1. The Future of the National Care Home Contract Cllr Peter Johnston Health and Well-being Spokesperson COSLA Cllr Peter Johnston Health and Well-being Spokesperson COSLA

2. This time last year… Very difficult financial context for both of us…Very difficult financial context for both of us… Significant pressures on care providersSignificant pressures on care providers But councils continue to see the sector as a priority for investmentBut councils continue to see the sector as a priority for investment Very difficult financial context for both of us…Very difficult financial context for both of us… Significant pressures on care providersSignificant pressures on care providers But councils continue to see the sector as a priority for investmentBut councils continue to see the sector as a priority for investment Local Government Settlement (cash terms) NCHC Settlement (cash terms) 2011/12-2.6%0% 2012/1302.75% 2013/1402.5%

3. This time last year…

4. Strategic Commissioning Links to Health and Social Care PartnershipsLinks to Health and Social Care Partnerships Stronger, more involved partnership locallyStronger, more involved partnership locally More responsive to local population needMore responsive to local population need Better market managementBetter market management Greater innovation and diversificationGreater innovation and diversification New emphasis on place-making and communityNew emphasis on place-making and community Links to Health and Social Care PartnershipsLinks to Health and Social Care Partnerships Stronger, more involved partnership locallyStronger, more involved partnership locally More responsive to local population needMore responsive to local population need Better market managementBetter market management Greater innovation and diversificationGreater innovation and diversification New emphasis on place-making and communityNew emphasis on place-making and community

5. Characteristics of Partnership Strained Partnership TransactionalTransactional ContractualContractual Service MaintenanceService Maintenance Part systemPart system Closed dialogueClosed dialogue Strained Partnership TransactionalTransactional ContractualContractual Service MaintenanceService Maintenance Part systemPart system Closed dialogueClosed dialogue Positive Partnership Strategic Strategic Commissioning-based Commissioning-based Service Innovation Service Innovation Whole system Whole system Open dialogue Open dialogue

6. Short-term Priorities Agree a realistic NCHC settlementAgree a realistic NCHC settlement Complete the work of the Task ForceComplete the work of the Task Force Agree local/national balanceAgree local/national balance –Strategic relationship between COSLA and Scottish Care –Consider future procurement options in partnership Agree a realistic NCHC settlementAgree a realistic NCHC settlement Complete the work of the Task ForceComplete the work of the Task Force Agree local/national balanceAgree local/national balance –Strategic relationship between COSLA and Scottish Care –Consider future procurement options in partnership

7. Medium-term Medium-term Priorities Service DiversificationService Diversification –Extra-care housing model –Intermediate care –Specialist 24-hour care Tackle low wage ‘care’ economyTackle low wage ‘care’ economy Service DiversificationService Diversification –Extra-care housing model –Intermediate care –Specialist 24-hour care Tackle low wage ‘care’ economyTackle low wage ‘care’ economy

8. Questions