The search for someone to provide Older Peoples services continues

The consultation on the Older People’s Programme dominated the latest meeting of the Fenland Health and Wellbeing Partnership. And so it should it my opinion.

This is the biggest change in the way that health services are delivered in the county for a long time, and Cambridgeshire and Peterborough CCG are leading the way nationally in commissioning such a big piece of work. So the first thing to say is – have your say – check out the consultation website and encourage all those you work with to do the same. Spoiler alert – this page is quite long as is the consultation so it is not particularly user-friendly.

I guess for me there are three questions about this.

The first is what will the impact of the consultation be, especially the first question that asks

“On page 11 of the consultation document, Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) explains the reasons behind these changes. Please can you rate on the scale below how supportive you are of these reasons for changes?”

If everyone strongly disagrees will they not go ahead with the process? There was a hint at the meeting that this project could still be stopped if the prospective suppliers did not meet standards etc. So could people power really make a difference?

The second question I have is how this all adds up for services, for those using them and for those proving them. In effect the contractors are being asked to provide comparable services for less money. I am sure that there are efficiencies to be made in the current system that contractors could exploit to drive costs down, but introducing an extra layer of monitoring and a whole new infrastructure will surely cost so will services remain the same, will standards really improve and can we be assured that those delivering services on the ground continue to have the same salaries and benefits as they currently have. As those that know me will attest I am not a financial genius but I cannot see how these companies can deliver the same services for less money, and that overall that this way of working will save the NHS and us significant amounts of money.

My third question is where do the Voluntary and Community sector sit in this process? The consultation document talks a lot about community services and even has a section on the voluntary sector that states

“We believe that the use of the voluntary sector is very important in supporting independence and healthy living. One of the questions the CCG is asking bidders is how they will work with the voluntary sector. For bidders to answer this, we would expect them to make contact with voluntary organisations and to develop an understanding of what benefits the voluntary organisations can deliver to our patients.

As part of the procurement process a number of events have been held to provide an opportunity for voluntary sector organisations to meet with bidders to showcase the services they provide.

Bidders will be asked to explain how they will work with and fund services offered by the voluntary sector.”

So there you have it we should be expecting to receive funding – grants as well as commissions I hope. That said I don’t think that any of the shortlisted providers have been knocking on the door of CCVS to find out what the sector is doing and what they might like to do. If you have met with the shortlisted providers do let me know I would be interested to hear your experiences. CCVS will continue to push for a greater dialogue with all parties on the sectors role. We feel that it is essential that some guarantees are built into the contracts.

Getting back to the wider Fenland Health and Wellbeing Partnership I am pleased to say that future minutes and agendas will be published on the FDC website. I will post a link once they become available.

There continues to be a real feel of joined up working across some of the key priorities that the partnership have identified. Despite not getting funding to become a Local Alcohol Action Area the council are looking at how to reduce issues caused by alcohol both around health and crime and will be looking at the impact of a super strength campaign similar to the one underway in Ipswich. Similarly there is some great work underway about reducing Coronary Heart Disease and encouraging people to get a health test. More info on the FDC website.

Update the latest newsletter about the Older People’s Service is available here

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