Shaping for the future Leon Goddard, LGA CHIP Rachel Carter, LGA - - PowerPoint PPT Presentation

Care and Health Improvement Programme

Care and Health Improvement Programme (CHIP)

Adult Care Markets – Shaping for the future

Leon Goddard, LGA CHIP Rachel Carter, LGA CHIP Fiona Richardson, IPC

Care and Health Improvement programme www.local.gov.uk/chip

In this workshop ……

• 1. We will tell you more about what CHIP and IPC are

doing to help commissioners

• 2. CHIP will explain our work to support market shaping
• 3. IPC will talk about their market shaping work with

councils

• 4. We will all discuss the help and support commissioners

want from IPC and CHIP in relation to Market Shaping

Care and Health Improvement programme www.local.gov.uk/chip

What is CHIP and how do we support commissioners?

• 1. Care and Health Improvement Programme – Funded by

DHSC and jointly delivered by the LGA / ADASS

• 2. Supports councils' care and health sector-led

improvement

• 3. One CHIP work stream is commissioning and market

shaping

• 4. Aims to “support councils to facilitate and shape diverse

and sustainable markets for high quality care and support which benefit the whole population.”

Care and Health Improvement programme www.local.gov.uk/chip

Market Shaping

CHIP is developing a suite of support offers, to include:

• Tools to improve knowledge of markets and commissioning activity
• Modelling work to support forward planning and decision making
• Web based guidance to support council’s with market shaping
• Share emerging approaches and bring together like minded councils
• Offer of bespoke support for individual council’s / regions

Focus and features of council’s market shaping approach:

• High-level view – Considering place, community and needs
• See this is an ongoing process, not a document to be produced
• Investment in the process and in relationships with stakeholders
• Build on, but not restricted by, traditional services and relationships

Care and Health Improvement programme www.local.gov.uk/chip

The Markets and Modelling Project

• to help councils better understand their

current and future markets

• 1. A suite of new “proof of concept” on line tools have just been

launched after a data collection exercise earlier this year - we are keen to get feedback on these tools

• 2. 82 councils took part and 6 out of 9 ADASS regions have 100%
• r near 100% data submission
• 3. the Market Provision Tool is publically available here - anyone

can try it and give us feedback

• 4. the Market Analysis Tool is available only to the councils that

took part because the data is protected - 45 out of 82 are engaged so far

www.local.gov.uk/chip Care and Health Improvement Programme

New Tools – The Market Provision Tool

Help to understand your market - benefits include

• Visualise your market
• See both local provider markets and the bigger regional

and national market picture

• Understand and compare market quality and capacity
• Map based tool of all CQC

registered care providers across England

• 2 versions care homes and

care and support at home

• Uses filters to select specific

criteria and information

• Presents information in maps,

graphs and tables

• Updated monthly and publically

available Includes

All CQC registered locations, filtered to show those providing ‘social care’ Map can be filtered by:

• Brand / provider name and characteristics - e.g. all

homes for brand x

• Location characteristics - e.g. all homes in an council

area

• Service type - e.g. all domiciliary care agencies
• Service user types - e.g. number of care home beds for

LD

• Area in which it is located - e.g. council or ADASS Region
• Latest quality rating - e.g. care homes rated as ‘requiring

improvement’

Care and Health Improvement programme www.local.gov.uk/chip

The Market Provision Tool

www.local.gov.uk/chip Care and Health Improvement Programme

If your council is one of the 82 that participated, to access this tool, or for further information email Marketsandcommissioning@local.gov.uk Questions this tool helps answer

Market Shaping / Risk Assessment

• Where do we commission and which other councils commission in our area / region?
• How much of the local capacity is commissioned by us / other councils?
• In / out of the area or regional picture?
• Risk assessment – do we over-rely on a particular brand, provider or type of provision

(e.g. are most people placed in a few large homes)? Quality

• What are the quality ratings of the services we commission from?
• How many people receive services from providers rated inadequate / RI?
• Which other councils commission services in a specific RI home?

Spend / Cost

• How do the rates we pay a provider, compare to what other councils pay them?
• Where do we spend the most?

Market Analysis Tool

Does everything the other tool does - with added contract data - benefits include

• quality, capacity and cost data in one place
• helps commissioners understand the bigger regional/national picture
• potential to support regional commissioning activity and co-operation

The Institute of Public Care

 Part of Oxford Brookes University  IPC works with national and local government, NHS and care provider organisations to deliver better health and social care outcomes  MPS database: https://ipc.brookes.ac.uk/what-we- do/market-shaping/market-position-statement- database.html  POPPI https://www.poppi.org.uk/ and PANSI https://www.pansi.org.uk/ free on-line needs projection systems  MPS Guidance (2016) and example statements https://ipc.brookes.ac.uk/what-we-do/market- shaping/market-position-statements.html

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5 key areas for improvement

 Focus group and workshops with councils and care provider associations, review of published MPS, and our work with commissioners:

1.

Market shaping should be owned at a senior level

2.

Work closely with providers and people accessing care and support, and carers

3.

Think carefully about your MPS scope

4.

Provide clarity to service providers to assist their business planning

5.

Review your market shaping approach regularly  The document versus the process

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Key themes of emerging best practice

 Relationships - collaborative working and an

• ngoing process of engagement

 Assess the stability of the market - including workforce, market entrances and exits, and key risks  Place-based – joint teams, support and communities of practice

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www.local.gov.uk/chip Care and Health Improvement Programme

Discussion

Questions to consider - 1.What has your experience been of what has worked well in market shaping, and what to avoid? 2.What further help could CHIP or IPC offer to your council or region with market shaping? 3.How would you like to see CHIP further develop its markets and modelling tools?

Care and Health Improvement Programme

For more about CHIP commissioning & market shaping resources and projects see Commissioning and market shaping | Local Government Association Bespoke support information is here Case studies are here for further information email Marketsandcommissioning@local.gov.uk