Shifting Shapes: how can local care markets support quality and choice for all?

Shifting Shapes: how can local care markets support quality and choice for all?
University of Birmingham Health Services Management Centre November 2020

• The Care Act 2014 gave local authorities in England a legal duty to shape social care markets to provide a variety of quality care and support. The HSMC was asked by the Department of Health and Social Care to look at different approaches to shaping care markets, and which work best.

Markets and modelling project

Markets and modelling project
LGA
The Markets and Modelling Project is designed to support councils, sub-regions and regions, to better understand the local care market. The CQC registered provider tool is available to all councils and can be downloaded from care homes and services in your home, along with the CQC tool user guide. This is an interactive map-based tool that provides quick and easy access for councils to help them analyse commissioning activity.

The project is part of Commissioning and market shaping resources from LGA. Other material include resources and case studies relating to commissioning and market shaping for adult social care; market shaping tools and guidance, resources around contingency planning and market sustainability.

Integrated Commissioning for Better Outcomes: a commissioning framework 2018

Integrated Commissioning for Better Outcomes: a commissioning framework 2018
LGA NHS Clinical Commissioners 11 April 2018

• A practical tool for council and NHS commissioners to support improving outcomes through integrated commissioning.
• The framework covers four areas: building the foundations; taking a person-centred, place-based and outcomes-focused approach; shaping provision to support people, places and populations; and continuously raising the ambition; and includes annexes giving further resources plus background on NHS and local authority contexts.
• Annex B: Guidance and tools for market shaping
• Annex D: Person-centred, place-based and outcomes focussed
• Annex E: Health and local government working together: the evolving policy landscape

The following principles for the framework have been agreed: 

• A focus on the benefits for the ‘3 Ps’: people, places, and populations, with the individual person at the heart of the approach. 

• A focus on outcomes over ‘episodes of care’. 

• Recognition that integrated commissioning needs to happen at multiple levels: with individuals and their families and carers; with communities; and across larger populations. 

• Awareness and acknowledgment that commissioning is about more than procuring services, it is about a wide variety of activities which improve the outcomes and the lives for people, places and populations. 

• Awareness that language matters and that words and concepts can have multiple meanings. 

• A belief that understanding and respecting our differences (of history, culture, legal responsibilities, and ways of working) enables us to work better together.

Adult social care: market shaping (updated guidance)

Adult social care: market shaping
Department of Health, updated 14 February 2017

• How to create personalised, high quality, sustainable care solutions using a range of care providers and support organisations.
• This guidance is aimed at people who buy social care services, including local authority and clinical commissioning group commissioners, as well as personal budget holders and people who fund their own care, care service providers and potential investors in the care sector.

Adult social care: market shaping - Guidance

Adult social care: market shaping: Guidance
Department of Health, 11 November 2016

• This guidance is aimed at people who buy social care services, including local authority and CCG commissioners, as well as personal budget holders and people who fund their own care, care service providers and potential investors in the care sector.
• The adult social care market refers to independent care sector providers and support organisations – those that provide CQC regulated services, such as care and home care, as well as unregulated care, such as personal assistants, volunteers and communities and informal family carers, and wider support services.
• Contents
• Overview: adult social care market shaping
• Adult social care market roles and responsibilities
• Market demands and trends
• Quality ratings and characteristics of adult social care providers
• Datasets to support market intelligence
• Market development – guidance and resources
• Market oversight
• Contingency planning
• Resources for commissioners
• Workforce aspects of the care market
• Market shaping in practice – examples
• Five Year Forward View - NHS enhanced health in care home vanguards
• NHS quick guides: transforming care services in England
• Access to funding streams

Place-based Market Shaping

Place-based Market Shaping: Co-ordinating health and social care
IPC July 2016

• The purpose of market shaping is to stimulate a diverse range of appropriate services, both in terms of the types of services and the types of provider organisation, and ensure the market as a whole remains vibrant and sustainable. Market shaping incorporates both market intelligence and market influencing. (See What is Market Shaping.)
• This paper explores the importance of developing a place-based approach to shaping the health and care market, looking at what this means for health and social care organisations. It maps the breadth of current relationships between commissioning agencies and examines their relative strengths and weaknesses. 
• The paper highlights the role of programmes such as the Better Care Fund and Sustainability and Transformation Plans in understanding the requirements of local populations and provides a list of questions to consider for commissioners looking to develop place-based market shaping approaches to delivering co-ordinated care.
• One of a series of reports from IPC on Market Sharing.