The Monday Club At the Southville Centre
Jan 05, 2016
The Monday ClubAt the Southville Centre
Trinity Care ServiceAt Holy Trinity Church, Hotwells
De-commissioning…..
● Poor communications● Unclear objectives, processes & timescale● Changing expectations & outcomes● Unclear who responsible for what● Building-based Day Care not valued● “One solution for all” approach● Little practical support● Focused on saving money, not focused on
people.
De-commissioning…..
● Last-minute information● SCDA only 7 of 15 (47%) eligible● TCS only 16 of 60 (27%) eligible● No transition period● Provider explained consequences to
Service-users● No time to secure alternative funding● Staff morale collapsed.
New business model…..
● No support● No idea of how many current Service-users
would be eligible for a Personal Budget● No idea of what the potential market size /
demand would be● No idea of what price the market would
accept● Too many unknowns to enable
development of a realistic business plan.
SCDA Approach…..
● Re-model service offer● Developed a pricing approach● Developed a business model & budget● Planned for an initial reduction in
customers & then a steady increase.
SCDA Approach…..● Developed a set of marketing tools● Recognised different market segments
– BCC HSC staff & teams– OP with Managed Budgets– OP receiving Direct payments– OP who are Self-funded– Carers / family– Other decision makers / influencers.
● Previously 1-option, all-day, building-based Day Care
● Now flexible, 6-option Day Opportunity Services offering Choice & Control.
SCDA Re-model service…
● Option 1: Morning arts & crafts● Option 2: Morning arts & crafts + Lunch● Option 3: Morning arts & crafts + Lunch +
Afternoon entertainment● Option 4: Lunch● Option 5: Lunch + Afternoon entertainment● Option 6: Afternoon entertainment.
SCDA Options Choice & Control…
● Flexible provision by a local taxi firm● Older people know & trust the drivers● Drivers see the older people get into their
homes safely.
SCDA Transport…..
● BCC HSC provided additional 6-weeks up-front payment
● SCDA funded none-eligible historic Service-users for 6-weeks
● SCDA secured Charitable Trust grant funding to support the transition.
SCDA After de-commissioning
TCS Transport…..
● Consider all possible outcomes / income & cost projections
● Raise public awareness● Immediate fundraising campaign● Issue protective redundancy notices to
staff (no guarantee of future funding)● Press BCC HSC for funding for non-
eligible Service-users.
TCS Approach…..
● Reduced days open from 4 to 3● Extended existing services into morning
sessions● Develop 2-tier price model, using successful
fundraising proceeds to support “non-eligible” Service-users (several over 90 years old!)
● Continue wide range & choice of opportunities
● Improved marketing, publicity, website, (BCC HSC teams & other referrers as well as local publicity).
TCS Re-model service…..
De-commissioning today….
● Clearer objectives & expectations● Better communication & processes● Clarity regarding who is responsible for
what● Building-based Day Care valued (for some
client groups)● Better understanding of VCS & willingness
to provide support● Greater focus on people.
Learning…..● FACs assessments to be completed well
before de-commissioning● Providers to secure alternative funding
before transition commences● BCC HSC & Providers to jointly promote &
market available services● BCC HSC & Provider to jointly explain
consequences to Service-users● Transition period of 6 weeks required after
de-commissioning (continued BCC HSC funding).
Today…..
● Support & advocacy available via VOSCUR● Will know how many current Service-users
have Personal Budgets well before transition so can tweak model
● More informed idea of market size● Price ceiling set by BCC HSC● Staff kept informed● Cooperation with other Providers
invaluable.
Current issues…..
● CSS Contract contains errors & too onerous● Fixed unit price includes travel – a variable cost● Payment-terms unacceptable for informed non-
attendances● Process of securing payment cumbersome● Payment schedule every 4-weeks - make
monthly● System cannot cope with differential pricing● Payments inaccurate - BCC Accountancy does
not communicate.
Current issues…..
● Need to treat services within CSS Contract separately
● BCC HSC need to support Providers to market / promote their services, particularly internally
● TCS eligible (i.e. BCC HSC-funded Managed Budgets & Direct Payments) referrals falling
● Non-FACs eligible, historic Service-users not supported
● No prevention work being commissioned.
Thank YouAnd
Good Luck