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Fairer ContractingPersonalising Services in
Brighton & Hove
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Context
• History of good partnership working with providers and local (commissioning only) PCT
• Key drivers for change:• Outdated contractual arrangements in Council and
no formal arrangements in PCT• Variable cost to purchasers • Concerns re clinical quality in nursing homes• Lack of coherent information available to the
public on cost and quality issues
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Initial Steps
• Agreement between Council and PCT to joint contractual arrangements
• Sign up from politicians
• Engagement with CSCI
• Winter 2007- 8 Active engagement with providers on tying quality to cost
• Recruitment of Quality Review Nurse
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Process
• Consideration of contract models and negotiation on Specification
• Agreed set rates - with incentives• Developed user friendly web based
information for public and professionals• Sign up from providers to Preferred
Provider list• Implementation of Fairer Contracting April
2009
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Rating comparisons
Ratings Chart
0
5
10
15
20
25
30
35
40
45
Apr-09 May-09 Jun-09 Jul-09 Aug-09
N/K
Poor
Adequate
Good
Excellent
Month/ Year N/K Poor Adequate Good Excellent
Apr-09 8 2 18 30 7
Aug-09 4 1 15 39 6
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Challenges
• Future partnerships with the NHS:• Introduction of NHS contracts - where does
this leave use of Local Authority contracts? • NHS use of Procurement Hub• Uncertainty with future role of CQC/QRN
• Balance of block and framework agreements: • Choice versus security• Future market development - role for the
statutory sector commissioners, hard commissioning or soft influencing?