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 obtained 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 outcome 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 13 th December 2. Submit rates via the BIP Delta Sourcing System by noon 13 th December 3. Complete the Q4 performance return on Essex Insight by 15 th 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 on 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 Date Activity Thursday 1 st November Annual Review documentation and re-opening of LHRL Thursday 8 th November Bidder Event Thursday 29 th November Final Date for Clarifications from Providers Thursday 13 th December Annual Review Documentation deadline on Delta eSourcing Mid February 2019 ECC Evaluation complete End of February 2019 Confirmation of new ranking position Sunday 7 th April 2019 Operation of new list commences The Authority will not be bound by this timetable if extensive bid clarification is required during evaluation.
Pricing Changes – Minimum rates From 7 th April 2019, ECC will apply the following minimum rates for care: Base point on Increase from current Type of Care Pricing Matrix minimum rate card Night Sleeping £11.76 No Change 24 Hour live in care £11.76 No Change All other care covered by £15.28 4.0% LHRL contract All existing packages will remain at their current rate with the exception of packages that are currently below these minimum rates which will be increased to the minimum rates from 7 th April 2019. NB Supported Living packages are not in scope for the new minimum rates so will remain unchanged.
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 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 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.
Target Supply Areas 2019 District Ward Maldon Althorne Braintree Bocking North Maldon Burnham-on-Crouch North Maldon Burnham-on-Crouch South Braintree Bumpstead Maldon Great Totham Braintree Coggeshall Maldon Heybridge East Braintree Great Notley & Black Notley Maldon Maldon East Braintree Hatfield Peverel & Terling Maldon Mayland Braintree Rayne Maldon Purleigh Braintree Silver End & Cressing Maldon Southminster Braintree Stour Valley North Maldon Tillingham Braintree Stour Valley South Maldon Tollesbury Braintree Three Fields Maldon Tolleshunt D'Arcy Braintree Witham Central Maldon Wickham Bishops and Woodham Braintree Witham North Tendring Ardleigh & Bromley Braintree Yeldham Tendring Arlesford & Elmstead Chelmsford Bicknacre and East and West Hanningfield Tendring Bentleys & Frating Chelmsford Boreham and The Leighs Tendring Dovercourt All Saints Chelmsford Broomfield and The Walthams Tendring Lawford, Manningtree & Mistley Tendring Oakleys & Wix Chelmsford Chelmer Village and Beaulieu Park Tendring Stour Valley Chelmsford Chelmsford Rural West Tendring Thorpe, Beaumont & Gt Holland Chelmsford Goat Hall Tendring Weeley & Tendring Chelmsford Great Baddow West Uttlesford Ashdon Chelmsford Little Baddow, Danbury and Sandon Uttlesford Clavering Chelmsford Moulsham and Central Uttlesford Debden & Wimbish Chelmsford Rettendon and Runwell Uttlesford Elsenham & Henham Chelmsford South Hanningfield, Stock and Margaretting Uttlesford Felsted & Stebbing Colchester Castle Uttlesford Flitch Green & Little Dunmow Colchester Lexden and Braiswick Uttlesford Littlebury, Chesterford & Wenden Lofts Colchester Marks Tey and Layer Colchester Mersea and Pyefleet Uttlesford Newport Colchester Rural North Uttlesford Stort Valley Colchester Tiptree Uttlesford Thaxted & the Eastons Colchester Wivenhoe 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 or 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
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