Slide 1 Children First Short breaks & other services for disabled children and their families...
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Transcript of Slide 1 Children First Short breaks & other services for disabled children and their families...
Slide 1Children First
Short breaks & other services for disabled children and their families
Targeted servicesProvider-commissioner event
25th June 2014
The right help, in the right place, at the right time
Slide 2Children First
What are short breaks?
Short breaks are activities and family support services for disabled children and young people who are unable to access mainstream activities and clubs
To give disabled children an enjoyable break from their families To give parents and carers a break from their caring role
The short breaks covered by the plan are funded by Bristol City Council and NHS Bristol Clinical Commissioning Group.
Slide 3Children First
Who has short breaks
Children and young people aged 0-18 years
With a life-limiting or long-term health condition or disability
With multiple needs because of emotional or physical difficulties and /or affected by issues in their family
Specialist services are for those with more severe and complex needs (about 300 children)
About 780 activities / holidays / sessions of targeted
About two-thirds are boys
Slide 4Children First
Why need to change
• Not about saving money – but making money go further• Child population is increasing• Numbers of disabled children are increasing• Currently spend more than half of the total short breaks budget of £3.3M on
residential short breaks for 85 children (costing about £450 per night)• Compare costs of overnight short breaks
Vision• Help greater numbers of children and families• Give children, young people and their parents/carers more choice• Make sure services are targeted at those who most need them• Services help people to step up and down through services as needs
change• Short breaks are enjoyable for children and young people• Parents get a real break and better quality of life• Invest in the most cost effective services
Slide 5Children First
We are consulting on a draft commissioning plan Until 30th June Workshops and focus groups with parents/carers, practitioners and
providers Questionnaire In July we will consider all consultation feedback and revise the plan Final plan to be adopted by the Mayor in September
Consultation
Children First
What we’re changing
Short breaks for more children & familiesIncrease availability of a range of options
More flexibility & choice
Targeted services
Residential short breaks
Community care & palliative care
Foster-based short breaks
Direct payments
Residential holidays
Children First
What we’re changing
Residential overnight Short breaks85 63
Direct payments168 188
Community care & palliative care59 72
Summary of proposalsProviding specialist short break services for 469
= 57 more children & young people
Foster-basedshort-breaks56 82
Residential holidays44 64
Targeted servicesNot known 527
Slide 8Children First
Outcomes for children and young people
We will fund services to achieve these outcomes
For disabled children and young people• Have safe and stable lives• Improved physical health through physical activities• Improved emotional health and well-being• Enjoy their short breaks• Less dependent on their parent or carer• Learn and develop skills and abilities• Young people develop skills that help toward
independence in adulthood
Slide 9Children First
Outcomes for parents / carers & strategic outcomes
And for parents / carers and families
• Improved quality of life for parents/carers/siblings• Improved emotional well-being• Have more time to do other things (e.g. leisure, work, study, spend time
with other children)• Family is able to lead a more ordinary life• Family environment is less chaotic and more sustainable
And strategic outcomes
• Fewer CYP become looked after becauseof their disability
• Reduced need for unplanned placementsin residential units
• Families have increased choice & control over the short breaks they get
Slide 10Children First
Consultation feedback so far
Slide 11Children First
General Providing transport is necessary for some families – otherwise their child
is unable to attend, or they will not get a meaningful break Parent/carers would like more stay and play opportunities Need more places for befrienders and PAs to take children Parent/carers would like more chances to network with each other – do
would personal assistants Need contracts that maximise collaboration between providers (including
role in upskilling and coordinating the workforce) Importance of trust to parents/carers Lack of information about what is available Personal budgets coming . . .
Specialist BME service South Asian and Somali families said would welcome a service open to
all communities with focus on their cultural needs and workers who speak their language.
Some practitioners concerned KHAAS may lose the reach it has achieved
Slide 12Children First
Special schools holiday playschemesOften the only targeted service accessed by CYP with more complex needsParent/carers say it works for their child because of familiar surroundings and staff (& feels safe for the parent)Highly valued, but not enough available and is being reducedParent/carers would like it to be available not just at beginning of holidaysNot available to CYP who do not attend the four schoolsSome schools face challenges staffing the schemesVCS are saying they could offer services from the schools premises
Mixing children Some parents say they are happy for older children and younger to mixOther parents say mixed activities are not suitable for their teenage childrenSome parents whose children have significant physical needs and/or complex health needs are concerned about mixing with children with more challenging behaviourVery little accessible provision for above CYP
Slide 13Children First
Proposed evaluation criteria for bids
How well proposed services will meet outcomes
Number of children and young people who will benefit
Breadth and range of activities and their suitability for different ages and impairment groups
Providers’ ability to work in partnership with the council, health providers, schools and other local providers
Providers’ ability and track record of meeting the needs of children who are hardest to reach
Plans to bring added value, e.g. use of volunteers, making premises available to other groups, helping to develop pool of workers in the city
How well the services will respond to changes in demand and provide choice to children and families (and enable increased “personalisation”)
Slide 14Children First
Residential holidays
Slide 15Children First
Residential HolidaysProposal
Action for
Children
Total proposed children = 64
Residential Holiday Contract
Total current children = 44
+46%
Total value after = £75,000
Slide 16Children First
Residential holidaysIndicative procurement timetable
Which is best?
Task Time Time (2)
Provider day 2nd week September 2014Sep-14
Advertise opportunity 1st October 20141st October 2014
Provider response time (40 days/30 days)
End December 2014
31st October 2014
Evaluation January – February 2015 Nov-14
Contract award Mar-15 Dec-14
New service starts Jul-15 Mar-15
Slide 17Children First
Targeted services
Afterschool, holiday & weekend activities
Befrienders
Slide 18Children First
Targeted services – currentPlay, leisure and sport activities and befriending
Total value = £235,0006 contracts
3 council services
Families in TouchTime 2 Share
Playbus
National Autistic Society
KHASS
WECIL
New Fosse-
way
Briar-wood
Kings-weston
Clare-mont
Bridging workers & inclusive
play
Bristol Autism Project
WECIL Consortium Special Schools Consortium
KHASS
BefriendersTime 2 Share
Slide 19Children First
Targeted services proposalPlay, leisure and sport activities and befriending
Total children = min 400Total value = £270,000 +15%
• Re-commission all services with increased funding
• Plus keep council-run bridging and inclusive play service
Slide 20Children First
Targeted services original proposalPlay, leisure and sport activities and befriending
Consortia A Consortia B
BME Be-friending
Competitive tender for two city-wide contracts – preferably consortia
Slide 21Children First
Alternative proposal – preferred option
2 lots – ideally 2 consortia
A - holiday play schemesin special schools
Joint workingbefrienders
BME targeted
B – Weekend, after-school and holiday activities
Slide 22Children First
Alternative proposal – not preferred
One city-wide lot – ideally one consortium
holiday schemes in schoolsother holiday activities
Weekend & after-school activitiesBME targeted service
befriendersfamily fun days
Slide 23Children First
Targeted servicesIndicative procurement timetable
Will this work?
Task Time
Provider day 2nd week September 2014
Advertise opportunity Mid November 2014
Provider response time (80 days) Early March 2015
Evaluation March – April 2015
Contract award May 2015
New services starts September 2015
Slide 24Children First
Introduction to Collaborative Arrangements
Kirsty BarrettProcurement Specialist
Strategic Commissioning & Procurement Service
Slide 25Children First
Targeted Services Collaborative Bids
Consortium Members MUST take their own legal advice
http://www.supporthub.org.uk/resources/collaboration-agreement-template
Council has sight of draft agreement at PQQ (in this case, Open Tender) stage
Sight of final agreement at award Consortiums formed at start of process
Slide 26Children First
Models of Collaborative Arrangements
Lead partner consortium Joint and several liability consortium Sub-contracting
Slide 27Children First
Lead Partner Consortium
Consortium of providers working together to bid for/deliver services
One provider (Lead) contracts with the Council Lead Provider SOLELY liable for delivery of
contract A fail for one member at minimum standards (e.g.
Insurance Levels) may constitute a fail for the entire organisation. See Invitation for full details.
Technical capability Financial capacity
Slide 28Children First
Joint and Several Liability Consortium
Contractual relationship with ALL members of consortium
May appoint ‘Lead Organisation’ ALL members of consortium equally responsible Cumulative strength assessed All members joint and severally liable
Slide 29Children First
Sub-contracting
Council contracts with one provider (Prime Contractor)
Provider enters into sub-contracting arrangements Subcontractor performance responsibility of Prime
Contractor At tender stage (minimum requirements), details
of proposed sub contractors given Minor/specialist elements only – Prime Contractor
responsible for core. Payments & Intervention
Slide 30Children First
Multiple Bids
Bid as member of more than one consortium Comply with
http://www.oft.gov.uk/OFTwork/competition-act-and-cartels/competition-lawcompliance/
Legal advice Certificate ‘regarding involvement in other bids’
Slide 31Children First
Consortiums & Collaboration
Check the Invitation to Tender & Terms Ask collaboration questions early on If in doubt - Legal advice
Any Questions?
Slide 32Children First
Table top discussion A
How should the lots for targeted services be split?
Which outcomes should be monitored to measure service quality?
Slide 33Children First
Table top discussion B
How can providers be encouraged and enabled to collaborate and what are the benefits?
Slide 34Children First
Table top discussion C
How can we make sure the right children get services?Should we define categories of need and/or age groups?
What should be the key features of the services and how should they be reflected in the specs?
Slide 35Children First
Target group – current services
Varies across all contracts
Some refer to Group A and Group B
Group A - children and young people with ASD or those children and young people whose challenging behaviour is associated with other impairments such as severe learning disabilities
Group B - children and young people with complex health needs including those with a disability and life limiting conditions, palliative care, cognitive or sensory impairments or have moving/handling needs or require special equipment adaptation. These groups include where relevant, those with:
ASD complex health needs, including the technology dependent child and
those requiring palliative care; moving and handling needs that will require equipment and adaptations
up to age 18 challenging behaviour as a result of their impairment; severely disabled young people 14+
Slide 36Children First
Target group – new services
New SEN “areas of need”•Communication & interaction•Cognition & learning•Social, emotional & mental health difficulties•Sensory and/or physical needs
1 32
Who might miss out?
Slide 37Children First
Next steps
Revise commissioning plan
Mayor adopt revised plan on 2nd September
Provider event second week September
Advertise tenders
Any questions contact: