Presentation Title Here

1
Short breaks other services for disabled
children and their families Targeted
services Provider-commissioner event 25th June
2014
The right help, in the right place, at the right
time
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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.

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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

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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

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Consultation

• 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

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What were changing
Community care palliative care
Foster-based short breaks
Short breaks for more children
families Increase availability of a range of
options More flexibility choice
Residential short breaks
Residential holidays
Direct payments
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What were changing
Targeted servicesNot known 527
Community care palliative care59 72
Foster-basedshort-breaks56 82
Summary of proposals Providing specialist short
break services for 469 57 more children young
people
Residential overnight Short breaks85 63
Residential holidays44 64
Direct payments 168 188
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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

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Outcomes for parents / carers strategic outcomes

• And for parents / carers and families
• Improved quality of life for parents/carers/siblin
  gs
• 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 because
• of their disability
• Reduced need for unplanned placements
• in residential units
• Families have increased choice control
• over the short breaks they get

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Consultation feedback so far
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• 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

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• Special schools holiday playschemes
• Often the only targeted service accessed by CYP
  with more complex needs
• Parent/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 reduced
• Parent/carers would like it to be available not
  just at beginning of holidays
• Not available to CYP who do not attend the four
  schools
• Some schools face challenges staffing the schemes
• VCS are saying they could offer services from the
  schools premises
• Mixing children
• Some parents say they are happy for older
  children and younger to mix
• Other parents say mixed activities are not
  suitable for their teenage children
• Some parents whose children have significant
  physical needs and/or complex health needs are
  concerned about mixing with children with more
  challenging behaviour
• Very little accessible provision for above CYP

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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)

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Residential holidays
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Residential HolidaysProposal
46
Total proposed children 64
Total current children 44
Total value after 75,000
Residential Holiday Contract
Action for Children
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Residential holidaysIndicative procurement
timetableWhich is best?
Task Time Time (2)
Provider day 2nd week September 2014 Sep-14
Advertise opportunity 1st October 2014 1st 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
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Targeted services

• Afterschool, holiday weekend activities
• Befrienders

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Targeted services currentPlay, leisure and
sport activities and befriending
Total value 235,000 6 contracts 3 council
services
WECIL Consortium
Special Schools Consortium
Playbus
New Fosse-way
National Autistic Society
Briar-wood
KHASS
Kings-weston
WECIL
Clare-mont
Bristol Autism Project
Befrienders Time 2 Share
Families in Touch Time 2 Share
Bridging workers inclusive play
KHASS
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Targeted services proposalPlay, leisure and
sport activities and befriending

• Re-commission all services with increased funding

Total children min 400

• Plus keep council-run bridging and inclusive play
  service

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Targeted services original proposalPlay, leisure
and sport activities and befriending
Competitive tender for two city-wide contracts
preferably consortia
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Alternative proposal preferred option

• 2 lots ideally 2 consortia

A - holiday play schemes in special schools
Joint working befrienders BME targeted
B Weekend, after-school and holiday activities
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Alternative proposal not preferred

• One city-wide lot ideally one consortium

holiday schemes in schools other holiday
activities Weekend after-school activities BME
targeted service befrienders family fun days
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Targeted servicesIndicative procurement
timetableWill 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
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Introduction to Collaborative
ArrangementsKirsty BarrettProcurement
SpecialistStrategic Commissioning Procurement
Service
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Targeted Services Collaborative Bids

• Consortium Members MUST take their own legal
  advice
• http//www.supporthub.org.uk/resources/collaborati
  on-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

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Models of Collaborative Arrangements

• Lead partner consortium
• Joint and several liability consortium
• Sub-contracting

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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

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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

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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

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Multiple Bids

• Bid as member of more than one consortium
• Comply with http//www.oft.gov.uk/OFTwork/competit
  ion-act-and-cartels/competition-lawcompliance/
• Legal advice
• Certificate regarding involvement in other bids

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Consortiums Collaboration

• Check the Invitation to Tender Terms
• Ask collaboration questions early on
• If in doubt - Legal advice
• Any Questions?

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Table top discussion A
How should the lots for targeted services be
split?

• Which outcomes should be monitored to measure
  service quality?

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Table top discussion B
How can providers be encouraged and enabled to
collaborate and what are the benefits?
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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?
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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

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Target group new services

• New SEN areas of need
• Communication interaction
• Cognition learning
• Social, emotional mental health difficulties
• Sensory and/or physical needs

Who might miss out?
1
3
2
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Next steps

• Revise commissioning plan
• Mayor adopt revised plan on 2nd September
• Provider event second week September
• Advertise tenders
• Any questions contact
• ann.james_at_bristol.gov.uk
• joanna.roberts_at_bristol.gov.uk
• mark.hamilton_at_bristol.gov.uk