The Monday ClubAt the Southville Centre

Trinity Care ServiceAt Holy Trinity Church, Hotwells

De-commissioning…..

● Poor communications● Unclear objectives, processes & timescale● Changing expectations & outcomes● Unclear who responsible for what● Building-based Day Care not valued● “One solution for all” approach● Little practical support● Focused on saving money, not focused on

people.

De-commissioning…..

● Last-minute information● SCDA only 7 of 15 (47%) eligible● TCS only 16 of 60 (27%) eligible● No transition period● Provider explained consequences to

Service-users● No time to secure alternative funding● Staff morale collapsed.

New business model…..

● No support● No idea of how many current Service-users

would be eligible for a Personal Budget● No idea of what the potential market size /

demand would be● No idea of what price the market would

accept● Too many unknowns to enable

development of a realistic business plan.

SCDA Approach…..

● Re-model service offer● Developed a pricing approach● Developed a business model & budget● Planned for an initial reduction in

customers & then a steady increase.

SCDA Approach…..● Developed a set of marketing tools● Recognised different market segments

– BCC HSC staff & teams– OP with Managed Budgets– OP receiving Direct payments– OP who are Self-funded– Carers / family– Other decision makers / influencers.

● Previously 1-option, all-day, building-based Day Care

● Now flexible, 6-option Day Opportunity Services offering Choice & Control.

SCDA Re-model service…

● Option 1: Morning arts & crafts● Option 2: Morning arts & crafts + Lunch● Option 3: Morning arts & crafts + Lunch +

Afternoon entertainment● Option 4: Lunch● Option 5: Lunch + Afternoon entertainment● Option 6: Afternoon entertainment.

SCDA Options Choice & Control…

● Flexible provision by a local taxi firm● Older people know & trust the drivers● Drivers see the older people get into their

homes safely.

SCDA Transport…..

● BCC HSC provided additional 6-weeks up-front payment

● SCDA funded none-eligible historic Service-users for 6-weeks

● SCDA secured Charitable Trust grant funding to support the transition.

SCDA After de-commissioning

TCS Transport…..

● Consider all possible outcomes / income & cost projections

● Raise public awareness● Immediate fundraising campaign● Issue protective redundancy notices to

staff (no guarantee of future funding)● Press BCC HSC for funding for non-

eligible Service-users.

TCS Approach…..

● Reduced days open from 4 to 3● Extended existing services into morning

sessions● Develop 2-tier price model, using successful

fundraising proceeds to support “non-eligible” Service-users (several over 90 years old!)

● Continue wide range & choice of opportunities

● Improved marketing, publicity, website, (BCC HSC teams & other referrers as well as local publicity).

TCS Re-model service…..

De-commissioning today….

● Clearer objectives & expectations● Better communication & processes● Clarity regarding who is responsible for

what● Building-based Day Care valued (for some

client groups)● Better understanding of VCS & willingness

to provide support● Greater focus on people.

Learning…..● FACs assessments to be completed well

before de-commissioning● Providers to secure alternative funding

before transition commences● BCC HSC & Providers to jointly promote &

market available services● BCC HSC & Provider to jointly explain

consequences to Service-users● Transition period of 6 weeks required after

de-commissioning (continued BCC HSC funding).

Today…..

● Support & advocacy available via VOSCUR● Will know how many current Service-users

have Personal Budgets well before transition so can tweak model

● More informed idea of market size● Price ceiling set by BCC HSC● Staff kept informed● Cooperation with other Providers

invaluable.

Current issues…..

● CSS Contract contains errors & too onerous● Fixed unit price includes travel – a variable cost● Payment-terms unacceptable for informed non-

attendances● Process of securing payment cumbersome● Payment schedule every 4-weeks - make

monthly● System cannot cope with differential pricing● Payments inaccurate - BCC Accountancy does

not communicate.

Current issues…..

● Need to treat services within CSS Contract separately

● BCC HSC need to support Providers to market / promote their services, particularly internally

● TCS eligible (i.e. BCC HSC-funded Managed Budgets & Direct Payments) referrals falling

● Non-FACs eligible, historic Service-users not supported

● No prevention work being commissioned.

Thank YouAnd

Good Luck