Small Scale, Startup

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Small Scale, Start-up and Specialist
Services Skipton House, London 27 February 2006
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The Issues

• Managing a Diverse Market
• Offering choice
• Protecting small, specialist services
• Improving commissioning practices
• Sensitising registration and inspection

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The Partnership
SCIE ARC DH/CSIP NAAPS ODPM UKHCA ADSS NHC
CSCI LGA
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Commissioners Issues

• Commissioning authorities are concerned
• that those charged with managing a mixed
• market are not undermined,
• Services are planned and implemented
• in ways that all government agencies can
• support, and
• Real improvement spread and wider
• choice is available
• Government support to SMEs and CVS

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Providers Issues

• Providers are concerned that valuable s
• service may be lost
• Keen to be involved in providing diverse
• and high quality services
• Environment militates against small,
• start-up services getting established
• Commissioning/regulation geared to size
• Staffing problems more acute for
• some small providers

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Service Users Issues

• Individuals ability to influence service
• shape reduced in large-scale settings
• Choice less available if range of services
• is more standardised
• Person-centred services harder to plan
• and implement
• Satisfactory user outcomes harder to
• achieve
• Use of direct payments and individual
• budgets difficult in traditional or more
• institutionalised services

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Regulators Concerns

• Constraints of government-set regulatory
• framework
• Important to influence DH review of NMS
• Ensuring quality, or quality improvement
• Consideration of other barriers fire,
• environmental health, etc
• Proportionality relating to risk and quality
• (not size or specialism)

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Contacts Janet Crampton 07789
653196 janet.crampton_at_dh.gsi.gov.uk
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