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
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 www.local.gov.uk/chip Care and Health Improvement programme
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.” www.local.gov.uk/chip Care and Health Improvement programme
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 www.local.gov.uk/chip Care and Health Improvement programme
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% or 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 Includes registered care providers across All CQC registered locations, filtered to show those providing ‘social care’ England Map can be filtered by: • 2 versions care homes and • Brand / provider name and characteristics - e.g. all care and support at home homes for brand x • Location characteristics - e.g. all homes in an council • Uses filters to select specific area criteria and information • Service type - e.g. all domiciliary care agencies • • Service user types - e.g. number of care home beds for Presents information in maps, LD graphs and tables • Area in which it is located - e.g. council or ADASS Region • • Latest quality rating - e.g. care homes rated as ‘requiring Updated monthly and publically improvement’ available Care and Health Improvement Programme www.local.gov.uk/chip
The Market Provision Tool www.local.gov.uk/chip Care and Health Improvement programme
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 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? If your council is one of the 82 that participated, to access this tool, or for Care and Health Improvement Programme www.local.gov.uk/chip further information email Marketsandcommissioning@local.gov.uk
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 9
5 key areas for improvement Focus group and workshops with councils and care provider associations, review of published MPS, and our work with commissioners: Market shaping should be owned at a senior 1. level Work closely with providers and people 2. accessing care and support, and carers Think carefully about your MPS scope 3. Provide clarity to service providers to assist 4. their business planning Review your market shaping approach 5. regularly The document versus the process 10
Key themes of emerging best practice Relationships - collaborative working and an ongoing 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 11
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 www.local.gov.uk/chip
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 Care and Health Improvement Programme
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