Planning for social care provider failure

Planning to Fail

Contingency planning for care provider failure

Development workshop, Leeds

12 May 2015

Support landscape

Market shapingIPC

Market resilienceCordis Bright

Contingency

planning LGiU/ADASS

MonitoringEngagement

Intervention

Failure rate

• of councils had a residential,

domiciliary or specialist care

provider fail in the last 12

months

• 63% at least one residential

care failure

• 48% domiciliary care failure

• 5% specialist care failure

77%

77%

63%

48%

in the last 12 months

Trouble on the horizon?

74% thought provider failure likely or very likely in 12 months

3%

44%41%

11%

Don't know Unlikely Likely Very likely

7%

37%49

%

7% 19%

65%

16%

0%

Domiciliary Residential Specialist

Readiness ratings

4400%3900%

3000%

0

0.25

0.5

0.75

1

Residential Domiciliary Specialist

Prepared Very prepared Less prepared

Having a plan

• Have some kind of

plan in place

• Have a

comprehensive plan

in place

36%

59%

4%

Comprehensive plan

Some plans

No plan

36%

96%

What is failure?

• Financial failure

• Workforce failure?

• De-registration/

safeguarding

• Natural disasters

The inability to carry out contracted activities?

• Nursing de-registration

• Workforce failure?

• Geographic-area failure

• Retirement, fed-uppedness

• withdrawal from market

HARD FAIL SOFT FAIL

What is failure?The inability to carry out contracted activities?

FAST FAIL SLOW FAIL

When is failure?When should contingencies be triggered?

Signs of failure Reaction

Complaints

Cash flow

Monitoring

Embargos

Workforce

CQC???

What is failure?

When a care provider is no longer able to carry out its

activities in full OR is unable to do so without support and intervention.

Closure means failure, but failure does not necessarily mean closure.

Failure implies fault. Not always the case.

Failings are not failure.

Facilitated discussion

• How do we define failure?

• Top tips on managing failure.

What should contingency

support / provider failure toolkit look

like?

Progress so far

• Survey

• Background interviews

• Some case studies

• Development events

• Case studies: good residential

care, specialist care, provider

perspective, user perspective

• more sample plans

• understanding trigger points

• Business continuity/

emergency planning

DONE NEEDS

Background

and use

Typology of

failureCase studies

Contingency

plan templateExisting plans

Developing your

plans

What we were thinking

Developing plans

• What can a local authority do in advance to make it easier

to deal with provider failure when it happens (contract

conditions and provider engagement for example)?

• What plans should a council have in place to manage

provider failure?

• Who should be involved (other services/ other local bodies/

neighbouring councils/ providers)?

• What is the role of elected members?

• Is there a need for sub-regional governance?

Workshop 1: Thinking about contingency planning

What do you think?

• What would you like to see in the guidance?

• What kind of specific tools would be useful to you?

Workshop 2: Shaping the Guidance

Next steps

• Circulating to reference group

• Drafting guidance, May-June

• Testing workshop, end June

• Virtual reference group,

• Publication, July

Contact us

Ingrid Koehler

Senior Policy Researcher

[email protected]

Lauren Lucas

Head of Projects

[email protected]

www.lgiu.org.uk