Implementing Outcome Focused Approaches to Service Delivery

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Implementing Outcome Focused Approaches to
Service Delivery

• Mike Webster
• Head of Contracts
• Shaun Douglas
• Care UK

Adult Community Services Contracts Unit
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• Lancashire Care UKs Experience of Outcome
• Based Contracting

Adult Community Services Contracts Unit
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Outcome CommissioningReasons not to bother

• Another good idea from DoH
• Can providers be trusted?
• How can it fit with LA systems?
• Standing Orders/EU Procurement

Adult Community Services Contracts Unit
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Outcome CommissioningReasons not to bother

• Choice for Service Users/Direct Payments
• FACS/Low level needs
• Charging Policies
• We buy care in hours, etc

Adult Community Services Contracts Unit
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Issues

• Developing an Outcome Based Specification
• Market Development (Sustainability v. Risk)
• Selecting Providers (Raising the Bar)
• Create Incentives to perform
• Remove disincentives

Adult Community Services Contracts Unit
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Issues

• Audit Measurement Electronic Monitoring
• Payment can time be the currency?
• How much flexibility?

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Lessons Learnt from the Pilot

• Measuring Outcomes or do we mean Activities
• Ensuring Real Choice and Control for Service
  Users
• Where does this fit in with In Control and
  Individual Budgets?
• Efficiency v. Added Value (Reduce packages of
  care?)

Adult Community Services Contracts Unit
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Practical Hints for Contracting

• Needs Stakeholder Commitment Culture Change?
• Selection of Provider
• Agreed approaches for measuring monitoring
• Agree Funding Model
• Model can include incentives

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Lessons Learnt from the Pilot

• What Next?
• Menu of User Centred Services
• Initial assessment Re-ablement Service
• Wellbeing and Prevention Services

Adult Community Services Contracts Unit
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QUESTIONS

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