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Care and Health Improvement Programme
Care and Health Improvement Programme (CHIP)
Adult Social Care Markets:
Shaping for the future
Care and Health Improvement programmewww.local.gov.uk/chip
Introductions
Andy Begley, ADASS Trustee and Executive Director of
Adult Services, Public Health and Housing, Shropshire
Council
Fiona Richardson, Assistant Director, Institute of Public
Care (IPC)
Leon Goddard, Senior Adviser – Commissioning and
Markets, Care and Health Improvement Programme
(CHIP), LGA
Laura McCumisky, Development Manager, Capacity: The
Public Services Lab, supporting Liverpool City Council
Care and Health Improvement programmewww.local.gov.uk/chip
In this session we will…………
1. Hear IPC’s view of council’s market shaping
responsibilities and the benefits this can bring
2. Hear about information and analysis tools that aim to
improve councils market intelligence and support their
market shaping
3. Hear the experience of Liverpool City Council’s market
shaping journey
4. Hear your views on market shaping and questions for
the panel.
A duty towards care markets
The Care Act places duties on councils to
promote the efficient and effective operation of
the care market as a whole.
Sustainable
Diverse
Quality
5
Provider
Purchaser
Shaper
Who shapes the market?
6
What is market shaping?
“Market shaping means the local authority
collaborating closely with other relevant partners,
including people with care and support needs…to
encourage and facilitate the whole market in its
area for care, support and related services.”
Care and Support Statutory Guidance
Section 4.6
7
Key components of market
shaping
8
Better
understanding of
the market
Activity to tackle
key issues
Care and Health Improvement programmewww.local.gov.uk/chip
Market Shaping – CHIP Approach
Improve Market Intelligence.……
- Market Analysis and Market Provision Tools
- Predictive Modelling
……in order to support Market Influencing
- Support commissioning activity and market shaping
- Operational challenges – E.g. Market management
- Strategic commissioning – E.g. Market shaping
Care and Health Improvement programmewww.local.gov.uk/chip
Market Provision and Analysis Tools
- Two interactive map-based tools
- Developed with and for council colleagues
- Give easy access to information and analysis
1. Market Provision Tools:
- Contain CQC data on provider locations
- No restrictions on access to the Tools
2. Market Analysis Tool:
- Combines council activity data and CQC data
- Access restricted to the 82 participating councils
Care and Health Improvement programmewww.local.gov.uk/chip
Map, Chart and Table View
Chart
allows
quick and
easy
analysis
Table gives
clear
information
Map
shows
exact
CQC
locations
Care and Health Improvement programmewww.local.gov.uk/chip
Market Analysis Tool: Scenarios for key areas
Market Shaping and Risk:
1.Where do I commission and which councils
commission in my area?
2.What risks does my commissioning activity present?
Quality:
3. What are CQC ratings of services I commission?
Finance:
4. How much do I spend with providers by brand/size?
Liverpool City Council
Adult Social Care – Market Position Statement
2020-2025
14
Liverpool City Council
& Capacity
15
External partner – why?
- Additional capacity
- Needed meaningful and useful MPS refresh and
approach to engagement across sector
- CL well connected – community, PCNs
- LCC keen to demonstrate independence
- Wanted innovative engagement approach
- Needed wider community engagement to connect
MPS and ASC to wider ‘city conversation’ approach
Context:
Key challenges
16
- Deprivation – 4th most deprived local authority
area in the country
- Funding – 63% loss in ASC funding (real
terms, since 2010)
- Housing – approx. 1600 new homeless
presentations each month
- Morbidity – 1/3 of population have at least
one morbidity
- Population – Significant increase in 65+
Context:
ASC Transformation
Programme
17
- Model – Move from ill-health to wellbeing
- Integration – Working more closely with
health partners, integrated budgets
- Personalisation – Address low take up of
personal budgets and direct payments
- 3rd Sector – Develop closer working with
VCSE sector and communities
Developing a new
Market Position
18
1. Formed task group- AD, Divisional Managers and Capacity
2. Assessed and agreed what was required –
why take this approach?- Useful, useable resource to guide new / existing
providers through Liverpool’s ASC transformation
- Structured themes / drivers
- Reference point for commissioners
3. Developed key themes- Linked to transformation agenda
- Providing structure
Transformation
Themes
19
- Provides
structure and
consistency
- Translates into
expectations of
providers
What did we need
to understand?
20
- What do providers want and need from MPS?
- How well aligned are services to transformation themes?
- What difficulties/barriers do providers experience/envisage in
relation to delivering against key themes?
- What do providers need from LCC?
- Do service users feel happy and cared for?
- What would service users choose/change?
- What do people and communities value?
- What do people feel keeps them happy and well?
Provider consultation
approach
21
- Conversational
- Informal, guided discussion – topics rather than
questions – open to interpretation
- Service area specific focus groups - 5-15
participants
- Neutral space - away from council/provider
premises
- Anonymous
Community consultation
approach
22
Conversations
• GP Waiting rooms
• Bumping spaces
Questionnaires
• Social media
Use findings to inform work
with communities and
VCSE sector, connect ASC
services to promote
wellbeing.
What do people
care about?
What do people
feel keeps them
happy and well?
How happy are
adults in the
city?
Service user
consultation approach
23
Conversations..
• Service user homes
• Residential homes
• Sheltered housing
• Day centres
Use findings to determine
how well aligned service
areas are to transformation
themes – develop a
baseline to measure
transformation plan against
Do people feel in
control of their
care?
What would
people change
or choose if they
could?
Consultation
Outcomes
24
Provider
- Professional view
- Shape offer to providers
- Shaped final MPS content and
- Identify areas of best practice/shared
learning opportunities
Community
- Geographical gaps in community resource
- Where to direct investment/focus energy
- What services are keeping people well –
what can’t we afford to lose?
- Contribution community services are
making to wellbeing
Service
Users
- Where services are most/least aligned to
transformation themes
- Where people feel happiest
Care and Health Improvement programmewww.local.gov.uk/chip
Views and questions