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 9 April 2018

As reported in previous articles, Norfolk County Council Adult Social Care Committee approved the proposed prices for a range of care services including home support at its meeting on 15 January 2018. The prices will come into effect on 9 April 2018 and will apply for the 2018/19 financial year. An additional £2.1m will be invested for 2018/19 to pay for the additional cost of implementing the banded pricing.

The new spot price for home support will rise from £17.08 to £17.28 an hour. Block contract rates remain individually negotiated and agreed. In the Central Belt (Norwich, South Norfolk and North Norfolk CGG areas) a new banded pricing will be introduced for Framework Providers. 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 can be expected to be shorter than in the more rural and sparsely populated areas.

The bands are:

Bands Band 1 (0-3miles) Band 2 (3-6 miles) Band 3 (6 miles +)
Rates 2018/19 £17.40 £19.68 £21.72

Band Price Map

*Please note that currently the banded pricing will only apply across the Central Belt although the map shows the whole of the county. Continue reading

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

Introduction of Banded Pricing for the Home Support Framework Providers

Banded pricing will be introduced for all Home Support packages with Home Support Framework Providers in North Norfolk, Norwich and South Norfolk with effect from 1 April 2018.

The rates below are based on this year’s prices and will be subject to an inflationary uplift, which will be discussed at the next Adult Social Care Committee in January 2018.

Band 1 £16.68
Band 2 £18.72
Band 3 £20.76

Please see below for details of how the banded rates will be applied (Band 1 being the darkest shade and Band 3 being the lightest). Although the map shows how banding would work in the West and the East, this will not be implemented until framework agreements are put in place.

There is a further piece of work to identify which band will apply to individual cases. You will be notified of how it affects your individual packages in due course.

A series of FAQs are available here: www.norfolkkpwah.com/home-support-pricing-2018-19-faqs

A press release from Norfolk County Council can be viewed here:  https://www.norfolk.gov.uk/news/2017/11/new-investment-for-home-support-in-norfolk

 

 

 

 

Accredited versus Framework Provider – definitions

Some confusion seems to have arisen around the difference between the Home Support Framework and the Accredited Provider list and the following guide will hopefully clarify some of the differences.

In Norfolk we’ve traditionally grouped our home support providers into two different sets: block providers, who hold contracts with Norfolk County Council to offer a guaranteed number of home support hours in a specific geographical area; and spot providers, who take on home support packages of care on a case by case basis when the block provider is unable to do so.

As we move forward to a new style of procuring services in Norfolk, you will start to hear us talk about Accredited and Framework providers, but what’s the difference and how do you know which one you are?

Continue reading