Children First

Who has short breaks

Children and young people aged 0-18 years

With a life-limiting or long-term health condition or disability

With multiple needs because of emotional or physical difficulties and /or affected by issues in their family

Specialist services are for those with more severe and complex needs (about 300 children)

About 780 activities / holidays / sessions of targeted

About two-thirds are boys

Slide 4Children First

Why need to change

• Not about saving money – but making money go further• Child population is increasing• Numbers of disabled children are increasing• Currently spend more than half of the total short breaks budget of £3.3M on

residential short breaks for 85 children (costing about £450 per night)• Compare costs of overnight short breaks

Vision• Help greater numbers of children and families• Give children, young people and their parents/carers more choice• Make sure services are targeted at those who most need them• Services help people to step up and down through services as needs

change• Short breaks are enjoyable for children and young people• Parents get a real break and better quality of life• Invest in the most cost effective services

Slide 5Children First

We are consulting on a draft commissioning plan Until 30th June Workshops and focus groups with parents/carers, practitioners and

providers Questionnaire In July we will consider all consultation feedback and revise the plan Final plan to be adopted by the Mayor in September

Consultation

Children First

What we’re changing

Short breaks for more children & familiesIncrease availability of a range of options

More flexibility & choice

Targeted services

Residential short breaks

Community care & palliative care

Foster-based short breaks

Direct payments

Residential holidays

Children First

What we’re changing

Residential overnight Short breaks85 63

Direct payments168 188

Community care & palliative care59 72

Summary of proposalsProviding specialist short break services for 469

= 57 more children & young people

Foster-basedshort-breaks56 82

Residential holidays44 64

Targeted servicesNot known 527

Slide 8Children First

Outcomes for children and young people

We will fund services to achieve these outcomes

For disabled children and young people• Have safe and stable lives• Improved physical health through physical activities• Improved emotional health and well-being• Enjoy their short breaks• Less dependent on their parent or carer• Learn and develop skills and abilities• Young people develop skills that help toward

independence in adulthood

Slide 9Children First

Outcomes for parents / carers & strategic outcomes

And for parents / carers and families

• Improved quality of life for parents/carers/siblings• Improved emotional well-being• Have more time to do other things (e.g. leisure, work, study, spend time

with other children)• Family is able to lead a more ordinary life• Family environment is less chaotic and more sustainable

And strategic outcomes

• Fewer CYP become looked after becauseof their disability

• Reduced need for unplanned placementsin residential units

• Families have increased choice & control over the short breaks they get

Slide 10Children First

Consultation feedback so far

Slide 11Children First

General Providing transport is necessary for some families – otherwise their child

is unable to attend, or they will not get a meaningful break Parent/carers would like more stay and play opportunities Need more places for befrienders and PAs to take children Parent/carers would like more chances to network with each other – do

would personal assistants Need contracts that maximise collaboration between providers (including

role in upskilling and coordinating the workforce) Importance of trust to parents/carers Lack of information about what is available Personal budgets coming . . .

Specialist BME service South Asian and Somali families said would welcome a service open to

all communities with focus on their cultural needs and workers who speak their language.

Some practitioners concerned KHAAS may lose the reach it has achieved

Slide 12Children First

Special schools holiday playschemesOften the only targeted service accessed by CYP with more complex needsParent/carers say it works for their child because of familiar surroundings and staff (& feels safe for the parent)Highly valued, but not enough available and is being reducedParent/carers would like it to be available not just at beginning of holidaysNot available to CYP who do not attend the four schoolsSome schools face challenges staffing the schemesVCS are saying they could offer services from the schools premises

Mixing children Some parents say they are happy for older children and younger to mixOther parents say mixed activities are not suitable for their teenage childrenSome parents whose children have significant physical needs and/or complex health needs are concerned about mixing with children with more challenging behaviourVery little accessible provision for above CYP

Slide 13Children First

Proposed evaluation criteria for bids

How well proposed services will meet outcomes

Number of children and young people who will benefit

Breadth and range of activities and their suitability for different ages and impairment groups

Providers’ ability to work in partnership with the council, health providers, schools and other local providers

Providers’ ability and track record of meeting the needs of children who are hardest to reach

Plans to bring added value, e.g. use of volunteers, making premises available to other groups, helping to develop pool of workers in the city

How well the services will respond to changes in demand and provide choice to children and families (and enable increased “personalisation”)

Slide 14Children First

Residential holidays

Slide 15Children First

Residential HolidaysProposal

Action for

Children

Total proposed children = 64

Residential Holiday Contract

Total current children = 44

+46%

Total value after = £75,000

Slide 16Children First

Residential holidaysIndicative procurement timetable

Which is best?

Task Time Time (2)

Provider day 2nd week September 2014Sep-14

Advertise opportunity 1st October 20141st October 2014

Provider response time (40 days/30 days)

End December 2014

31st October 2014

Evaluation January – February 2015 Nov-14

Contract award Mar-15 Dec-14

New service starts Jul-15 Mar-15

Slide 17Children First

Targeted services

Afterschool, holiday & weekend activities

Befrienders

Slide 18Children First

Targeted services – currentPlay, leisure and sport activities and befriending

Total value = £235,0006 contracts

3 council services

Families in TouchTime 2 Share

Playbus

National Autistic Society

KHASS

WECIL

New Fosse-

way

Briar-wood

Kings-weston

Clare-mont

Bridging workers & inclusive

play

Bristol Autism Project

WECIL Consortium Special Schools Consortium

KHASS

BefriendersTime 2 Share

Slide 19Children First

Targeted services proposalPlay, leisure and sport activities and befriending

Total children = min 400Total value = £270,000 +15%

• Re-commission all services with increased funding

• Plus keep council-run bridging and inclusive play service

Slide 20Children First

Targeted services original proposalPlay, leisure and sport activities and befriending

Consortia A Consortia B

BME Be-friending

Competitive tender for two city-wide contracts – preferably consortia

Slide 21Children First

Alternative proposal – preferred option

2 lots – ideally 2 consortia

A - holiday play schemesin special schools

Joint workingbefrienders

BME targeted

B – Weekend, after-school and holiday activities

Slide 22Children First

Alternative proposal – not preferred

One city-wide lot – ideally one consortium

holiday schemes in schoolsother holiday activities

Weekend & after-school activitiesBME targeted service

befriendersfamily fun days

Slide 23Children First

Targeted servicesIndicative procurement timetable

Will this work?

Task Time

Provider day 2nd week September 2014

Advertise opportunity Mid November 2014

Provider response time (80 days) Early March 2015

Evaluation March – April 2015

Contract award May 2015

New services starts September 2015

Slide 24Children First

Introduction to Collaborative Arrangements

Kirsty BarrettProcurement Specialist

Strategic Commissioning & Procurement Service

Slide 25Children First

Targeted Services Collaborative Bids

Consortium Members MUST take their own legal advice

http://www.supporthub.org.uk/resources/collaboration-agreement-template

Council has sight of draft agreement at PQQ (in this case, Open Tender) stage

Sight of final agreement at award Consortiums formed at start of process

Slide 26Children First

Models of Collaborative Arrangements

Lead partner consortium Joint and several liability consortium Sub-contracting

Slide 27Children First

Lead Partner Consortium

Consortium of providers working together to bid for/deliver services

One provider (Lead) contracts with the Council Lead Provider SOLELY liable for delivery of

contract A fail for one member at minimum standards (e.g.

Insurance Levels) may constitute a fail for the entire organisation. See Invitation for full details.

Technical capability Financial capacity

Slide 28Children First

Joint and Several Liability Consortium

Contractual relationship with ALL members of consortium

May appoint ‘Lead Organisation’ ALL members of consortium equally responsible Cumulative strength assessed All members joint and severally liable

Slide 29Children First

Sub-contracting

Council contracts with one provider (Prime Contractor)

Provider enters into sub-contracting arrangements Subcontractor performance responsibility of Prime

Contractor At tender stage (minimum requirements), details

of proposed sub contractors given Minor/specialist elements only – Prime Contractor

responsible for core. Payments & Intervention

Slide 30Children First

Multiple Bids

Bid as member of more than one consortium Comply with

http://www.oft.gov.uk/OFTwork/competition-act-and-cartels/competition-lawcompliance/

Legal advice Certificate ‘regarding involvement in other bids’

Slide 31Children First

Consortiums & Collaboration

Check the Invitation to Tender & Terms Ask collaboration questions early on If in doubt - Legal advice

Any Questions?

Slide 32Children First

Table top discussion A

How should the lots for targeted services be split?

Which outcomes should be monitored to measure service quality?

Slide 33Children First

Table top discussion B

How can providers be encouraged and enabled to collaborate and what are the benefits?

Slide 34Children First

Table top discussion C

How can we make sure the right children get services?Should we define categories of need and/or age groups?

What should be the key features of the services and how should they be reflected in the specs?

Slide 35Children First

Target group – current services

Varies across all contracts

Some refer to Group A and Group B

Group A - children and young people with ASD or those children and young people whose challenging behaviour is associated with other impairments such as severe learning disabilities

Group B - children and young people with complex health needs including those with a disability and life limiting conditions, palliative care, cognitive or sensory impairments or have moving/handling needs or require special equipment adaptation. These groups include where relevant, those with:

ASD complex health needs, including the technology dependent child and

those requiring palliative care; moving and handling needs that will require equipment and adaptations

up to age 18 challenging behaviour as a result of their impairment; severely disabled young people 14+

Slide 36Children First

Target group – new services

New SEN “areas of need”•Communication & interaction•Cognition & learning•Social, emotional & mental health difficulties•Sensory and/or physical needs

1 32

Who might miss out?

Slide 37Children First

Next steps

Revise commissioning plan

Mayor adopt revised plan on 2nd September

Provider event second week September

Advertise tenders

Any questions contact:

ann.james@bristol.gov.uk

joanna.roberts@bristol.gov.uk

mark.hamilton@bristol.gov.uk