OPTIONS APPRAISAL AND EVALUATIVE MEASURES. 3.1 A range of options to meet statutory requirements of the SSWBA were developed for consideration by the RPB. Options ranged from the complex and high risk to the relatively simple and low risk. 3.2 The following outcomes have been developed and adopted against which each of the options set out at Section 4.3 below have been measured and evaluated: a. A consistent, timely equitable assessment and decision-making process which enables citizens to be supported in the right place at the right time by staff with the right skills. b. A consistent regional methodology is established for agreeing fee levels that improves transparency and efficiency for commissioners and care home providers, while recognising local difference and the autonomy of commissioners. c. A consistent, efficient and effective regional contract management and safeguarding system is established which could lead to process efficiencies for both commissioners and providers, as well as ensuring that the requirements of the regulatory bodies are met d. A cross-stakeholder regional understanding of the care home market is reached leading to a market position that is responsive to population needs and is sustainable for the future. e. Use of scarce resources are maximised and value is added 3.3 The following risk factors have also been identified and a risk assessment matrix is set out below in table 2 below. Financial Risks Political and/or organisational acceptability Deliverability due to complexity of task Organisational capacity Market stability and volatility Workforce capacity at operational level Service users adversely affected 4.4 The following options were considered in detail by RPB: 4.4.1 A Section 33 Agreement that encompasses all residential and nursing care homes for older people over 65 years – full implementation in year 1. 4.4.2 A Section 33 Agreement that encompasses all residential and nursing care homes for older people over 65 years (Consolidated Financial Statements (i.e. a pooled budget where contributions by each partner matches the costs committed by each partner) with a view to understanding the market so that the financial risks can be fully explored before committing to full implementation as recommended below). 4.4.3 A pooled fund arrangements for all nursing homes registered for people with dementia 4.4.4 A lead commissioning arrangement for commissioning and contracting functions is required as a stepped approach to enable and support section 33 arrangements 4.5 The findings of the option appraisal are set out in the tables below: 1. Pool all Care Home funds – full implementation in year 1 No Year 3 30 a b c d e 2. Consolidated Financial Statements (i.e. a pooled budget where contributions by each partner matches the costs committed by each partner) with a view to understanding the market so that the financial risks can be fully explored before committing to any potential financial risk sharing in future years Yes Year 1 5 a b c d e 3. Dementia Nursing No Year 2 25 a b c d e 4. Com & contract functions Yes Years 1 – 3 16 b c d e Table 1 Acceptable 5 1 4 3 Deliverable 5 2 5 4 Capacity 5 2 4 3 Market 3 0 3 1 Workforce 5 0 4 3 Service Users 3 0 2 0
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OPTIONS APPRAISAL AND EVALUATIVE MEASURES. 3.1 A range of options to meet statutory requirements of the SSWBA were developed for consideration by the RPB. Options ranged from the complex and high risk to the relatively simple and low risk.
3.2 The following outcomes have been developed and adopted against which each of the options set out at Section 4.3 below have been measured and evaluated:
a. A consistent, timely equitable assessment and decision-making process which enables citizens to be supported in the right place at the right time by staff with the right skills.
b. A consistent regional methodology is established for agreeing fee levels that improves transparency and efficiency for commissioners and care home providers, while recognising local difference and the autonomy of commissioners.
c. A consistent, efficient and effective regional contract management and safeguarding system is established which could lead to process efficiencies for both commissioners and providers, as well as ensuring that the requirements of the regulatory bodies are met
d. A cross-stakeholder regional understanding of the care home market is reached leading to a market position that is responsive to population needs and is sustainable for the future.
e. Use of scarce resources are maximised and value is added
3.3 The following risk factors have also been identified and a risk assessment matrix is set out below in table 2 below. Financial Risks Political and/or organisational acceptability Deliverability due to complexity of task Organisational capacity Market stability and volatility Workforce capacity at operational level Service users adversely affected
4.4 The following options were considered in detail by RPB:
4.4.1 A Section 33 Agreement that encompasses all residential and nursing care homes for older people over 65 years – full implementation in year 1.
4.4.2 A Section 33 Agreement that encompasses all residential and nursing care homes for older people over 65 years (Consolidated Financial Statements (i.e. a pooled budget where contributions by each partner matches the costs committed by each partner) with a view to understanding the market so that the financial risks can be fully explored before committing to full implementation as recommended below).
4.4.3 A pooled fund arrangements for all nursing homes registered for people with dementia
4.4.4 A lead commissioning arrangement for commissioning and contracting functions is required as a stepped approach to enable and support section 33 arrangements
4.5 The findings of the option appraisal are set out in the tables below:
1. Pool all Care Home funds – full implementation in year 1 No Year 3 30 a b c d e 2. Consolidated Financial Statements (i.e. a pooled budget where contributions by each partner matches the costs committed by each partner) with a view to understanding the market so that the financial risks can be fully explored before committing to any potential financial risk sharing in future years Yes Year 1 5 a b c d e 3. Dementia Nursing No Year 2 25 a b c d e 4. Com & contract functions Yes Years 1 – 3 16 b c d e Table 1 Acceptable 5 1 4 3 Deliverable 5 2 5 4 Capacity 5 2 4 3 Market 3 0 3 1 Workforce 5 0 4 3 Service Users 3 0 2 0
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OPTIONS APPRAISAL AND EVALUATIVE MEASURES. 3.1 A range of options to meet statutory requirements of the SSWBA were developed for consideration by the RPB. Options ranged from the complex and high risk to the relatively simple and low risk.
3.2 The following outcomes have been developed and adopted against which each of the options set out at Section 4.3 below have been measured and evaluated:
a. A consistent, timely equitable assessment and decision-making process which enables citizens to be supported in the right place at the right time by staff with the right skills.
b. A consistent regional methodology is established for agreeing fee levels that improves transparency and efficiency for commissioners and care home providers, while recognising local difference and the autonomy of commissioners.
c. A consistent, efficient and effective regional contract management and safeguarding system is established which could lead to process efficiencies for both commissioners and providers, as well as ensuring that the requirements of the regulatory bodies are met
d. A cross-stakeholder regional understanding of the care home market is reached leading to a market position that is responsive to population needs and is sustainable for the future.
e. Use of scarce resources are maximised and value is added
3.3 The following risk factors have also been identified and a risk assessment matrix is set out below in table 2 below. ⮚ Financial Risks ⮚ Political and/or organisational acceptability ⮚ Deliverability due to complexity of task ⮚ Organisational capacity ⮚ Market stability and volatility ⮚ Workforce capacity at operational level ⮚ Service users adversely affected
4.4 The following options were considered in detail by RPB:
4.4.1 A Section 33 Agreement that encompasses all residential and nursing care homes for older people over 65 years – full implementation in year 1.
4.4.2 A Section 33 Agreement that encompasses all residential and nursing care homes for older people over 65 years (Consolidated Financial Statements (i.e. a pooled budget where contributions by each partner matches the costs committed by each partner) with a view to understanding the market so that the financial risks can be fully explored before committing to full implementation as recommended below).
4.4.3 A pooled fund arrangements for all nursing homes registered for people with dementia
4.4.4 A lead commissioning arrangement for commissioning and contracting functions is required as a stepped approach to enable and support section 33 arrangements
4.5 The findings of the option appraisal are set out in the tables below:
1. Pool all Care Home funds – full implementation in year 1 No Year 3 30 a b c d e 2. Consolidated Financial Statements (i.e. a pooled budget where contributions by each partner matches the costs committed by each partner) with a view to understanding the market so that the financial risks can be fully explored before committing to any potential financial risk sharing in future years Yes Year 1 5 a b c d e 3. Dementia Nursing No Year 2 25 a b c d e 4. Com & contract functions Yes Years 1 – 3 16 b c d e Table 1 Acceptable 5 1 4 3 Deliverable 5 2 5 4 Capacity 5 2 4 3 Market 3 0 3 1 Workforce 5 0 4 3 Service Users 3 0 2 0
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