1. Support to live at Home Providers event 29 th August 2014

2. Agenda 10-10.05Housekeeping & AgendaAlison Donald 10.05-10.15Welcome & Financial updateEvelyn Wheeler 10.15 – 10.30Support to live at Home – Presentation CCG Robin Guy Jon Reynolds 10-30 – 11-15Table discussion led by facilitatorsAll 11.15 – 11.30Break 11.30 – 12.30Questions from facilitators for each group & open Q&A’s as time permits Alison Donald & Panel

3. Why are we doing this?  Service redesign – SLCC principles  Ageing population – Different needs at different ages  Spot contracts based on “time & Task”  Does not promote personalisation  Inadequate capacity in some areas  Wide geographic spread of customers  Inefficient carer rounds  Retain & recruit  Community led service, more choice and control

4. Community Based Approach Locality Based Responsive Neighbourhood Team Neighbourhood Network/ Community Hub/Providers Pull based hospital discharge focussed on re-ablement/rehab and return to independence Admission Prevention links to urgent care and then returning to independence Expert input support from Acute local responses from commissioned services including specialist resources Risk Assessment of local population

5. What's been happening? Market Engagement Day Cabinet report 25 th March Tender “Support to live at Home” Provider for each locality lot Policy Development Panel – April – June Procurement surgeries SAICP AGM – June Today will be the sixth presentation to providers

6. County Council Budget – Scene Setting The government is determined to cut country’s budget deficit – until at least 2018-19. This is having a major impact on most areas of public spending. Suffolk County Council has been required to make significant savings every year since 2011-12 totalling more than £130m. The easier options have been done. The savings challenge for the Council for the 3 year period 2015-16 to 2017-18 is forecast at £120m. On a straight line basis – this equals £40m per year. The savings challenge is getting greater and can only be achieved by different ways of working and being even more efficient. The Council is developing savings options for the next 3 years to 2017-18.

7. ACS Budget – Scene Setting ACS has already made significant efficiencies. The Adult & Community Services of c£200m makes up 40% of the Council’s Revenue budget. The care purchasing budget of £150m makes up 75% of what ACS spends. ACS will need to make a significant contribution as the budget is a large share of the Council’s total budget.

8. ACS Current & Last 2 Years 12/13 Savings £12m Savings £12m Savings £22m Savings £32m Savings that ACS have achieved in last 2 years – plus requirement for financial current year. 12/13 Savings £12m 12/13 Savings £12m 13/14 Savings £10m 13/14 Savings £10m 14/15 Savings £10m ACS has met the savings challenge of the past two years through a combination of internal re-structuring and planned efficiencies in the way it purchases care. Savings for the current year are planned to be made from Supporting Lives Connecting Communities plus other measures. 2012/132013/142014/15

9. The model Community led service Generic service for all customers Co-commission with CCG’s Aligned to social work teams – CCG areas Direct payments – Individual Service Funds Electronic monitoring – banking hours Outcome based Support Plan development Support development Competent workforce

10. Continuing Health Care Likely Inclusions: Domiciliary Care Enhanced Nursing Care (Separate lot with a larger geography) Likely Exclusions: Live ins Learning Disability (health packages)

12. What still needs to be done? Publish specification Bidders Day – 30 th September Implementation Programme Consortiums, Partnerships welcome TUPE

13. Procurement News Draft Timetable; 23 rd September - Notice published in the Official Journal of the European Communities 30 th October – PQQ Submission Deadline 25 th November – Invitation to Tender Issued 27 th January – ITT Submission Deadline 1 st July 2015 – Contract Commencement Please register on our online tendering system www.suffolksourcing.co.uk Or follow us on Twitter;@SuffolkSourcing or @SuffolkPCM

14. Over to you 10.30 -11.15 Facilitator on each table Consider – Model strength Concerns – formulate questions Break until 11.30 11.30-12-30 – Questions to Panel via facilitators Supplementary questions as time allows.

15. Round up Plenary feedback Thank-you for attending & please register at Please register on our online tendering system www.suffolksourcing.co.uk Twitter;@SuffolkSourcing or @SuffolkPCM Slides & information http://www.suffolk.gov.uk/care-and-support/adult-social-care/home- care-and-community-meals/http://www.suffolk.gov.uk/care-and-support/adult-social-care/home- care-and-community-meals/ (link on agenda)