The National Commissioning and Contracting Conference' Home Care Modernisation

1
The National Commissioning and Contracting
Conference.Home Care Modernisation

• London Borough of Havering
• Councillor Steven Kelly Deputy Leader and Lead
  Member for Adult Social Services
• June 27th.2008

2
PURPOSE of the SESSION

• To discuss the solution to how to modernise the
  administrative homecare functions at the same
  time as modernising the service.
• To give participants an overview of how the
  program changes and the system changes produce an
  end to end solution for a modernised home care
  service.

3
Home Care Background

• Link with the Vision and the Prevention Strategy
  for LBH
• Support from Lead Member, council, senior
  leadership and service managers for both change
  and modernisation.
• Follows a full scale consultation on the
  modernisation of home care.
• CSED advice and support
• Partnership working with the private sector.

4
The state of Home Care at Initiation of the
Project

• Paper driven
• Poor accountability-lack of an audit trail
• Data unreliable
• Few, if any, integrity checks
• Significant numbers of administrative staff and
  time
• Fragmented steps in the process not joined
  together
• Service driven versus outcome driven

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OUTCOMES 1

• A reablement home care service where service
  users are provided short term assistance to
  regain their independence and to ensure
  proscribed outcomes are met.
• An outcome focussed reablement service that
  outlines the expected results for each service
  user, monitors their progress toward those
  results and records all activities
  electronically.

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OUTCOMES 2

• An outcome oriented commissioning process that
  supports assessment and care in reaching
  specified objectives and ensures electronic
  monitoring of all activities.
• An electronic monitoring system that automates,
  documents and makes payments based on electronic
  monitoring data, reconciliation and
  documentation.

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Key Decisions

• Use and modification of SWIFT to record expected
  outcomes and to initiate service provision.
• CM2000 to provide electronic monitoring of home
  care and to process work completed for payment
  directly via TDM / SWIFT
• The use of RBS to reconcile transactions , to
  prepare electronic invoices and to pay through
  visa.
• Ensuring direct feeds into Oracle,payroll and all
  other necessary council systems.

8
System Features

• End to end solution with full audit trail
• Budget allocation and monitoring built into SWIFT
  at the front end
• CM2000 provides rostering, care monitoring and
  reconciliation of commissioned versus actual
  hours.
• TDM provides for electronic payment
• All activities entered on to FIS.

9
Future Plans

• Automated brokerage (CM2000)
• Link to income collection as the next step
• Use of Purchase cards for
• Direct Payments
• Individual Budgets
• Exploration of Purchase Cards for day
  services-currently being explored.