External Day Services

Cornwall Council is undertaking a full tender for the external (non-council) provided community support services. These are traditionally known as day services.

Cornwall Council currently has three providers on block contracts, total £0.5m and spends £2.5m on spot purchase arrangements with a wide variety of providers. The community and support provision is for adults with an eligible social care need. This includes people with physical disabilities, learning disabilities, sensory loss and age related needs.

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The main aims of the tender process are to develop provision that is:

  • High Quality
  • Care Act 2014 compliant
  • Increases the range of provision
  • Improves choice
  • Ensures health and safety compliance
  • Embeds safeguarding
  • Embeds an outcome focused service provision
  • Improves value for money
  • Enables transparency over what we spend
  • March-June 2017 - provider events and finalise documents
  • July 2017 - Tender published
  • October 2017 - contract awarded
  • April 2018 - contract commences

The original time line included a consultation period from January – March 2016. This has now been completed. To date over 400 people have engaged with us, exploring what they want and need from community support (day) services and what good quality provision would look like.

The consultation included 19 face to face events and an online survey.  Key people consulted so far include:

  • Adults with a learning disability
  • Adults with other social care needs  
  • Carers
  • Older People
  • Professionals – social care/health
  • Providers 

The consultation so far has raised a number of key themes:

  1. How to extend the opening hours to evenings and Saturdays
  2. How to deliver an ageless service (not stopping at 65)
  3. What it means to become more community based
  4. Addressing the role of the centre as building based
  5. Ensuring wide access to services
  6. Services supporting person centred planning to achieving goals, including access to college and work
  7. Delivering activities that are meaningful and provide personal development

These themes overlap and sit alongside the need for Cornwall Council to meet our statutory responsibilities and be Care Act compliant.

The emerging themes raise significant questions about how we can deliver these in practice.

Cornwall Council has explored the key themes for stakeholders by holding a series of events. We met with the key stakeholders listed below to discuss the above issues:

  • Adults with a learning disability
  • Adults with other social care needs  
  • Carers
  • Older People
  • Professionals – social care/health
  • Providers 

Alongside these events, there will be a Stakeholder Co-production group.

The service specification for the forthcoming tender round has been developed through sessions with people who use services, providers, carers and professionals.  

The service specification will tell the provider what we expect them to deliver to meet the needs of adults with an eligible social care need. 

The co-production stage has had a separate steering group. This reported into the main Project Board for the whole Day Services tender.  

The role of the steering group was to have oversight of all co-production and to ensure it is done effectively with a wide range of stakeholders.

The steering group members are people who are representatives of their stakeholder group and, most importantly people who can act as two way channels of communication who can actively promote and champion the work we are doing.

Membership

  • Learning disability: Cornwall People First
  • Physical disability / sensory loss: Disability Cornwall
  • Older People: Chair of over 50’s Forum
  • Providers: Cornwall Rural Community
  • Professional: CC Social Worker leading on LD / OP
  • Carers: Chair of Carer Partnership Board

The steering group met 6 weekly from May 2016.  This work has now been completed.

Co-Production Sessions

Commissioning has a database of day service providers. This includes voluntary sector and private provision; services that we purchase and services clients purchase via direct payment.

We will visit as many services and community groups as possible.

We have identified five places to begin the discussion; these are services that have been actively engaged in the first round of consultation:

Key Co-Production Themes

The consultation work we have already completed sets out the key themes for co-production. These include:

  1. How to extend the opening hours to evenings and Saturdays
  2. How to deliver an ageless service (not stopping at 65)
  3. What is means to become more community based
  4. Addressing the role of the centre as building based
  5. Ensuring wide access to services
  6. Services supporting person centred planning to achieving goals 
  7. Delivering activities that are meaningful and provide personal development

Developing the Specification

The Steering Group will oversee the wording of the specification and ensure that it reflects the work that has been done.