Summary of Home Support Provider Event – 19th July 2019

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Summary of Home Support Provider Event held at Dereham Football Club

on 19th July 2019

The Home Support Provider Event was attended by over 50 people with 33 representing Home Support providers and a variety of Norfolk County Council (NCC) staff. The aim of the day was to take stock of the Home Support Framework and share feedback that Commissioners have received from locality meetings with Providers. The event was structured into a mixture of presentations, help desks and round table discussions.

The Lead for Home Support Services introduced the programme and gave an update on NCC spend on Home Support and provided an overview of the ‘Living Well’ approach. The challenges facing the market were discussed, and Providers were encouraged to keep abreast of NCC initiatives, via the following links on the NCC website:

Commissioning gave an up-date on the ‘Every Day is Different’ Social Care recruitment campaign led by the Department of Work and Pensions. The local recruitment campaign is housed at the Norfolk Care Careers website which has 88 live vacancies. The campaign used social media to raise awareness of careers in the Sector and challenge negative perceptions of working in Social Care. From online advertising (between May to July 2019) 4,359 sessions were driven to the NCC website with 14,543-page views, and an average session duration of 2 mins 18 secs. This is extremely positive and demonstrates that visitors to the website were engaged with the contents and jobs available. The vacancies page was the most popular on the website for candidates, followed by ‘what makes a good Care worker’. All Providers were encouraged to upload their local jobs onto the Website.

Examples of the way Commissioners and Providers are working together, so that new types of agreements can be called off the Home Support Framework contract were highlighted. This demonstrates the versatility of the Framework approach and the ease that new services can be commissioned. These included:

  1. Specialist Mental Health Home Support service for people with severe and enduring mental health problems which is piloted in Norwich
  2. Double Assist Home Support Service which is being tested in North Norfolk
  3. Enhanced Home Support Service, which is a county-wide rapid response and short-term service for individuals with unplanned support needs.

A new digital sourcing platform, e-Brokerage, was introduced which provides electronic capability for the Council and Providers to engage on the provision of care / support packages. A set of requirements are created and sent to a selected group of Providers who respond if they can meet the requirements. The System will initially be implemented for residential and nursing homes followed by Home Support in 2020. Anyone interested in supporting the setup of e-Brokerage for Home Support was asked to contact the Brokerage team.

An analysis of current and future Home Support delivery for NCC funded Care was presented by an Analyst from the Quality Assurance and Market Development Team. The data was presented by Primary Care Network (PCN) area, as this is the structure that NHS England is using to deliver Care around clusters of GP practices. Up to date information on the profile of service users, CQC ratings of Providers, unmet need trends and workforce statistics were displayed. Providers were thanked for their help to reduce the number of people on the Unmet Needs List by 45% between January and June 2019.

Head of Sourcing shared the latest plans for opening the Home Support Framework across Norfolk. These are based on feedback from providers, experiences and lessons learnt from piloting the Framework in South, North and Norwich localities. The presentation included an outline for a new and up-dated Framework structure. The new model is likely to mean changes to the banded pricing and the audience was asked for feed-back on the proposed plans.

The final report on the formation of Norfolk Care Association (NCA) was presented by the consultant leading the consultation process. The Forum will act as a single body representing all Social Care organisations providing direct care to individuals and their families and operating in the Norfolk and Waveney area. Once the outcome of the funding proposal has been agreed the Interim Board will be recruiting a Chief Executive Officer. Providers should contact Norfolk Care Association if they would like to be involved in the recruitment process.

Over lunch providers took the opportunity to meet and raise questions and issues with helpdesk staff from the following NCC departments:

  • Operational Locality team
  • Brokerage
  • Procurement and Contracts
  • Quality Assurance and Market Development
  • Payments and Invoicing (Provider Portal)
  • Norfolk First Support.

The afternoon was spent in round table discussions on the following topics:

  1. Faced with continuing austerity how can we deliver high-quality cost-effective home support services?
  2. What can home support providers offer to facilitate access to services in the community?

The following are the main themes from the round table discussions:

Providers will go the extra mile to ensure service users have the best possible outcome

  • CCG or District boundaries are only relevant to providers if they make commercial sense and they have staff available.       Otherwise boundaries are immaterial to providers
  • Positive outcomes have been achieved where providers improve their working relationship and work together on how to make care as a profession attractive to potential staff
  • Some Providers are already signposting to GPs, community services (dog walkers etc.) and have specific campaigns e.g. Care Watch, Big Smile campaign.

If NCC systems and processes were slicker providers could accept packages quicker

  • Clear guidance on providers retaining a service user’s space on the rota whilst in hospital
  • Social Workers seem too risk adverse resulting in over prescription of support
  • Contingency funding used in a crisis takes too long to access and therefore the providers are front funding with no assurance they will get that money back.

A good training offer helps staff engagement and the efficiency of the Service will improve

  • Sharing of training and resources has potential to build relationships between providers
  • Norfolk Care Careers (NCC) recruitment platform is challenging for providers to use
  • A change in the perception of what it is like to work in the Care system needs to happen as it is undervalued.
  • Targeting the recruitment of mature people, looking for a change/second career can help with attracting new starters.
  • Values-based recruitment can help attract the right people to work in the Sector
  • Join up of Care and Health recruitment would be beneficial.
  • NCC think home support staff prefer set hours, but zero-hour contracts are highly favoured.

Organisations now have a clear agenda to link to community initiatives in tandem with providers but understanding of service user capacity and capability to be involved is often lacking

  • Care plans should include activities that will enhance the service user’s health and wellbeing such as attending community-based activities.

Suggestions for NCC to do:

  • Improve NCC process so that they are slicker and faster
  • Consider how providers could contribute to service user reviews
  • Run more NCC-led workshops, for providers to hear about new initiatives and get involved in collaboration opportunities both with NCC (e.g EHSS) and each other
  • Improve communication by sharing team structures to know “who is who” and what they do
  • Create opportunities for providers to meet by PCN to gain understanding of care available
  • Keep focused on sharing best practice and solutions on problems currently faced by the sector so that learning can be shared and replicated.

 Suggestions for providers to do:

  • Talk to service users about their social/community support needs to make the most of the help available outside the home
  • Get familiar with all the help and support available on the NCC website
  • Advertise job vacancies on the Norfolk Carer Careers website and consider how to make their companies attractive to prospective employees
  • Contact the e-Brokerage team if you would like to support implementation of e-Brokerage
  • Contact Norfolk Care Association if you would like to be part of the CEO interview process.

The session was closed by the Lead for Home Support who thanked everybody for coming along. The next steps for the Home Support Framework are as follows:

  • Issue the Invitation to Tender (ITT) for the new Framework by Wednesday 7 August 2019
  • Run a question and answer session on 28 August 2019 at the White Horse Inn in Trowse
  • Closing date for the tender is Monday 16 September 2019.

 

 

 

Invitation to Tender – New Home Support Provider Framework

New-NCC-Long-Logo-coloured-medium

Via Email

Date: 8th August 2019

Adult Social Services, County Hall, Martineau Lane, Norwich Norfolk NR1 2DH

NCC contact number: 0344 800 8020    Text relay no: 18001 0344 800 8020

 

To NCC Home Support Providers

The purpose of this letter is to alert you that an Invitation to Tender (ITT) for a new Home Support Framework has been published and to provide links to web-sites with more details about the tender process and deadlines.

The Council is continuing with phase 2 of the Home Support Framework and replacing the current Home Support Framework with a new updated Home Support Framework Agreement. The new Framework is based on Primary Care Network (PCN) areas across Norfolk.

This was announced at the Home Support Market Engagement Event, held at Dereham Football Club on Friday 19th 2019. Presentations and feedback from the event can be found on the Keeping Well at Home Blog https://norfolkkpwah.com/ or on the Council’s Care Market News https://www.norfolk.gov.uk/business/supplying-norfolk-county-council/norfolk-care-market/news.

The intention is to move existing packages of care to the new Framework on their current terms and conditions. The new Framework Agreement will be used to arrange individual packages of care, a round of packages of care, a commitment to buy a volume of hours in a particular area (previously referred to as ‘block contracts’) and specialist services. Existing NCC providers with a CQC rating of good or outstanding who apply will be fast-tracked on to the Framework Agreement. The expectation is that successful providers will work together to facilitate effective delivery of home support services across Primary Care Network (PCNs) areas.

This opportunity is published on the In-tend web-site, http://In-Tendhost.co.uk/norfolkcc with project reference of NCCT41877. To access the documents, interested providers must express interest in the tender. They will then be able to view the documents which contain information about the Council’s plans as well as advice on how to apply. All correspondence and clarifications in relation to the tender will be issued via this system, so if you are interested in applying to the Framework, please make sure you check the site regularly.

A Question & Answer session will be held on 28 August 2019 at 10:00 (there may be an additional session at 12.00 due to numbers) at the White Horse Inn in Trowse. To reserve a place, please e-mail Commissioning Support Officer, Alice Dyson, alice.dyson@norfolk.gov.uk before noon on Thursday 22 August 2019.

The closing date for the tender is 2pm on Monday 16 September 2019. Please see full timetable below.

If you encounter any difficulties whilst using the system you can contact the In-Tend support team by phoning 0845 557 8079 or +44 (0) 114 407 0065 or by emailing support@in-tend.co.uk

Regards from

 Fiona Craig

Head of Integrated Commissioning (North) and Lead for Home Support

Procurement reference number NCCT41887
Procurement title Home Support Framework for Norfolk
Details of the contract notice Date dispatched to publisher Monday 5 August 2019
Publication Supplement to the Official Journal of the European Union
Contracting Authority’s name and address Procurement Sourcing Team

Norfolk County Council

Floor 3 County Hall

Martineau Lane

Norwich
NR1 2DH

United Kingdom

Correspondence All correspondence and clarifications regarding the procurement should go through In-Tend: http://In-Tendhost.co.uk/norfolkcc
Procurement procedure Open procedure as defined in the Public Contracts Regulations 2015 (as amended)
Public Services (Social Value) Act 2012 The Authority has concluded that it is not appropriate to consult on social value in respect of this procurement, because social value to at the heart of this service.
Information and Q&A session for Bidders 28 August 2019 at 10:00 (there may be an additional session at 12.00 due to numbers) at the White Horse Inn in Trowse
Final deadline for submission of clarification questions relating to ITT 2pm UK time on Monday 9 September 2019
Deadline to request further explanation about clarification answers (no new questions to be introduced) Midnight UK time on the third working day after the Council sends its final answers to the clarification questions received before the above deadline
Deadline for submission of tender documents 2pm UK time on Monday 16 September 2019
Address for submission of tender documents All tenders must be submitted via the In-Tend portal.
Period for which offers must remain open for acceptance 180 days from the tender submission deadline
Award decision notice and standstill process The Council shall have no obligation to Applicants concerning debriefing beyond those contained in the Public Contracts Regulations 2015 (as amended). The Council will observe a standstill period and will not appoint to the framework until after midnight on the tenth day after the award decision notice has been issued to the Applicants.

 

Expected date for issuing intention to award letters and for standstill period to commence Friday 11 October 2019 (First Tranche)

 

Please note that the Council will evaluate the applications in tranches due to the checks required. This mean the framework agreements will be awarded in batches.

Expected date for standstill period to finish Midnight UK time on Monday 21 October 2019
Framework Award Tuesday 22 October 2019 (First Tranche)

Summary of Home Support Provider Event held at Dereham Football Club on 19th July 2019

Norfolk County Council (NCC) invited all providers of home support services in Norfolk to this event. The aim of the day was to stocktake the key issues, developments, successes and challenges in the home support sector in Norfolk. Feedback was sought on the way NCC sources, contracts and commissions home support services. The day was structured to involve participants in a mixture of presentations, help desks and round table discussions.

The Head of Commissioning in North Norfolk and Lead for Home Support Services, introduced the programme for the day and gave an update of NCC spend on home support. There was an overview of the ‘Living Well’ strategy and its intention to work more closely with providers. The main challenges facing the markets were discussed including the increased population of older people, financial austerity, Brexit decisions, the delayed Green Paper for Social Care and integration of Health and Social Care and emerging Primary Care Networks (PCN).

Welcome to the Day

Continue reading

Norfolk County Council – Capacity Incentive Payments for Home Support Providers, 2018/19

Busy periods and Bank holidays create pressure and strain on the health and social care system which can result in people failing to get the care they need. This has a detrimental impact on people’s health and is distressing for families and individuals.

Norfolk County Council (NCC) understands the difficulties of operating as a care provider or working as a carer during busy periods. The Council has identified that paying a premium for picking up new care packages can strengthen the workforce and support resilient services.

How will this work?

The Council will have a designated period this Winter and Spring (see table 1) where incentive payments will be offered for promptly commencing new and restarted packages of care for people discharged or transferred from specific care settings. These include acute and community hospital discharges and transfers of care from short term block beds, bed-based reablement, NFS, NEAT and out of hospital services.

This is a one-off payment that Council social workers are empowered to agree with you to facilitate prompt payment. This payment is to support workforce resilience, increase payments to your carers and the delivery of sustainable services through the Winter period.

Table 1 – Designated Periods for Capacity Incentives

Situation Specific dates
Christmas, New Year, up to and including February Half-Term  

Friday 21st December 2018 – Sunday 24th February 2019

April Bank Holiday Monday 8th April 2019 – Wednesday 24th April 2019
Early May Bank Holiday Wednesday 1st May 2019 – Wednesday 8th May 2019
Late May Bank Holiday Wednesday 22nd May 2019 – Wednesday 29th May 2019
Significant pressures on the health system

 

This may include but not be limited to:

·         Severe weather conditions

·         Unexpected staff absence

·         Market failure

NCC will notify accredited providers as dates become known, dates will also be listed on: www.norfolk.gov.uk/caremarket

What sort of care provision will count?

Only care packages for people being discharged from acute and community hospitals and transfers of care from short term block beds, bed-based reablement, NFS, NEAT and out of hospital services are eligible for these incentives. They will apply to any new or restarted home support care packages notified and started as outlined in Table 2 below.

Table 2 – How and How Much?

Sector Capacity Incentive Detail
Home Support –

 

Single worker packages

Commence care within 12hrs* of request (Care Arranging Service) £130

Commence care within 24hrs* of request (Care Arranging Service) £95

Commence care within 24-48hrs* of request (Care Arranging Service) £60

 

Home Support – Double worker packages Commence care within 12hrs* of request (Care Arranging Service) £195

Commence care within 24hrs* of request (Care Arranging Service) £142.50

Commence care within 24-48hrs* of request (Care Arranging Service) £90 

*The time frame used to determine the incentive will be measured from a) the time of the request made for care with the provider to b) the care in place and being delivered.

Norfolk County Council will use the contractual clauses and processes already in existence to monitor that care is delivered in a timely and high-quality manner.

Who can receive this incentive?

All home support providers on NCC’s accredited provider list can receive these payments.

When this will apply?

Capacity Incentive payments will apply during the periods indicated in Table 1. Norfolk County Council may extend or add to these designated periods if there are severe weather conditions or heightened system pressures over the Winter period. These will be announced on our website www.norfolk.gov.uk/caremarket and communicated to providers via the home support provider blog www.norfolkkpwah.com

Please contact us at casteamleaders@norfolk.gov.uk if you have any questions.

Right to review: Norfolk County Council reserves the right to review and amend this at any time.

Banded Pricing for Home Support Framework Providers in the Central Belt from 8 April 2019

Norfolk County Council Adult Social Care Committee approved the proposed prices for a range of care services including home support at its meeting on 14 January 2019. The prices will come into effect on 8 April 2019 and will apply for the 2019/20 financial year.

The new spot price for home support will rise from £17.28 to £18.24 an hour. Block contract rates remain individually negotiated and agreed.

In the Central Belt (Norwich, South Norfolk and North Norfolk CGG areas) the piloted banded pricing will continue to apply to Home Support Framework Providers.

The bands are:

Bands Band 1 (0-3miles) Band 2 (3-6 miles) Band 3 (6 miles +)
Rates 2019/2020 £18.24 £19.68 £21.72

The three bands in the model are based on travel distance from town and large village centres (GP surgeries have been used as the centre point) where population is highest and travel distance between visits therefore expected to be shorter than in the more rural and sparsely populated areas.

To help you identify where the boundaries between pricing bands are, please use the price band identification tool which can identify which banding any address or place in Norfolk will fall under. The price band identification tool is available Here:

Please follow the instructions provided on how to use the tool from the first screen.

In setting the bands the Council worked with Home Support Framework Providers and Norfolk Independent Home Care Group (NIHCG) during last year. The home support rates in Norfolk are amongst the highest rates in the East of England. A review of the current Home Support Framework model is planned to take place in 2019/20.

As a reminder, the list of Framework providers:

North Norfolk:

  • Allicare
  • Carewatch
  • Compkey Healthcare
  • Extra Care Home Services
  • Interserve Healthcare
  • Leaf Care Services
  • NR Care
  • Taylor Care

Norwich and South Norfolk:

  • All Hallows Homecare
  • Allicare
  • Carers Trust
  • Carewatch
  • Compkey Healthcare
  • Diamond Resourcing (Better Health Care)
  • First Choice Homecare
  • Focus Caring Services Purely Care
  • Hales Group Limited
  • Home Support Matters
  • Independence Matters
  • Interserve Healthcare
  • Leaf Care Services
  • Manor Court Care
  • Mears Care
  • Nightingale Homecare
  • NR Care
  • Riseup Healthcare
  • Sunrise Health Care
  • Westminster Homecare

If you have any questions, please do not hesitate to contact Hanne Lene Schierff, Integrated Commissioning Manager – Central Team, at hannelene.schierff@norfolk.gov.uk.

Enhanced Home Support Service

One of Norfolk County Council’s Improved Better Care Funding initiatives, the Enhanced Home Support Service, opened for referrals on Monday 5 February 2018. This small and targeted Social Care initiative aims to reduce delayed discharges from the three acute hospitals, as well as prevent unnecessary admissions from the community. The pilot Service is free for up to 72 hours and is not means tested.  However, if an individual requires support after 72 hours a fee may be charged.

The service will be piloted over a three year period and is delivered in partnership with three Home Support Framework providers: Allied Health Care, Carers Trust and Carewatch. Continue reading

Norfolk County Council Home Support prices 2018/19

Norfolk County Council Adult Social Care Committee (the Committee) approved proposed prices for a range of care services including home support at its meeting on 15 January 2018. The prices will come into effect in April 2018 and will apply for the 2018/19 financial year.

In Norfolk we want to encourage the creation of effective and efficient home support rounds through much greater collaboration between providers, led by providers who have qualified for our new home support frameworks. We also want to encourage more flexible and responsive services that focus on maximising independence, seeing commissioned hours reducing wherever possible as independence increases. In order to incentivise these changes we have set framework home support prices at a level above our spot price and will introduce three cost bands to reflect the higher cost of services in less densely populated areas. Continue reading