Norfolk County Council – Bank Holiday Planning for Home Support May 2018

Norfolk County Council’s vision for Norfolk is to have sufficient, reliable, sustainable home support that is of excellent quality.

Busy periods, especially bank holidays, create pressure and strain on the health and social care system which can often result in people failing to get the care they need when they are discharged from hospital – this has a detrimental impact on people’s health and is distressing for families and individuals.

NCC has been working closely with home support providers to try and ensure that Norfolk has the home support provision it needs over busy periods – as a result of this work, they have identified that paying home support providers a premium for picking up new or resuming care packages from the hospitals for people being discharged over pressured times, would support both the people coming out of hospital and those who are providing the care.

How will this work?

New or restarted packages requested for people being discharged from hospital during designated periods (see Table 1 below) will attract a one off Capacity Incentive payment.  You may use this to increase payments to your carers and to support the operation of your service.

 

Table 1 – Designated Periods for Capacity Incentives

Situation Specific trigger details
Late May Bank Holiday Wednesday 23rd May 2018 – Monday 28th May 2018 inclusive
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 home support providers as dates become known, dates will also be listed on NCC’s Keeping People Well at Home blog: www.norfolkkpwah.com

 

*Norfolk County Council reserves the right to determine when the factors impacting on discharge attributed to Social Care will trigger the Capacity Incentive.

 

 

 

 

What sort of care provision will count?

Only home support packages for people being discharged from hospital currently attract these premiums. They will apply to ALL 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 (Care Arranging Service) to b) the first scheduled/delivered call time.

*Restarted packages will only attract the payment if a retainer payment, allowed for in some contracts, has not been made for the length of the hospital stay.

Norfolk County Council will use the contractual clauses and processes already in existence to monitor care 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. However Capacity Incentive payments will also be implemented when circumstances mean that home support providers and hospitals are under particular pressure.

How will I know if a day is designated as an incentive day?

Other than the periods indicated in Table 1 NCC will notify providers through email and on the website here: www.norfolkkpwah.com

Please contact us at integratedcommissioners@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.

Norfolk County Council – Bank Holiday Planning for Home Support

Norfolk County Council’s vision for Norfolk is to have sufficient, reliable, sustainable home support that is of excellent quality.

Busy periods, especially bank holidays, create pressure and strain on the health and social care system which can often result in people failing to get the care they need when they are discharged from hospital – this has a detrimental impact on people’s health and is distressing for families and individuals.

NCC has been working closely with home support providers to try and ensure that Norfolk has the home support provision it needs over busy periods – as a result of this work, we have identified that paying home support providers a premium for picking up new or resuming care packages from the hospitals for people being discharged over pressured times, would support both the people coming out of hospital and those who are providing the care.

How will this work?

New or restarted packages requested for people being discharged from hospital during designated periods (see Table 1 below) will attract a one off Capacity Incentive payment.  You may use this to increase payments to your carers and to support the operation of your service.

Table 1 – Designated Periods for Capacity Incentives

Situation Specific trigger details
May Bank Holiday Thursday 3rd May 2018 – Tuesday 8th May 2018 inclusive
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 home support providers as dates become known, dates will also be listed on this blog.

 

*Norfolk County Council reserves the right to determine when the factors impacting on discharge attributed to Social Care will trigger the Capacity Incentive.  

What sort of care provision will count?

Only home support packages for people being discharged from hospital currently attract these premiums. They will apply to ALL 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 (Care Arranging Service) to b) the first scheduled/delivered call time.

*Restarted packages will only attract the payment if a retainer payment, allowed for in some contracts, has not been made for the length of the hospital stay.

Norfolk County Council will use the contractual clauses and processes already in existence to monitor care 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. However Capacity Incentive payments will also be implemented when circumstances mean that home support providers and hospitals are under particular pressure.

For example – did you know for every 1 degree drop below 5oC there is:

  • 10% increase in elderly with breathing problems peaking on day 12
  • 8% increase in emergency admissions – 3.4% die
  • Heart attacks 40% rise
  • Stroke increase at day 5

All of these factors will increase demand on the health system and home support. NCC is committed to supporting our care providers to meet that demand.

How will I know if a day is designated as an incentive day?

Other than the periods indicated in Table 1 NCC will notify providers through email and on our website here: www.norfolkkpwah.com

Please contact us at integratedcommissioners@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.

 

Norfolk County Council: Extension of Capacity Incentives

Norfolk County Council – Easter Planning for Home Support

February 2018

Our vision for Norfolk is to have sufficient, reliable, sustainable home support that is of excellent quality.

Busy periods and holidays create pressure and strain on the health and social care system which can often result in people failing to get the care they need when they are discharged from hospital – this has a detrimental impact on people’s health and is distressing for families and individuals.

NCC has been working closely with home support providers to try and ensure that Norfolk has the home support provision it needs over busy periods – as a result of this work, we have identified that paying home support providers a premium for picking up new or resuming care packages from the hospitals for people being discharged over pressured times, would support both the people coming out of hospital and those who are providing the care.

How will this work?

New or restarted packages requested for people being discharged from hospital during designated periods (see Table 1 below) will attract a one off Capacity Incentive payment.  You may use this to increase payments to your carers and to support the operation of your service.

 

Table 1 – Designated Periods for Capacity Incentives

Situation Specific trigger details
The end of the winter period and Easter Friday 16th February 2018 – Friday 6th April 2018 inclusive
**This has been extended to 20th April 2018**
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 home support providers as dates become known, dates will also be listed on NCC’s Keeping People Well at Home blog: www.norfolkkpwah.com

 

*Norfolk County Council reserves the right to determine when the factors impacting on discharge attributed to Social Care will trigger the Capacity Incentive.

 

What sort of care provision will count?

Only home support packages for people being discharged from hospital currently attract these premiums. They will apply to ALL 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 (Care Arranging Service) to b) the first scheduled/delivered call time.

*Restarted packages will only attract the payment if a retainer payment, allowed for in some contracts, has not been made for the length of the hospital stay.

Norfolk County Council will use the contractual clauses and processes already in existence to monitor care 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. However Capacity Incentive payments will also be implemented when circumstances mean that home support providers and hospitals are under particular pressure.

For example – did you know for every 1 degree drop below 5oC there is:

  • 10% increase in elderly with breathing problems peaking on day 12
  • 8% increase in emergency admissions – 3.4% die
  • Heart attacks 40% rise
  • Stroke increase at day 5

All of these factors will increase demand on the health system and home support. NCC is committed to supporting our care providers to meet that demand.

 

How will I know if a day is designated as an incentive day?

Other than the periods indicated in Table 1 NCC will notify providers through email and on our website here: www.norfolkkpwah.com

Please contact us at integratedcommissioners@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

Important: Liquid Logic – Provider Portal up-date

After some recent changes at Norfolk County Council and the way the Service Brokerage Team operates, you will no longer be receiving Service Users ISO / Service Agreement documentation via the post to your establishment.

The ISO will be published on the Provider Portal, which can be found under the “Contract Documents” tab on the home page.

If you are seeing contract documents that need accepting or rejecting please DO NOT action these by accepting or rejecting at this time. There is a small bug in the system that is being looked into as a matter of urgency, further communication will go out when the bug has been fixed.

The Service Users Care Documentation such as Care Plans, Support Plans and other associated Client Assessment Paperwork will be sent via a Conversation in the Provider Portal from the Service brokerage Team. These conversations can be found under the “Actions and Change Requests” tab on the home page. 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

Winter Capacity Incentive Payments – eligibility period extended

Norfolk County Council has been working closely with home support providers to try and ensure that Norfolk has the home support provision it needs over the winter period – as a result of this work we have identified that paying home support providers a premium for picking up new care packages over this pressured time would support both the people coming out of hospitals and those carers who are providing care.

We understand the difficulties of operating as a care provider or working as a carer during the winter holiday period and want to recognise that by offering a financial premium.  This premium will now be available up to and including Wednesday 31 January 2018.

To find out more about how this will work and when this premium will be paid, please see our page here: www.norfolkkpwah.com/winter-planning-for-home-support