Social Care Management, Strategy and Business Planning by Trish Hafford-Letchfield

Author:Trish Hafford-Letchfield [Hafford-Letchfield, Trish]
Language: eng
Format: epub
ISBN: 9780857003942
Barnesnoble:
Publisher: Kingsley, Jessica Publishers
Published: 2011-02-15T00:00:00+00:00

Case study – developing a flexible commissioning strategy

Council X decided it was time to revise its commissioning strategy for older people. Over a long period, the council had built up a pattern of commissioning typified by cost and volume and block contracts. The JSNA and a local consultation on personalisation raised a number of significant issues including low numbers of older people using personal budgets and direct payments; a lack of support planning and brokerage services available for older people; an increase in the uptake of residential care placements despite older people saying that living in the community is their top priority; poor usage of leisure facilities by older people; a steep decrease in the numbers of older people using day centre facilities and an under-representation of older people from black and minority ethnic groups in all services.

In response, the council developed a strategy to commission local user-led organisations to provide information, advice, support planning and brokerage services for older people using personal budgets and direct payments. It replaced block contracts for domiciliary care and other services with outcomes-focused framework contracts, underpinned by individual service funds (ISFs). It then systematically disinvested in residential care, and reinvested in re-ablement, assistive technologies, low-level preventative services and supported housing.

Alongside this Council X reviewed all its leisure facilities to ensure they cater for and are accessible to older people and explored ways of matching people with similar interests so they can pool budgets and do more of the things they want during the day. In addition, the budget was allocated in a way that attempted to redress the balance in relation to black and minority ethnic elders. Local councillors agreed that the scrutiny committee would monitor the implementation and impact of the new strategy with adjustments to budgets expected as more older people take up personal budgets (Social Care Institute for Excellence 2009).

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