1. Glasgow City Council Social Work Services and Glasgow Providers discussion session 24 th September 2013 Emirates Arena

2. Agenda 12:30Registration and refreshments 13:00Welcome and Introduction/Overview of Current Environment and Service Reforms David Williams, Executive Director Social Care Services, GCC 13:15Health & Social Care Integration Allison Eccles, Head of Service Modernisation, GCC 13:30Personalisation Framework Agreement Raymond Bell, Head of Commissioning, GCC 13:55Table Discussions and Feedback 14:40Tea / Coffee Break 15.00Question & Answer Session 15:30Personalisation & Day Service Reform Debbie Miller, Commissioning Manager, Personalisation, GCC 15:45Group Discussions and Feedback 16:15Conclusion

3. Welcome and Introduction David Williams Executive Director, Social Care Services

4. The session will cover: - The current operating environment - Health & Social Care Integration - Personalisation Framework Agreement Partnerships - Question & Answer session - Personalisation and Day Service Reform Welcome

5. Current Operating Environment David Williams Executive Director, Social Care Services

6. Health & Social Care Integration Allison Eccles: Head of Service Modernisation

7. Public Bodies (Joint Working) (Scotland) Bill Consultation on health and social care – May to Sept 2012 Public Bodies (Joint Working) (Scotland) Bill laid before Scottish Parliament 29 May 2013 First Reading – stage 1 will begin Autumn 2013; subsequent stages contingent on progress Second reading - Enactment – Spring 2015 Still to come: Secondary legislation Regulation Statutory guidance

8. 4 Key Principles Nationally agreed outcomes will be introduced which will apply across adult health and social care; Statutory partners will be jointly and equally accountable for the delivery of those outcomes; Integrated budgets will apply across health and social care; and The role of clinicians and care professionals will be strengthened, along with engagement of the third and independent sectors, in the commissioning and planning of services.

9. Legislation Aims to Address Inconsistency in the quality of care for people, and the support provided by carers across Scotland particularly in terms of services for older people and adults who access a range of support services across health and social care; Unnecessary delays in hospital when people are clinically ready for discharge; and Prompt availability of services to enable people to stay safely at home in order to avoid admissions to hospital or care home wherever possible.

10. The Bill Requires partners to delegate functions and appropriate resources to ensure the effective delivery of those functions. The Bill provides for two options for integrating budgets and functions; –delegation to an integration joint board established as a body corporate, in which case the Health Board and the local authority agree the amount of resources to be committed by each partner for the delivery of services to support the functions delegated; or –delegation between partners, in which case the Health Board and/or local authority delegates functions and the corresponding amount of resource, to the other partner, which then hosts the services and the integrated budget. Requires integration joint boards to appoint a Chief Officer (jointly accountable officer) who will be responsible for the management of the integrated budget and the delivery of services to meet the outcomes in the integration plan. The chief officer will lead the development and delivery of the strategic plan (strategic commissioning plan) for the integration authority (partnership) area. Where delegation is between partners, these responsibilities fall to the Chief Executive of the host partner.

11. The Bill Requires integration authorities to prepare a strategic plan for the area, which sets out how the partnership will meet both locally and nationally agreed outcomes. The integration authority will involve a range of partners in the development of the plan and will consult widely, taking into account any views expressed. In addition, the integration authority will be required to make suitable arrangements to plan locally for the needs of its population Enables Health Boards to be able to contract on behalf of other Health Boards for contracts which involve providing facilities, and to form joint ventures/structures to collaborate effectively with local authorities and enable a joint approach to asset management and disposal.

12. The Bill Provides for the extension of the Common Services Agency’s ability to deliver shared services to Scottish public bodies including local authorities. Extends the CNORIS –indemnity scheme run by NHS Scotland which currently is limited to NHS bodies and the Mental Welfare Commission Scotland. –The self-assurance scheme is established for relevant bodies to meet expenses arising from any loss or damage to their property; and liabilities to third parties for loss, damage or injury arising from the carrying out of the functions of the scheme members. The Bill amends the bodies able to participate in the scheme to include local authorities and integration joint boards.

13. Integration Plan Before submitting Integration plan LA and HBs must jointly consult : –Persons or groups specified by Scottish Ministers –People HB and LA see fit –Must take account of views expressed Submit to Scottish Ministers for approval Publish as soon as possible following approval

14. Integration Joint Board (IJB) IJB is to appoint a Chief Officer (CO) CO accounts to IJB with accountability to CEOs to be defined Before appointing CO IJB must consult Local Authority and Health Board Responsibilities of CO subject to agreement of Scottish ministers SM can make provision for IJB to appoint other staff. Ministers do not have it in mind to use this power in the first instance.

15. Performance Reporting Annual performance report Scottish ministers may by regulation prescribe –The form and content of the report –Period during which performance reports will be published

16. Ministerial Powers Scottish Ministers may by order make provision: –About the membership of IJB –Proceedings of IJB –Give integration powers such as powers to contract, acquire or dispose of property or rights or borrow money or incur liabilities' –About supply of services –Other matters relating to establishment or operation of IJB –Make provision about the transfer to IJB of staff, property, rights, liabilities or obligations of La or HB

17. Glasgow’s Response Supportive of joint outcomes Some concerns regarding democratic accountability (proposed working arrangements) Some concerns regarding the level of prescription Clarity required on a number of aspects of the Bill

18. Preparing for Integration Project Team Workstreams Steering Group Shadow arrangements Enactment – spring 2015

19. Personalisation Framework for Social Care Services Raymond Bell Head of Commissioning

20. Context Background to Personalisation and Self Directed Support in Glasgow Duties placed on GCC by the Act Relationship of new act to existing procurement legislation and regulation Need to modernise and refresh current contractual arrangements in light of personalisation.

21. Vision Provide real choice for service users and support a creative and varied market System that assures good balance between quality and cost Supports co-production in service design between service users, care managers, providers, families & carers Fair and transparent system, fit for purpose in the current context.

22. What is a Framework Agreement? “A general term for agreements that set out terms and conditions for making specific purchases (call-offs).”

23. Personalisation Framework Being on the framework is no guarantee of business, but only providers on the framework are considered for new business Will replace the RSLs for in-scope supports Open Tender via Public Contract Scotland to get on to the framework Framework will be operational for up to 4 years Business placed via direct award and mini- competition.

24. What will the Personalisation Framework cover? The Framework will be used to purchase supports to people who have individual budgets through personalisation: Care and support Short Breaks/Respite Day Ops/shared or group support out with the home

25. Who will the Personalisation Framework apply to? Service users who have individual budgets through personalisation: Adults with disabilities Older people (excluding residential care) People with mental health issues Children with disabilities

26. When will the Personalisation Framework be used? The Framework will apply when the LA is contracting on the person’s behalf It will not apply to people who choose a Direct Payment or directly provided Council services It may not apply to Residential Care and some other services

27. How will supports be arranged? This will vary according to the person’s situation and preference. Typically there will be a process of Direct Award or Mini – Competition Direct Award could apply where the person has capacity in terms of the law, or a legal representative – and can choose their own provider from the framework Mini Competition or Direct Award would apply when the person is relying on the council to choose the provider.

28. Direct Award Service User identifies preferred provider Council approaches provider on Service User’s behalf Contract agreed and awarded through Personalisation process

29. Mini Competition Council approaches multiple providers on SU’s behalf Responses evaluated, preferred provider identified Contract awarded through Personalisation process

30. Expected Benefits Promotes choice for individuals Ensures high quality services which are appropriate for their needs Ensures value for money Offers contractual arrangements which are fit for purpose Complies with upcoming/recent legislation

31. Proposed Timeframes 1.Consultation (events, briefings, newsletters etc) ongoing until tender advertised 2Advertise tender by 1st April 2014 3Framework in place Autumn 2014

32. Table Discussion 1 What information do providers need about the person and the outcomes they are looking to achieve, to be able to return an in-principle support proposal? What positive and/or negative experience do providers have of mini-competition and similar frameworks? Do you feel your organisation is adequately equipped to complete an electronic tender?

33. Break

34. Question & Answer Session

35. Personalisation and learning disability day service reform – information for providers Debbie Miller

37. Drivers for Change Same as you? (2000) Make my Day (2006) Changing Lives (2006) Implementation of Personalisation in Glasgow (October 2010) Reform of Learning Disability Day Services (March 2013) SDS Act ( April 2013)

38. 6 Commitments 1.All service users to be re-assessed through personalisation 2.No service users to move without a safe support plan in place 3.Re-distribution of savings within learning disability 4.All carers offered carers assessments 5.Develop Local Area Co-ordination. 6.Support the development of a Public Social Partnership

39. Learning Disability Day Service Reform 5 Day Centres to remain open and 3 Day Centres to close: Hinshaw St – Closure date October 2013 Berryknowes – Closure date January 2014 Summerston – Closure date March 2014

40. Phasing of personalisation Approximately 471 people to go through personalisation by March 2014: 1.People who are more independent 2.People who have most complex needs 3.People who have more moderate need

41. Personalisation Progress City Wide: Circa 471 people going through personalisation Planning assumptions 60% (Circa 283 people) looking for alternative supports 40% (Circa 188 people) still using GCC day centres

42. Personalisation: Planning Assumptions by Area AreaGCC Day Centres Alternative Day Ops Total South80120200 North West5177128 North East5786143

43. “There needs to be an acknowledgement that there is a massive fear factor around SDS for many people with learning difficulties. Many people will need a lot of very close support to give them the confidence to try something different and take that first step to make a positive choice.” PEOPLE FIRST MEMBERS AND PLANNING TOGETHER

45. Supporting service users through the personalisation process: key roles Service users and family carers Providers Expansion of services Information and Tasters Support plans and Costs PSP Co-productive approach to new service developments Community based supports LACs Information Supporting choice Support planning Commissioning Procurement Routes Contract Management Rates Care Managers Reviews Advocacy Care Management Outcomes focussed assessment support planning Authorisation of support plans

46. What do service users want support with? Maintaining and developing skills and interests/ Learning new things Social networks – keeping friendships and making new ones Staying healthy and well Being part of and making a contribution to community life Getting and keeping a job

47. Directly Provided Services (GCC) Direct Payments – service user contracting on their own behalf Council Contracting on behalf of the service user Combination of the above Procurement Routes

48. Interim Arrangements- GCC is contracting on service users behalf: Work with existing providers- those providers who are already GCC “awarded” Utilize capacity within existing support opportunities Seek permission from legal and audit to allow reasonable variations in terms of service specifications and agree a process for recording. Process requests for interim rates via the personalisation interim rates form

49. Requests for support from non awarded providers These will be considered on a case by case basis and dealt with according to the process laid out in GCC’s Standing Orders. Any agreement reached via this process will only apply to the individual making the request.

50. Suggested next steps… Review information on Your Support, Your Way Portal (www.yoursupportglasgow.org) and own web-sites.www.yoursupportglasgow.org Meet with LACs and help them understand what your organisation is offering – accessible information? Engagement with interested service users? Interim personalisation rates?

51. Table Discussion 2 What contribution do think your organisation can make to the delivery of Personalisation and the modernisation of day opportunities for people with learning disabilities in the city? How will your organisation help and involve carers through the change process?

52. Thank you Presentation material and feedback will be available at: www.glasgow.gov.uk/swsproviders www.glasgow.gov.uk/swsproviders Any queries to: SW_ContractManagement@sw.glasgow.gov.uk