2. A Providers Perspective Who are we? Outline of our pilot work Share our learning Neil Tryner Head of Performance and Business Development neil.tryner@midlandheart.org.ukeil.tryner@midlandheart.org.uk 07500089496

3. Why would you? Regulatory framework Safeguarding Current contractual obligations Extra administration Overhead allocation Busy doing the day job Is it the right thing to do?

5. People choose less dependent options: this is typically more cost effective Models of Support Planning Commissioning and Brokerage General Population Support At Home “Low Level” Advice & Support Institutional Care Acute Care Information Crisis Response Transforming Community Equipment Re-ablement/ POPPs Support Related Housing & Assistive Technology TRANSFORMING SOCIAL CARE

6. Our approach Test elements Might get it wrong Keep it simple Existing services and contracts

7. Aims Did individuals situation improve Different models Wider implications

8. 3 Pilots Our approach Did it work? Key learning Northampton Coventry Hereford

9. Did it work? Desire to increase independence Customers made different choices Initial evaluation of individuals is positive

10. Key learning Better person centred planning Better support to staff Pilot environment not real- Welfare Benefit Implications on current contracts/ staffing Inconsistent commissioner approach Conservative aspirations

11. What else? Staff Code of conduct reviewed Homeless link work with most excluded Box of Frogs - What does excellent look like Quality framework

12. Summary Fit for purpose Right thing to do Risk of changing Risk of not changing