Planning, contracting and funding services

Phil Madden, EASPDFebruary 2008, Belgrade

• Macro planning and resourcing

• Policy Direction

• Strategic Planning

• formal structures

• holistic

• user participation

Public Service Frameworks

• Specific criteria (eg more people in employment)

• Disability Equality Duty

• Equality Impact Assessments

De-institutionalisation

Evidence Base

- Knapp / Mansell – see map 2a (*17)

- Like for like, community based services better than institutionalised services

Estimated number of places and rates of residential care and institutionalisation

Country Rate of inst care per 100,000 people

Estonia 539

Latvia 535

Lithuania 439

Spain 357

Slovakia 348

Czech Republic 302

Slovenia 270

Italy 262

Netherlands 251

France 247

Germany 231

Hungary 224

Poland 193

Belgium 172

Country Rate of inst care per 100,000 people

Bulgaria 163

Finland 162

Malta 137

Romania 136

Ireland 122

United Kingdom 110

Portugal 66

Luxembourg 64

Turkey 13

Sweden 0

Austria

Cyprus

Denmark

Greece

Strategies for de-institutionalisation

- Strangulation (of the access to institutions)

- Double funding

- Coal mining communities

Analysis of trends / gaps(for policy directions)

• Data collection

• Satisfaction surveys

• Involving / service users in and asking them about planning priorities

• UK Learning Disability Partnership Boards

• Independent Living Centres

Clarity of policy outcomes

• Best Value

• Added Value

• Understanding of full cost recovery

• National Costing model

Costing procedures

1. Direct hours

Ratio

Shifts

2. On costs

Training

Sickness

Costing procedures

3. Voids

4. Building

Equipment

Depreciation

5. Management / Supervision / Administration / Insurance

Managing the market - commissioning

Criteria

For commissioners:

- Variety

- Freshness

- Ability to meet strategic needs

For providers:

- Sustainable commitment and length

- Proportionate complexity of contract

Role of user lead organisations / NGO’s

• Develop supportive networks – to learn / peloton

• Develop political contacts

• Use the political energy

• Encourage and involve the media

• Know the law

• Know best practice

• Innovate / develop best practice

• Be role models for disability inclusion