Care and Health Improvement Programme

Care and Health Improvement Programme (CHIP)

Adult Care Markets –

Shaping for the future

Leon Goddard, LGA CHIP

Rachel Carter, LGA CHIP

Fiona Richardson, IPC

Care and Health Improvement programmewww.local.gov.uk/chip

In this workshop ……

1. We will tell you more about what CHIP and IPC are

doing to help commissioners

2. CHIP will explain our work to support market shaping

3. IPC will talk about their market shaping work with

councils

4. We will all discuss the help and support commissioners

want from IPC and CHIP in relation to Market Shaping

Care and Health Improvement programmewww.local.gov.uk/chip

What is CHIP and how do we support

commissioners?

1. Care and Health Improvement Programme – Funded by

DHSC and jointly delivered by the LGA / ADASS

2. Supports councils' care and health sector-led

improvement

3. One CHIP work stream is commissioning and market

shaping

4. Aims to “support councils to facilitate and shape diverse

and sustainable markets for high quality care and

support which benefit the whole population.”

Care and Health Improvement programmewww.local.gov.uk/chip

Market Shaping

CHIP is developing a suite of support offers, to include:

- Tools to improve knowledge of markets and commissioning activity

- Modelling work to support forward planning and decision making

- Web based guidance to support council’s with market shaping

- Share emerging approaches and bring together like minded councils

- Offer of bespoke support for individual council’s / regions

Focus and features of council’s market shaping

approach:

- High-level view – Considering place, community and needs

- See this is an ongoing process, not a document to be produced

- Investment in the process and in relationships with stakeholders

- Build on, but not restricted by, traditional services and relationships

Care and Health Improvement programmewww.local.gov.uk/chip

The Markets and Modelling Project

- to help councils better understand their

current and future markets 1. A suite of new “proof of concept” on line tools have just been

launched after a data collection exercise earlier this year - we

are keen to get feedback on these tools

2. 82 councils took part and 6 out of 9 ADASS regions have 100%

or near 100% data submission

3. the Market Provision Tool is publically available here - anyone

can try it and give us feedback

4. the Market Analysis Tool is available only to the councils that

took part because the data is protected - 45 out of 82 are

engaged so far

www.local.gov.uk/chipCare and Health Improvement Programme

New Tools – The Market Provision Tool

Help to understand your market - benefits include

• Visualise your market

• See both local provider markets and the bigger regional

and national market picture

• Understand and compare market quality and capacity

• Map based tool of all CQC

registered care providers across

England

• 2 versions care homes and

care and support at home

• Uses filters to select specific

criteria and information

• Presents information in maps,

graphs and tables

• Updated monthly and publically

available

IncludesAll CQC registered locations, filtered to show those

providing ‘social care’

Map can be filtered by:

• Brand / provider name and characteristics - e.g. all

homes for brand x

• Location characteristics - e.g. all homes in an council

area

• Service type - e.g. all domiciliary care agencies

• Service user types - e.g. number of care home beds for

LD

• Area in which it is located - e.g. council or ADASS Region

• Latest quality rating - e.g. care homes rated as ‘requiring

improvement’

Care and Health Improvement programmewww.local.gov.uk/chip

The Market Provision Tool

www.local.gov.uk/chipCare and Health Improvement ProgrammeIf your council is one of the 82 that participated, to access this tool, or for

further information email Marketsandcommissioning@local.gov.uk

Questions this tool helps answer

Market Shaping / Risk Assessment

• Where do we commission and which other councils commission in our area / region?

• How much of the local capacity is commissioned by us / other councils?

• In / out of the area or regional picture?

• Risk assessment – do we over-rely on a particular brand, provider or type of provision

(e.g. are most people placed in a few large homes)?

Quality

• What are the quality ratings of the services we commission from?

• How many people receive services from providers rated inadequate / RI?

• Which other councils commission services in a specific RI home?

Spend / Cost

• How do the rates we pay a provider, compare to what other councils pay them?

• Where do we spend the most?

Market Analysis Tool

Does everything the other tool does - with added contract data - benefits include

- quality, capacity and cost data in one place

- helps commissioners understand the bigger regional/national picture

- potential to support regional commissioning activity and co-operation

The Institute of Public Care

Part of Oxford Brookes University

IPC works with national and local government, NHS

and care provider organisations to deliver better

health and social care outcomes

MPS database: https://ipc.brookes.ac.uk/what-we-

do/market-shaping/market-position-statement-

database.html

POPPI https://www.poppi.org.uk/ and PANSI

https://www.pansi.org.uk/ free on-line needs

projection systems

MPS Guidance (2016) and example statements

https://ipc.brookes.ac.uk/what-we-do/market-

shaping/market-position-statements.html

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5 key areas for improvement

Focus group and workshops with councils and care

provider associations, review of published MPS,

and our work with commissioners:

1. Market shaping should be owned at a senior

level

2. Work closely with providers and people

accessing care and support, and carers

3. Think carefully about your MPS scope

4. Provide clarity to service providers to assist

their business planning

5. Review your market shaping approach

regularly

The document versus the process

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Key themes of emerging best practice

Relationships - collaborative working and an

ongoing process of engagement

Assess the stability of the market - including

workforce, market entrances and exits, and key

risks

Place-based – joint teams, support and

communities of practice

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www.local.gov.uk/chipCare and Health Improvement Programme

Discussion

Questions to consider -

1.What has your experience been of what has

worked well in market shaping, and what to

avoid?

2.What further help could CHIP or IPC offer to your

council or region with market shaping?

3.How would you like to see CHIP further develop

its markets and modelling tools?

Care and Health Improvement Programme

For more about CHIP commissioning & market

shaping resources and projects see

Commissioning and market shaping | Local

Government Association

Bespoke support information is here

Case studies are here

for further information email

Marketsandcommissioning@local.gov.uk