Live at Home Annual Review Provider Information Event Suzanne - - PowerPoint PPT Presentation

Live at Home Annual Review Provider Information Event

Suzanne Westhead Director - Strategic Commissioning and Policy

Housekeeping

Agenda

Update on LHRL Annual Review Changes to the LHRL Deed of Variation Re-Rank Process Q4 Performance return Summary Next Steps

Update on LHRL

Since the LHRL went live we have seen a significant increase in packages that are sourced via the framework from pre framework of 48%, 62% in Year 1 and currently standing at 69%. We remain committed to increasing the volume of work commissioned through the Framework and working more closely with Framework providers. The LHRL has allowed us to:

• Successfully support a bulk transfer of packages within the Framework

restricting access to LHRL providers in the first instance

• Work more strategically with the LHRL providers to help to improve the

current service and shape the way Adult Social Care commissions domiciliary care services in the future for example, a strategic supplier group has been formed which meets with decision makers.

• Launch the mini-competition process to further maximise the number of

packages that are placed within the LHRL Framework.

Georgia Dedman

Procurement

5

Annual Review

As part of the Framework, ECC is undertaking an annual review that will:

• 1. Allow existing providers to amend their prices and the lists they operate on
• 2. Allow new providers to join the Framework

There are a number of amendments that will be implemented as part of the annual review:

• New pricing schedule
• Amendments to TSAs
• New Medication Standards requirements in line with NICE guidelines
• Updated Information Handling schedule

Annual Review Process

• The annual review process will result in an overall score for existing

providers to determine their ranked position on the lists. This score will be

• btained by:

– Price – the score will be determined from the prices selected from the revised pricing matrix – Quality – the score will be achieved for performance following the

• utcome of the Q4 performance review
• To remain active on the framework providers are required to fully participate

in the Annual Review process and complete the following three actions:

• 1. Sign and return the Deed of Variation by 13th December
• 2. Submit rates via the BIP Delta Sourcing System by noon 13th December
• 3. Complete the Q4 performance return on Essex Insight by 15th February

Annual Review Process

• A separate event is open for non LHRL providers to participate in to join the

LHRL where an overall score will be achieved in accordance with the evaluation criteria used to access the list.

• The new entrants’ overall scores will be ranked with existing service

providers’ overall scores with the highest overall score at the top of the relevant LHRL and then ranked in descending order.

Participating in the pricing submission

• To remain active on the Framework from 7th April 2019 providers must

participate in the LHRL review process on Delta eSourcing and submit a revised pricing matrix.

• Providers are able to add additional branches to their agreement and

amend the localities they wish to operate in.

• The annual review tender is only open to existing LHRL providers.
• New providers wishing to join the framework will have a separate tender
• n the Delta eSourcing system to which LHRL providers are not

required to respond to.

• Existing service providers scores from the pricing review and Q4

performance review will be combined to obtain an overall score and ranked position on the relevant list.

• Guidance notes on how to use the system have been produced and will

be emailed to all providers.

Indicative Timescales

The Authority will not be bound by this timetable if extensive bid clarification is required during evaluation.

Date Activity Thursday 1st November Annual Review documentation and re-opening of LHRL Thursday 8th November Bidder Event Thursday 29th November Final Date for Clarifications from Providers Thursday 13th December Annual Review Documentation deadline on Delta eSourcing Mid February 2019 ECC Evaluation complete End of February 2019 Confirmation of new ranking position Sunday 7th April 2019 Operation of new list commences

Pricing Changes – Minimum rates

From 7th April 2019, ECC will apply the following minimum rates for care: All existing packages will remain at their current rate with the exception

• f packages that are currently below these minimum rates which will be

increased to the minimum rates from 7th April 2019. NB Supported Living packages are not in scope for the new minimum rates so will remain unchanged.

Type of Care Base point on Pricing Matrix Increase from current minimum rate card

Night Sleeping £11.76 No Change 24 Hour live in care £11.76 No Change All other care covered by LHRL contract £15.28 4.0%

Pricing Changes – Pricing Matrix

The pricing matrix has been amended to: 1. Reflect the new minimum rate by removing the price points below this new rate and creating a new lowest price point of £15.28 2. The upper range of the matrix has also been increased to allow providers a greater range of prices to select from within the

• framework. Highest rate was £16.64 (£17.84 in Epping) now

£17.96 (£18.88 in Epping). Enhanced rates remain unchanged at a fixed amount of £1.88 TSA rates remain unchanged with five options between £0 - £2.80

TSA rates Rate 1 £0.00 Rate 2 £1.00 Rate 3 £1.60 Rate 4 £2.20 Rate 5 £2.80

Target Supply Area Changes

A review of the TSAs has been undertaken which has resulted in the following amendments :

• Addition of 1 TSA ward and removal of 4 TSA wards
• Changes to ward boundaries within Tendering in line with Electoral

Ward boundary changes

• TSA map removed from contract - replaced with a list of TSA wards

A list of postcodes that fall within each TSA ward will be issued to providers. Adults placed prior to 7th April 2019 will remain on existing rates unless a package

• changes. The LHRL rates in force at the time of a package change will be applied to

the package change. This may result in a TSA being added or removed as part of the package change.

Ward District Quadrant Change Type Boreham and the Leighs Chelmsford Mid Addition Brizes and Doddinghurst Brentwood South Removal Gosfield & Greenstead Green Braintree Mid Removal Marconi Chelmsford Mid Removal Patching Hall Chelmsford Mid Removal

Target Supply Areas 2019

District Ward Braintree Bocking North Braintree Bumpstead Braintree Coggeshall Braintree Great Notley & Black Notley Braintree Hatfield Peverel & Terling Braintree Rayne Braintree Silver End & Cressing Braintree Stour Valley North Braintree Stour Valley South Braintree Three Fields Braintree Witham Central Braintree Witham North Braintree Yeldham Chelmsford Bicknacre and East and West Hanningfield Chelmsford Boreham and The Leighs Chelmsford Broomfield and The Walthams Chelmsford Chelmer Village and Beaulieu Park Chelmsford Chelmsford Rural West Chelmsford Goat Hall Chelmsford Great Baddow West Chelmsford Little Baddow, Danbury and Sandon Chelmsford Moulsham and Central Chelmsford Rettendon and Runwell Chelmsford South Hanningfield, Stock and Margaretting Colchester Castle Colchester Lexden and Braiswick Colchester Marks Tey and Layer Colchester Mersea and Pyefleet Colchester Rural North Colchester Tiptree Colchester Wivenhoe Maldon Althorne Maldon Burnham-on-Crouch North Maldon Burnham-on-Crouch South Maldon Great Totham Maldon Heybridge East Maldon Maldon East Maldon Mayland Maldon Purleigh Maldon Southminster Maldon Tillingham Maldon Tollesbury Maldon Tolleshunt D'Arcy Maldon Wickham Bishops and Woodham Tendring Ardleigh & Bromley Tendring Arlesford & Elmstead Tendring Bentleys & Frating Tendring Dovercourt All Saints Tendring Lawford, Manningtree & Mistley Tendring Oakleys & Wix Tendring Stour Valley Tendring Thorpe, Beaumont & Gt Holland Tendring Weeley & Tendring Uttlesford Ashdon Uttlesford Clavering Uttlesford Debden & Wimbish Uttlesford Elsenham & Henham Uttlesford Felsted & Stebbing Uttlesford Flitch Green & Little Dunmow Uttlesford Littlebury, Chesterford & Wenden Lofts Uttlesford Newport Uttlesford Stort Valley Uttlesford Thaxted & the Eastons Uttlesford The Sampfords

Enhanced Rate Overview

• The Enhancement Criteria will be applied by ECC if the Individual:

– Has a complex need that may result in additional support required completing a task. – Is at risk or there is a concern for their safety – Families dynamic may factor into how the task is complete – Requires specialist or trained staff for a specific task

• The enhanced rate was designed as a premium to be applied, at the social

worker professional discretion, to packages where the individual meets at least one of the above criteria.

• The payment of an Enhanced Rate shall be in the Council’s absolute

discretion

• There is practice guidance within the practice library and regularly updated

that supports social workers in identifying an individuals care and support

• needs. This is not a checklist that identifies if a package meets the criteria
• r not.
• Programme of work has been undertaken to address small volumes of

Enhancement Rates applied with both Social Work teams and Providers.

Q4 Performance Return

• The Q4 quarterly review process is the same as the previous quarter

except that providers are required to report against KPI 3 (Satisfaction survey) as well as the other KPIs and MIs.

• Providers are required to have a minimum level of responses from

Adults who are receiving a service (25% of Adults, or 40% for providers delivering care to less than 10 Adults). If the minimum response rate is not achieved a provider will be scored 0.

• Providers must ask Adults the 6 questions set out in the contract and

score them (agree or n/a:1 and disagree: 0). All scores received should be added together then divided by the number of responses received to give the average score. Then refer to the scoring table in the contract to convert the average score to the score to be input to the Essex Insight survey.

Quarter 4 Essex Insight Return

Deed of Variation

Deed of Variation

• A draft DOV is attached to the tender for your review
• You will receive your personalised DOV via Bip Delta to print, sign and

return to the address below.

• To remain active on the Framework you are required to sign two copies of

your DOV and return them by 13th December 2018.

• Both copies of your signed DOVs must be returned to:

Adults Procurement Team E1 Zone 2 County Hall Chelmsford CM1 1QH

• DOVs will be sealed and one copy will be returned to you by post.

Key Dates for Deed of Variation

Failure to return a signed Deed of Variation will result your organisation being suspended from the Framework on 7th April 2019 and no further packages shall be referred to or placed with you under the terms of the framework until a signed Deed of Variation has been received. Any questions after this session should be submitted via the Delta message centre.

Date Activity In progress Deed of Variation Issued. If not received on Delta by 19th November, please email LiveAtHome@essex.gov.uk. Thursday 13th December 2018 Last date to return signed Deed to Essex County Council (to allow for council sealing process) Mid February 2019 Sealed DOV’s returned to Providers Sunday 7th April 2019 New packages placed at new rates

Next Steps

To remain on the LHRL existing providers need to complete three actions:

• 1. Complete and return the Deed of Variation by 13th December 2018. Any

questions on the DOV please address to LiveAtHome@essex.gov.uk

• 2. Participate in the pricing resubmission deadline for submissions is 12 noon

13th December 2018 within Delta eSourcing system Any Questions on the pricing resubmission must be directed through the Delta eSourcing message facility. Any problems with the functionality of the system please contact Delta eSourcing on 0845 270 7050

• 3. Complete the Q4 Performance review in Essex insight by 15th February

2019. Any Questions on the Q4 Performance report to ContractManagementAdults@essex.gov.uk

Questions?

Finally…..

In the foyer:

• Care Provider Information Hub demonstration
• Procurement and Category Managers
• Service Placement Team
• Extranet representatives