1. Market failure Information sharing protocol
ADASS Yorkshire & Humber
Bev Maybury – DASS, Bradford
Dave Roddis - Programme Director, ADASS Yorkshire & Humber

2. HISTORY
Key Regional Risk Area 2017 & Commissioning Network Work Programme Priority
Worse performing region – CQC Ratings – 27% Requires improvement/inadequate
Regional Stocktake (Leeds Market Failure Tool) & Regional Workshop – April 2017
Focused on Nursing Care initially
Responses from 9 out 15 local authorities
Those who had not responded said that they found the tool confusing and needed further guidance.
People felt it was a useful tool as a regional approach but it needs modification.
It was agreed that tool needed to reflect what could be collected HOWEVER
WHAT DO WE REALLY NEED TO KNOW??
Agreed actions (June 2017):
A large-scale provider survey with a view to developing a heat map of the region.
An information sharing and support protocol when issues occur.
A quick look tool for identifying risk areas which could be shared across the region when an issue occurs.

3. The Bradford STORY & THE HEAT MAP
Bradford – worst performing area in the region for ‘inadequate ratings’ – 39% Inadequate/requires improvement
Bradford developed a Power BI ‘HEAT MAP’ tool pulling in CQC data to show ratings and to provide focus on targeted action
Piloted in Bradford and rolled out across all 15 local authorities
Bradford have also worked with ‘Brightening Minds’ to support inadequate providers

4. Market failure Information sharing protocol
TRIGGERSitration/For Sale
Financial Difficulty
CQC – Notice of Proposal
CQC - Warning Notice
Embargo of new placements
Contract Default
Less than 70% occupied
And that the following implications are known:
Location - Hard to replace (as set out in ‘Cordis Bright’ toolkit)
Specialism - Hard to replace (as set out in ‘Cordis Bright’ toolkit)
Size - Hard to replace (as set out in ‘Cordis Bright’ toolkit)
Provider operates in other areas in the region/Closure may affect neighbouring authorities
Task and Finish Group established – Rotherham, Calderdale, Leeds and Bradford
Development of MOU which would be signed off by all 15 local authorities
Development of methodology and flow chart for escalation
Development of mechanism to share intelligence – !!!
Engagement with Providers and CQC??
Twelve months in the making!!!

5. implementation Endorsed by Branch – March 2018
Signed up to by all 15 local authorities including all Chief Executives – launched May 2018
Commissioning Network to oversee its implementation – a constant review!! On the agenda of every meeting.
Triggered 7 times to date
Home Closure affecting 3 areas
CQC inadequate rating – major provider
Removal of residents – poor standards of care
Extensively used for Allied issue – quick assembly of intelligence. Everyone knew each others position and could support ie Hull and East Riding.
Latest – used to flagged issue with Interserve to put on national radar
BREXIT!!!

6. Learning and teething troubles
Started as a regular data collection exercise – so what??
Didn’t happen overnight – lots of ‘what ifs’………still is.
Getting it embedded into local systems and protocols
Named lead for each local authority, soon became two plus the commissioning mail box
“When should I press the button?”
Confidence in the system – consistently need to review
Too much information …… sensitive language
Use it to start the conversation – pick up the phone and follow up!!
Use the PROTOCOL group to explore other areas – captive audience
No central administration – it’s your protocol!!

7. CQC Ratings – January 2019
4% reduction in 12 months but still some way to go………..

8. Quality Assurance Regional focus over the last 12 months
Stocktake of all Quality Assurance arrangements in the region – report produced September 2018
Regional Quality Assurance Principles developed based on good practice – launched February 2019
“The Four Pillars” of Quality Assurance
Intelligence
Whole System
Process/System
Resources
Next Steps
Local Authorities are using this a self-assessment tool
Quality Assurance Event – 15th July 2019, showcasing Leeds, East Riding, Wakefield, Bradford and Salford
Working with NICE
Improving the relationship with CQC

9. And as for Bradford………..
13% less indaquate/requires improvement services in 12 months (Jan 19)
As at 1st March – reduced by a further 3%

10. Thank you & any questions?