Buying better, Buying for Less

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Buying Better Buying for Less
Tim Parlow, Commissioning Manager Children
Young Peoples Commissioning Team tim.parlow_at_herts
cc.gov.uk 01992 555749
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Introduction

• Context
• Theory
• Practical examples
• Questions/discussion
• Information

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Context
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What is commissioning?

• Commissioning is the process for deciding how
  to use the total resource available for children,
  young people and parents and carers in order to
  improve outcomes in the most efficient,
  effective, equitable and sustainable way.

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Procurement and Contracting are

• Procurement is the process of acquiring goods,
  works or services from (usually external)
  providers / suppliers and managing these through
  to the end of contract.
• Contracting is the process of negotiating and
  agreeing the terms of a contract for services,
  and on-going management of the contract including
  payment and monitoring.
• These two elements or tools amongst others, form
  part of the Do part of the commissioning cycle.
  They do not constitute all elements of the
  cycle.

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What is Commissioning?
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What is commissioning?

• Total Resource available
• Finance
• Workforce
• Service providers
• Other forms of capital
• Community
• Co-production

• Outcomes for children and young people
• Attendance
• Attainment
• ?
• ?
• ?

Commissioning is the most efficient, effective,
equitable and sustainable route
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The changing landscape

• Development of Hertfordshire Integrated Targeted
  Support teams
• Behaviour attendance
• ESC/ESTMA
• Central attendance school employment support
• Early years SEND
• Educational psychology
• Access to education for refugees and travellers
• SEND
• Specialist advisory service

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The changing landscape

• School partnerships
• Schools as commissioners (academies and traded
  services)
• Schools as contract managers

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JSNA Joint Strategic Needs Assessment

• Collection of data around health and social care
  needs extensively used already by Health
• Linked to developments in the Health Bill and the
  Health and Wellbeing Boards
• Legal requirement for commissioners to have due
  regard to JSNA in service planning commissioning

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JSNA Joint Strategic Needs Assessment

• JSNA Development Board set up
• CSF Joint Board on June 21st to agree service
  priorities and partner involvement
• Development work ongoing to collate existing
  needs data, identify current and future gaps and
  priorities
• http//atlas.hertslis.org/ias/

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Commissioning Toolkit for Schools
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• Gives access to specialist advice written by the
  experts
• Contains a number of templates for use (not
  tablets of stone)
• www.thegrid.org.uk/info/office/commissioning/
• The toolkit is specifically for HCCs
• School staff purchasing services / goods / works
• Governors
• LA staff supporting schools

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Theory
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Resources (cost) vs. needs (volume)
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Market management (competition, VFM)
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Provider 1
Provider 2
School A
VFM
Competition
Provider 3
Provider 4
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Market management (competition, VFM)
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Provider 1
School A
School D
Increase in price
Increase in price
Provider 2
School B
School E
Competition
Competition
Provider 3
School C
School F
Provider 4
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Levels of commissioning
National
Regional
Sub-regional
Area or strategic
Locality or practice
Individual
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Deciding Which Level is Best

• The most appropriate level will be ultimately
  driven by ability to secure outcomes in the most
  efficient, effective, equitable and sustainable
  way.
• The following factors will impact on this
  decision and the system design
• Delegation, local democracy, accountability,
  brokerage and control systems
• Maturity of the local market and provider
  relationships
• Safeguarding and risks
• Cost of implementation and change management

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Effort vs. value
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• Under 5,000 Minimum of 1 verbal Quote
• 5k - 10k Min of 2 written quotes
• 10k - 50k Min of 3 written quotes
• 50k - 156k Must be Tendered
• (Services/Goods) Greater than 156k Must be EU
  Tender

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Effort vs. value
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• If more than 100k Must be countersigned by CSF
  contact Children Young Peoples Commissioning
  Team
• If more than 500k - Must be countersigned by
  County Secretary

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Effort vs. value (risk)
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Practical examples
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Service development

• Aim to achieve better outcomes at reduced cost
• CAMHS therapeutic input into Adolescent Resource
  Centre (ARC)
• 189,000pa 2 specialist clinicians attending
  consultations with residents at ARC
• Negotiations based on appropriateness, delivery
  model and clinical discussions

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Service development

• Partnership work with
• Hertfordshire Health and Community Trust
• Young people
• ARC staff
• Outcome new contract with different provider
• 100,000pa broader skills and less specialised
• Flexible, responsive service
• Working with service users and carers to improve
  outcomes

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Improving Speech Language therapy provision

• Aimed to
• Improve VFM
• Develop more responsive service
• Create mix of SLT skills sets in relation to need
• Collective negotiating power, economy of scale
• Spot purchasing, duplication, paying twice
• Not all sessions delivered no audit trail

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Improving Speech Language therapy provision

• Improvements focused on
• Performance
• Payments by performance
• More for less asking for support with tribunal
  cases
• Service re-design underway
• New joint contract with Health from Sept 2011

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Buying organisations

• Hertfordshire Business Service (HBS)
• Central Buying Consortium (CBC)
• Eastern Shires Purchasing Organisation (ESPO)
• Pro 5 (CBC, ESPO, WMS, YPO NEPO

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Water Coolers

• Bottled Water Cooler unit rentals vary from
  2.08 to 3.17 per month (includes sanitisation).
  Bottled water ranges from 3.64 to 3.74 per 18.5
  litres.
• Point of Use Dispensers (i.e. plumbed in)
  Rentals range from 10.00 to 11.25 per month
  (all of the above available from ESPO
  contract 988 with Cooler Aid, Pressure Coolers
  and Eden Springs)

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Washroom Services

• Washroom / Hygiene Services
• Hand Dryers rental from 60 to 300 p.a.
• Sanitary Units 1.20 per 23 litre bin lift
• Dust Mats rental from 104 to 236 p.a.
• Roller Towel Cabinet Rental Laundry Service
• Free on Loan cabinet plus 91p per autoroll
• All on CBC Contract No18411 with Cannon, Initial
  and PHS
• (New improved rates as from 1 February 2011)

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Waste Disposal and RecyclingStevenage Borough
Council

• Collection of residual waste charges from April
  10
• 1100l - 7.40 660l - 6.05 240l - 3.80
• Cardboard recycling charge 6.70 per cage
• Dry recyclables paper, glass, cans, plastic
  bottles Free of charge fortnightly collection
  bins provided

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Questions/discussion
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Information
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Fire Extinguisher Maintenance

• CBC Contract with Chubb
• 22 pence per extinguisher per inspection
• Spares at list price less 40
• No attendance fee

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Portable Appliance Testing (PAT)

• Target Price 85 pence per item
• Hertfordshire Technical Services (part of
  Hertfordshire Business Services) provide this
  service

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Waste Disposal and RecyclingSt Albans District
Council

• No waste collection service offered by St Albans
• Currently no wider consortium contract available
  (attempts from ESPO http//www.espodealingdirect.o
  rg/ contract 379 for details)
• Contract with the private sector. Benchmark rates
  circa 9 per 1100 litre lift
• Recycling of paper, cans and plastic bottles is
  provided FOC but no internal boxes provided.
• Contact Recycling Officer Louise Palmer at
  louise.palmer_at_stalbans.gov.uk

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Waste Disposal and Recycling Welwyn Hatfield
Borough Council

• Collection of residual waste via SERCO .
• Rates vary but are approximately
• - 12.79 per 1100l lift if a school has 2 bins
• - 12.11 per 1100l lift if a school has 3 bins
• Recycling of cans, glass, food and garden waste,
  paper and card. Request bins from Council
  number of bins varies for schools size
• Collection of recyclables by SERCO no charge to
  school.
• Welwyn Hatfield contact c.walker_at_welhat.gov.uk
• SERCO contact rebecca.pearce_at_serco.com

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Waste Disposal and RecyclingHertsmere

• 1 x 660L Euro (inc. rental collection charge
  but excludes disposal/landfill charge) 296.53
  ex vat
• 1 x 1100L Euro (inc. rental collection charge
  but excludes disposal/landfill charge) 462.32
  ex vat
• Customer services on 0208 207 2277
  gill.stevens_at_hertsmere.gcsx.gov.uk
• Free recycling workshops contact
  gemma.godfrey_at_hertsmere.gov.uk
• http//192.168.61.23/environmentplanning/recycling
  andwaste/schools_2/recyclingschemes.jsp

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Waste Disposal and RecyclingNorth Herts

• Waste Charges
• 1100 litre container 110.70 per quarter (442.80
  p.a)
• 660 litre container 86.30 per quarter (345.20
  p.a)
• Debbie Hookham on 0800 328 6023 or
  debbie.hookham_at_north-herts.gov.uk 
• Recycling roll out of FOC recycling trial 10/12
  school at a time.
• Food/card/glass/cans
• To access recycling services need to be using NH
  for trade waste and also need to significantly
  participate in scheme
• Joanna.lines_at_north-herts.gov.uk

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Waste Disposal and RecyclingBroxbourne

• Waste 6 per 1100 litre lift plus 7.90 per month
  bin rental
• Most schools in District use
• Peter Linkson pl.broxserv_at_broxbourne.gov.uk
• FOC recycling of paper, card and cans
• Tina Finch 01992 642240

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Waste Disposal and RecyclingEast Herts

• Waste 449 per 1100 litre bin p.a.
• Admin charge 66 p.a.
• 46 lifts a year term time plus 1 lift at
  Christmas Easter and first and last weeks of
  the summer holidays
• Free collection of recyclables, providing 240
  litre bins for paper, glass and cans
• Trevor.Watkins_at_eastherts.gov.uk

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Waste Disposal and RecyclingWatford

• Waste 1100 litre euro bin - 7.35 per empty
• 660 litre euro bin - 5.95 per empty
• Hire charge per bin for all bin sizes listed
  above (if bin not purchased) 1.10 per week
• http//www.watford.gov.uk/ccm/navigation/environme
  nt-and-planning/recycling--rubbish-and-waste
• environmentalservices_at_watford.gov.uk
• Council can collect plastics, paper, cardboard
  and glass
• Recycling team on tel [phone]

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Waste Disposal and RecyclingThree Rivers

• Waste collection currently 222.55 per 1100litre
  lift for 6 months
• From April 2011 charge is 232.56
• 46 collections per year
• Jennie Moore (Environmental Projects Officer)
  01923 727069
• Recycling FOC
• Plastic/cans, paper, glass, cardboard, garden and
  food waste collected fortnightly

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Waste Disposal and RecyclingDacorum BC

• Waste collection
• 5.97 ex VAT per lift of 1100 litre bin
• 68.74 ex VAT for rental of 1100 litre bin
• Jean.marsh_at_dacorum.gov.uk
• Recycling FOC paper, plastic, cans, cardboard,
  food/garden waste
• Ashling.cronin_at_dacorum.gov.uk

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IT Related Products Associated Services

• Pro5 contracts awarded by ESPO
• Desktops, Notebooks, Laptops, Servers, Hand Held
  Devices and Local Area Network Room equipment
• Network Support
• Special Needs
• Software
• Source via Hertfordshire Supplies Claire Taylor

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HCC Managed Telephone Service

• Free calls to over 250 other schools on Comnet
  and to core HCC offices
• Local and National calls at 1 penny per minute
• Calls to mobiles at 7.8 pence per minute
  (average)
• First line fault reporting service
• HCC pay the suppliers and recharge quarterly to
  the schools
• The HCC Telecoms Section is happy to carry
  out a free review of a schools telephony
  arrangements. Contact Gerry Causer, Voice
  Services Officer gerry.causer_at_hertscc.gov.uk

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Reprographics

• CBC/ESPO Document Solutions contract 1770/272D.
  Runs until March 2012.
• Covers whole range from printers/scanners,
  standalone copiers, networked copiers and print
  room equipment
• Four manufacturers of copiers - Canon, Konica
  Minolta, Ricoh, Sharp
• Contract conditions operational lease
• Copy cost in region of 0.4p b/w and 5p colour
• Quarterly rental over 3, 4 or 5 years
• HBS advice see page 903 of 2010/2011 catalogue!

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Toner and Cartridges

• Reduce requirements and range by networking
• Competitive market consider non-branded,
  re-manufactured or a programme of re-filling.
• Keep up to date on pricing and shop around!

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Copier Paper

• Competitive commodity market
• Prices fluctuate
• Shop around be aware of grade of paper and loss
  leaders
• Buying in bulk
• Advice and quotes from Juliet.Cameron_at_hertscc.gov.
  uk