Provision of Local High-Quality "Care at Home" Services

Descriptions

The provision of local high-quality "Care at Home" services is a top priority for Southend City Council. The overarching ambition for the next five years and beyond, is to support individuals in maintaining their independence and living within their community for as long as possible. Estimated annual contract value = £21,000,000 for three years with an option to extend for a further two years Estimated total contract value = £110,000,000 Southend City Council defines "Care at Home" as comprising three essential services: 1. Homecare: Personalised assistance provided to individuals in their own homes, including help with daily tasks, personal hygiene, and medication management. 2. Reablement Service: A short-term intervention aimed at helping people regain independence after illness, injury, or hospitalisation. 3. Southend Enhanced Discharge: A seamless transition from hospital to home, ensuring continuity of care and support. The Council will be embarking on a reorganisation of the wider 'Care at Home' market, bringing it back into a locality-based, specialism focused market with provision for additional capacity in the system Lead Locality based providers will operate the contract as lead providers within a designated geographic locality for which they will be expected to pick up the majority of referrals across Homecare, Reablement and Southend Enhanced discharge service. (Lot 1) These lead providers will also be expected to have specialisms in the delivery of homecare to people with Mental Health and Learning disabilities. We will also appoint Locality providers to each locality to assist with meeting demand in the market (lot 2) A fixed fee approach will be continued in the new model across all providers in the market, however there will be an enhancement for the lead providers taking on SEDs and Reablement The current Weighted banding system will be removed and alternative mechanism for paying on actual delivery adopted in consultation with our future lead providers. The proposed approach involves transforming the existing Home Care market into a locality-based model. This service-oriented approach aims to achieve positive outcomes, enhance care, and maintain service quality in alignment with the broader connected Southend model. The benefits of this new Care at Home approach for Southend and its residents include: A care delivery model that prioritises well-being and prevents avoidable hospital admissions. Revised business operations, offering extended hours and personalised staffing to enhance services. An inclusive care approach that goes beyond traditional home services. An outcomes-focused service that encourages flexible care management for positive independence outcomes. Lead providers operating in smaller geographical areas, ensuring continuity of care and improved reliability by reducing travel time. This also contributes to a smaller carbon footprint, less traffic, and local walking or cycling rounds. Person-centred care, tailored to individual needs, leading to improved well-being and satisfaction. Reduced hospital admissions through effective homecare, including reablement services and crisis interventions. Community integration, allowing individuals to stay connected to their communities, neighbours, and social networks, reducing social isolation. Promotion of preventive care through regular home visits, enabling early detection of health issues, medication management, and health promotion