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Provider Forum 5th July – Supported
Lodgings & Floating Support
• Value for Money
– “the relationship between economy, efficiency
and effectiveness”
– “a judgement of the quality of services, and/or
outcomes against the monetary cost of
providing services, and/or achieving the
outcomes”
Provider Forum 5th July – Supported
Lodgings & Floating Support
• The quality requirements are as follows;
– Organisations must meet the standards
required within the Framework,
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Criteria One – Financial Viability
Criteria Two – Competent Admin Procedures
Criteria Three – Effective Employment Policies
Criteria Four – Robust Management Procedures
Criteria Five – Competence / Track Record
Provider Forum 5th July – Supported
Lodgings & Floating Support
• The requirements of the terms and
conditions of the contract
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The supporting people services standards
Performance of the support service,
CRB, Health & Safety, Safeguarding, Insurance
Contract management
Best Value
Provider Forum 5th July – Supported
Lodgings & Floating Support
• The performance requirements
– the reporting requirements
(Access to services, Client Records, SP workbooks,
outcomes monitoring, serious incident notification,
safeguarding, proposed service change)
– the quantity measures agreed
(staffing, service availability, utilisation)
Provider Forum 5th July – Supported
Lodgings & Floating Support
• The quality measures agreed
– Operating at level B of the Quality Assessment
Framework
– Key Performance Indicators NI 141 & NI 142
– National Outcomes Framework
(targets yet to be agreed)
Provider Forum 5th July – Supported
Lodgings & Floating Support
• Cost Modelling
– “An activity which combines a mechanical
process and subjective expertise to assess
and predict the total cost”
– What we are hoping to achieve are a revised set of
parameters on which we can base future contracts
Provider Forum 5th July – Supported
Lodgings & Floating Support
• What is the background?
– The 2005 VFM policy
– The 2010 SP position
– The 2010 Needs Assessment
– The NW benchmarking data 2009/10
– The LD Domiciliary Care Benchmark Review
Provider Forum 5th July – Supported
Lodgings & Floating Support
• April 2009 - Loss of the SP ring fence, to
become an element of the Area Based Grant
• April 2010 - Loss of the SP administration grant,
• Reduction in Local Authority housing budgets
• June 2010 – Budget announcement of an
average 25% reduction in 'departmental
budgets'
• April 2011 Comprehensive Spending Review
(announced 20th October 2010)
Provider Forum 5th July – Supported
Lodgings & Floating Support
Floating
Support
SP Unit Cost
No of
Records
Average
Lower
Quartile
Median
Upper
Quartile
Min
Max
Lancs SP
2010Rates
14 £71.70
£68.50 £87.78
£155.00 £33.22 £233.53
15% reduction
14 £60.94
£58.22 £74.61
£131.75
30% reduction
14 £50.19
£47.95 £61.44
£108.50
Provider Forum 5th July – Supported
Lodgings & Floating Support
Floating Support
Cost per Hour
No of
Records
Average
Lower
Quartile
Lancs SP
2010 Rates
14
£19.60
15% reduction
14
30% reduction
14
Median
Upper
Quartile
Min
£16.32 £18.23
£19.83
£6.95 £21.02
£16.66
£13.87 £15.50
£16.85
£13.72
£11.42
£13.88
£12.76
Max
Provider Forum 5th July – Supported
Lodgings & Floating Support
NW Benchmark Data
Service Type
Floating Support
Figures for Total Unit Cost
No of
Records
29
Average
56.18
Lower
Quartile
42.51
Median
56.66
Upper
Quartile
Min
70.15 2.41
Max
95.85
Figures for Hourly SP Rate
17.03
15.38
17.46
19.25 4.49
26.22
Provider Forum 5th July – Supported
Lodgings & Floating Support
NW Average Number of hours per week = 3.3
Lancashire Average Number of Hours per week = 3.67
NW Unit cost and hourly rate lower than Lancs.
• 2010/11 allocation £29.13m
• 1% reduction = £291,000
• 5% reduction = £4.37M
• 30% reduction = £8.74M
Provider Forum 5th July – Supported
Lodgings & Floating Support
• Lancashire Joint Commissioning Boards,
Learning Disability Domiciliary Care
Benchmarking Review 2008/9, Final Report.
• What the LD Benchmark review does differently is to
understand the individual cost elements of the service
better in order to create an agreed hourly rate.
• The 2006 report concluded that from Jan 2006, new
business would be paid at no more than £11.95 per
hour. After yearly uplifts; in 2010/11 ACS pays no more
than £13.15 per hour for domiciliary care.
Examples
2008/09
2010/11
£
Rate of pay
8.36
8.53
National insurance
8.00%
0.67
0.68
Maternity leave
1.50%
0.13
0.13
Training
2.50%
0.21
0.21
Pension
5.50%
0.46
0.47
Annual leave
10.50%
0.88
0.9
Bank holidays
3.00%
0.25
0.26
Sickness
4.00%
0.33
0.34
Development & contingency
1.00%
0.08
0.08
Direct management
3.00%
0.25
0.26
Other
1.00%
0.09
0.09
11.71
11.95
1.17
1.2
12.88
13.15
(40% of rate of pay)
Subtotal
management 10%
total hrly rate
Provider Forum 5th July – Supported
Lodgings & Floating Support
Low, Medium and High Level Support
The agreed average number of hours of
support per client across a particular
service
For Floating Support the hours provided
divided by the hours per client is translated
into the Service Capacity
Low Support
• Initial support maybe at the higher end of the scale but
tapers down to weekly visits
• Service user is fairly independent but understands they
can contact provider in case of an emergency
• Service users may receive intensive social/health care
package
• Medium Support
• Service users are fairly independent but may lack
confidence
• Staff are available in case of an emergency or when
service users are able to do something themselves but
lack confidence. Support plan is likely to address some
behavioural issues as well as practical tasks.
• Initial support is at the higher end of the scale but tapers
down to weekly visits/one to one sessions to discuss
support plan
• Service users may need guidance in contacting other
agencies to receive a complete package of support
• Service users may attend college/work/Day services
during working hours.
• High Support
• Service user has multiple needs and need one to one at
least twice a week to discuss support plan
• Staff are available at other times if required
• There is likely to be more than one agency involved in
the overall care/support of the service user
• Service users need supervision on health and safety
issues
• Level of support may vary slightly from week to week
• Service users may attend college/work/day services
during working hours
• Support plan addresses emotional and behavioural
issues
• Service may deal with crisis situations
Provider Forum 5th July – Supported
Lodgings & Floating Support
• What are we looking to
achieve?
• The purpose of today is to begin to understand
the individual cost elements of the service and
begin to construct an agreed rate, or range of
rates applicable to Floating Support and
Supported Lodgings (not including host families
contribution) and understand the hours required.
Provider Forum 5th July – Supported
Lodgings & Floating Support
• How are we going to do this?
3 groups (or 2 sets of 3 groups)
• 1 discussing salaries,
• 1 discussing other costs,
• 1discussing hours
• If there is sufficient time we can re- run the
groups covering the alternative subject areas.