Paul Davies

1
SAFE IN THE KNOWLEDGE

• Paul Davies

2
PROBLEMS

• Cambridgeshire externalising services and now
  managing 90m of contracts in Social Care
• Contract Monitoring not robust
• No clear idea of quality
• No concept of continuous improvement in market
• Poor risk management

3
PROBLEMS

• Research of little use
• Tools in existence were tick boxes
• Needed to identify baseline
• Growing business required a manageable solution

4
PROCESS

• What did we need to achieve
• Identified baseline for standards
• Identified appetite for risk
• Training required to develop tool
• Training required to use the tool

5
SAFE IN THE KNOWLEDGE

• First version of the tool launched in July 2000.
• Standards based tool
• Criteria defined for each standard
• Risk weighting defined for each indicator.
• Automatic calculation of percentage performance
  against standards

6
NEXT STEPS

• One size did not fit all system redesign
• Service Specifications redesigned
• Service User feedback
• Staff feedback
• Design of questionnaires

7
BENEFITS

• Equitable system across sectors
• Efficient reporting
• Clear identification of performance levels
• Highlights best practice as well as poor
  performance
• Service user input

8
BENEFITS

• Commissioners have a clear indication of quality
  v cost
• Providers have embraced the concept
• Drives up quality
• System has the ability to benchmark
• Captures data to inform National PIs

9
OUTCOMES

• Providers use data for service development
• CSCI National data shows Cambridgeshires
  Providers consistently achieving significantly
  higher than the national average against National
  Minimum Standards.