1. LONDON CARE AND SUPPORT FORUM 18/09/13 TRI-BOROUGH ADULT SOCIAL CARE COMMISSIONING TEAM

2. THE TRI-BOROUGH PROGRAMME Context Introduction to the team The activities of market facilitation The Market Position Statement Questions

3. Demographic pressures and projected increase in demand 3 INCREASING DEMAND 2012 - 2020

4. Draft Care and Support Bill “1) A local authority must promote the efficient and effective operation in its area of a market in services for meeting care and support needs with a view to ensuring that any person wishing to access services in the market: (a) has a variety of providers to choose from; (b) has a variety of high quality services to choose from; (c) has sufficient information to make an informed decision about how to meet the needs in question. (2) In exercising that duty, a local authority must have regard to the following matters in particular— (a) the need to ensure that the authority has, and makes available, information about the providers of services for meeting care and support needs and the types of services they provide; (b) the need to ensure that it is aware of current and likely future demand for such services and to consider how providers might meet that demand; (c) the importance of ensuring the sustainability of the market (in circumstances where it is operating effectively as well as in circumstances where it is not); (d) the importance of fostering continuous improvement in the quality of such services and the efficiency and effectiveness with which such services are provided and of encouraging innovation in their provision.”

5. An example of a tri-borough market Home Care predicted spend 13/14 LBHF £7.2m RBKC £4.55m WCC £10.63m Total £22.38m Direct Payments predicted spend 13/14 LBHF £5.68m RBKC £3.58m WCC £5.89m Total £15.15m

6. Introduction Tri-Borough Adult Social Care – assessment and care management teams / in house provider services / commissioning There is no Tri-Borough legal entity – the three boroughs retain sovreignty Significant savings made through reductions in senior management, joint commissioning and procurement, streamlining processes.

7. The Commissioning team Executive Director – Sue Redmond (till 11/10/13) then Liz Bruce Director of Procurement, Contracts, Business Intelligence and Workforce (acting Director of Commissioning) – Martin Waddington Head of Community Commissioning – Paul Rackham Head of Complex Commissioning – Mary Dalton Head of Contracts and Procurement – Sherifa Scott Head of Business Intelligence – Mike Rogers Lead for Personalisation – Toni Camp Assistant Director of Joint Commissioning – Cath Atlee Head of Joint Commissioning Older People and Vulnerable Adults – Monique Caryol Head of Joint Commissioning Mental Health – Shelley Shenker

8. The activities of market facilitation (from IPC) Market intelligence Market structuring Market intervention 8 The development of a common and shared perspective of supply and demand, leading to an evidenced, published, market position statement for a given market. The activities designed to give the market shape and structure, where commissioner behaviour is visible and the outcomes they are trying to achieve agreed, or at least accepted. The interventions commissioners make in order to deliver the kind of market believed to be necessary for any given community.

9. Some examples of what we are doing now Market Intelligence History of commissioning reviews JSNA Deep Dive Reports – Supported Employment / Learning Disability Market Position Statement Market Structuring Tri Borough Older Peoples’ Day Services Providers Forum Soft market testing of the principles for an outcome based specification Different contract models in supported housing Market Intervention People First website RecommendCare Innovation Grant Funding in RBKC and H&F Workforce development with Home Care providers

10. We want to do more, so what next Market Position Statement What works? What doesn‘t? What next? Market Intelligence Have you been involved in providing or using any? What would you like to see more of? Market Structuring Have you been involved in any of these type of activities? What would you like to see more of? Market Intervention Do you know about any of these services? What else can we do?

11. Useful information www.recommendcare.com/ A website for people to use to feedback on the quality of their homecare service www.jsna.info Reports and information as well as the JSNA for each borough www.rbkc.gov.uk/healthandsocialcare/peoplefirst/gettingintouch/policyandleaflet/adult spolicy/marketpositionstatement.aspxwww.rbkc.gov.uk/healthandsocialcare/peoplefirst/gettingintouch/policyandleaflet/adult spolicy/marketpositionstatement.aspx The Tri-Borough Market Position Statement www.peoplefirstinfo.org.uk/ RBKC and WCC website for people who use services, people who provide services and anyone who needs to provide advice and information

12. Contacts Mary Dalton, Head of Complex Needs Commissioning mdalton@westminster.gov.uk Paul Rackham, Head of Community Commissioning Paul.rackham@rbkc.gov.uk Sherifa Scott, Head of Procurement sscott@westminster.gov.uk Martin Waddington, Director of Commissioning, Procurement, Business Intelligence and Workforce Martin.waddington@lbhf.gov.uk