Development Priorities. The detailed plans for community health and care services are set out in the documents listed in the introduction to this report and are not replicated here. Priorities for reviewing commissioning arrangements are as follows: • Meals on Wheels delivery The current arrangements are for the most part the legacy of Compulsory Competitive Tendering arrangements introduced in the 1990s, which resulted in an increase in cost at the time and costs are still high. • 80% increase in long term care for older people by 2025 Development of extra care housing and Telecare services as alternatives to residential care. Implementing the findings of the Dementia Redesign Project and Long Term Care review. • Promoting 3rd sector provision of non-health and care support activities Refocus health and care service provision to meet health and care needs. Purchase a range of social activities and community support in local communities from voluntary and not-for-profit organisations. • Stimulate private sector provision of domestic support services Provide information and advice to local enterprises regarding the demand for assistance with domestic tasks. • Implement Standard SLA Implement a standard SLA format, which supports a negotiated approach when commissioning services from voluntary and not-for- profit organisations. The SLA template will be reviewed periodically to ensure any changes in legislation, policy and guidance are incorporated as appropriate. CHCP Agreement 2010-2013 Section 3 Commissioning 13 1. Review Meals on Wheels delivery contracts TBA Current Cost £150k per annum By April 2009 A number of voluntary sector organisations have been approached with a view to securing better VFM with no success. In house provision to be investigated as an alternative. On-going 2. Standard SLA SIC Executive Director Education and Social Care WER Introduction of new format during 2008/09 A revised format for SLAs with independent sector organisations has been approved and is being implemented. Completed 3. Publish details of all contracted services CHCP through Head of Community Care WER Annually Publish summary details of all contracts/SLAs for Community Health and Care Services. Assess appropriate procurement process for each before renewal dates. Process implemented 4. Establish CHCP list of approved service providers Head of Community Care WER By April 2009 Publish information on how to become an approved service provider for community health and care services. Process implemented
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Development Priorities. The detailed plans for community health and care services are set out in the documents listed in the introduction to this report and are not replicated here. Priorities for reviewing commissioning arrangements are as follows: • Meals on Wheels delivery The current arrangements are for the most part the legacy of Compulsory Competitive Tendering arrangements introduced in the 1990s, which resulted in an increase in cost at the time and costs are still high. • 80% increase in long term care for older people by 2025 Development of extra care housing and Telecare services as alternatives to residential care. Implementing the findings of the Dementia Redesign Project and Long Term Care review. • Promoting 3rd sector provision of non-health and care support activities Refocus health and care service provision to meet health and care needs. Purchase Promote a range of social activities and community support in local communities from voluntary and not-for-profit organisations. • Stimulate private sector provision of domestic support services Provide information and advice to local enterprises regarding the demand for assistance with domestic tasks. • Implement Standard SLA Implement a standard SLA format, which supports a negotiated approach when commissioning services from voluntary and not-for- profit organisations. The SLA template will be reviewed periodically to ensure any changes in legislation, policy and guidance are incorporated as appropriate. CHCP Agreement 2010-2013 Section 3 Commissioning 13.
1. Review Meals on Wheels delivery contracts Executive Manager Community Care Resources TBA Current Cost £150k per annum By April 2009 Revised timescale complete in 2013/14 A number of voluntary sector organisations have been approached with a view to securing better VFM with no success. In house provision to be investigated as an alternativealternative also frozen meals. On-going
2. Standard SLA SIC Executive Director Education and Social Care of Corporate Services WER Introduction Review as part of new the review of the Procurement Strategy 2013/14 The SLA format during 2008/09 was reviewed in 2011/12. A revised format for SLAs with independent sector organisations has been approved and is being implemented. Completedfurther review in 2012/13 took into account VAT implications.
3. Publish details of all contracted services CHCP through Head Director of Community Care WER Annually Publish summary details of all contracts/SLAs for Community Health and Care Services. Assess appropriate procurement process for each before renewal dates. Process implemented.
4. Establish CHCP list of approved service providers Head Director of Community Care WER By April 2009 Review process 2013/14 Publish information on how to become an approved service provider for community health and care services. Process implementedimplemented to be reviewed as part of the overall review of commissioning and procurement into 2013/14.
5. Domestic Tasks Executive Manager Community Care Resources TBA TBA Shift balance of provision towards third sector providers. Provide reduced levels of funding for start up costs and to meet statutory duties under Free Personal Care regulations and guidance. Further work required in this area
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Sources: CHCP Agreement