Start Date 2017-00-00
Notes Outcomes based Commissioning of Edge of Care services Social Impact Bond Market Engagement Event Agenda Time Item 12:45 Sign in and Refreshments 13:00 Welcome – Introduction and Scene Setting 13:10 Social Care Perspective of Edge of Care Service– Operational, targeted areas and challenges 13:20 Education Perspective of Edge of Care Service – Local context, importance of addressing education, reading age outcome. 13:40 Commissioning Intentions – Impact framework, payments mechanisms 13:50 Procurement Strategy – Process, timescales, how to bid, do's and don'ts 14:00 Break and Refreshments 14:15 Group Workshops – stakeholder questions Task 1 – Service Specification Task 2 - Impact Framework- Metrics 15:00 Feedback from group work 15:15 Any other questions – Q&A 15:30 Opportunity to Network / Introductions 16:00 Close  Welcome and Introduction Sally Allen Strong families, resilient communities – Enhancing the preventive continuum  Lancashire Context • 2,903 square kilometres in size • Populationof1,195,418 • 7.7% Black or minority ethnic - Pendle and Preston 20%; Ribble Valley 2.1% • 12 district councils, 6 clinical commissioning groups, 4 hospital trusts and 631 schools within our boundaries, plus two neighbouring unitary authorities • Englishasasecondlanguage:12.8%inprimaryschools;8.4%insecondary schools • Free school meals: 13.2% in primary schools; 12.1% in secondary schools • 15.4%ofallchildrenunder16yearslivinginlowincomefamilies • 2085ChildrenLookedAfter Index of multiple deprivation 2015 – Lancashire districts IMD percentile rank Preston On the map to the left, the red districts of Hyndburn, Burnley and Pendle are in the most deprived 20% in England and Wales, whereas the bright green district of Ribble Valley is in the least deprived 20%. Please note that the closer to red the colour of the district is, it is more deprived and the closer to green the district is, it is less deprived. Pendle Burnley Hyndburn CLA Numbers and Rates by Children’s Social Care Areas –April 18 to November 18 CLA Numbers Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Lancaster 179 174 180 176 175 180 185 198 Fylde & Wyre 150 152 157 161 163 167 168 172 Preston 299 294 305 316 322 349 333 338 Chorley & S Ribble 262 259 259 260 269 244 279 277 West Lancs 123 126 134 134 131 127 127 131 Burnley 267 270 270 274 265 262 259 265 Pendle 219 223 224 224 220 216 213 209 Rossendale 97 100 102 103 102 103 105 109 Hyndburn & Ribble Valley 238 243 243 249 250 244 240 241 Other 134 145 147 154 162 161 155 145 LANCASHIRE 1968 1986 2021 2051 2059 2053 2064 2085 CLA - Rates Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Lancaster 65.9 64.1 66.3 65.0 64.7 66.5 68.4 73.2 Fylde & Wyre 44.3 44.9 46.4 47.5 48.1 49.2 49.5 50.7 Preston 96.3 94.7 98.3 101.2 103.1 111.7 106.6 108.2 Chorley & S Ribble 56.9 56.3 56.3 56.0 58.0 52.6 60.1 59.7 West Lancs 55.7 57.1 60.7 60.8 59.4 57.6 57.6 59.4 Burnley 134.4 135.9 135.9 136.1 131.6 130.1 128.6 131.6 Pendle 103.7 105.6 106.1 105.5 103.7 101.8 100.4 98.5 Rossendale 63.2 65.1 66.4 66.8 66.2 66.8 68.1 70.7 Hyndburn & Ribble Valley 78.5 80.2 80.2 81.9 82.2 80.2 78.9 79.2 Other Service Areas LANCASHIRE 79.7 80.5 81.9 82.7 83.1 82.8 83.3 84.1  Some overarching challenges • Cost to LCC of high and increasing rate of CLA • High NEET rate at county level and particularly high in certain districts who also have high CLA rates • Risk of NEET high in Lancashire: – Very low proportion of CLA achieving expected standard in Reading, Writing & Maths at end of KS2 – CLA school absence rate higher than national average for CLA – Rate of CLA higher than statistical neighbours • Research shows poor intermediate and life trajectory outcomes for children in care - and also those with CIN and CPP designations. • Research showing that educational outcomes can remain poor once children leave care if family resilience and health functioning remains challenging. Social Care Perspective of Edge of Care Service Operational, targeted areas and challenges Vicky Gent and Chris Coyle Operational overview • Childrens Social Care in Lancashire is organised into three distinct localities, Central, North, and East. Within each locality there are districts. • Three districts in Central, Preston West Lancs and CSR. • Two districts in the North, Fylde and Wyre and Lancashire • Four districts in East, Pendle Burnley HRV and Rossendale. Social Care Perspective of Edge of Care Service– Operational, targeted areas and challenges • Lancashire as a whole is an area with high rates of CLA. • As of Nov 2018 Lancashire Look after 2069 children. • This equates to a rate of 83/10,000 • The national average is 64/10,000 • Consequently there are an additional 470 children are in our care than if we achieved the national average. However there is significant variation in the 9 operational districts of Lancashire Fylde and Wyre rate of 51/10,000 of Children Looked After Burnley has a rate of 129/10,000 of Children Looked After Variation across LCC of CLA age profile Locality variations Age Group East Central North 0-4 36.8% 36.7% 32.9% 5-9 28% 21.4% 26% 10-15 23.3% 24.3% 28.8% 16+ 11.8% 17.3% 12.3%  Locality Variations • East have accommodated a higher percentage of Children in the 0-4 age group • North accommodates a higher percentage of 10-15 year olds • Central accommodates the highest percentage of 16 plus children. • However within each locality there is also distinct district variation. For example the high number of primary age children accommodated in Pendle There are though key similarities • The majority of children and young people enter the care of the Lancashire due to issues of neglect and emotional abuse • Areas with the highest levels of deprivation as identified in the English Indices of Multiple Deprivation 2015 • Deprivation is strongly correlated to Child Abuse and Neglect (JRF 2016) • Does the relatively high rate of Home Placements in Lancashire link to this? Challenges • Increasing CLA in Lancashire is a significant challenge • There is clearly a concerning cost issue as a result • The demand of increasing CLA shifts resource away form effective preventative work. • More importantly the increasing demands on staff makes it hard to achieve positive outcomes for children and young people • Increasingly difficult to source appropriate placements for these young people especially those aged 13 to 16 • They make up a smaller proportion of those accommodated however they are the young people we have least positive impact upon for the highest spend. Currently Edge of care offer in Lancashire is not fully developed. Education Perspective of Edge of Care Service Local context , importance of addressing education, reading age outcome. Steve Belbin Lancashire: a county of contrast Most advantaged Most disadvantaged Free School Meals 11.4% 34% SEND 9.8% 15% Multiple Deprivation Index 8.8% live in the bottom 20% of wards nationally 54.5% of pupils live in the bottom 20% of wards nationally Children Looked After 3.9% of all CLA pupils 14% of all Lancashire's CLA pupils Permanent Exclusions 4 25 Days lost (primary) 44 401 days lost  Standards of achievement in Lancashire: Overall summary Overall standards of achievement are good, but with known areas for improvement. Impact in reading, especially for certain groups. Key priorities: • White British, boys, FSM, SEND, CLA • Early language, communication, reading. Education Endowment Foundation: January 18 The attainment gap 2017 Data from the Education Policy Institute (EPI) shows how disadvantaged children fall further behind as they progress through the different phases of their schooling. • At the early years phase there is a 4.3-month gap between disadvantaged children and their classmates; • this more than doubles to 9.5 months by the end of primary schooling. • By the end of secondary schooling it has grown to 19.3 months. • At age 16 the average Attainment 8 (attainment across 8 GCSEs) score of disadvantaged pupils is 41.1, compared to a score of 53.3 for all other pupils. Lancashire: 35 A third of eligible children nationally – those from the poorest 40% of society – don’t currently take up funded provision at age two and a tenth of poorer families don’t take up their entitlement at age three.  Foundation Stage 2016 2017 2018 Lancs 69.2 69.4 69.7 NW 67 68 69 England 69 71 72  SEN in Prime Goals SEN Support Listening and Attention Understan ding Speaking Moving and handling Health and self-care Self- confidence and self- awareness Managing feelings and behaviours Making relationshi ps 2017/18 41.3 40.4 36.7 49.6 55.7 51.9 44.4 49.5 2016/17 47.2 45.4 37.6 52.0 61.0 54.7 51.7 56.0 2015/16 42.2 41.0 35.2 49.4 57.1 49.4 46.1 48.1 Fall in each prime goal. Results fell most in Managing feelings and behaviours (-7.3ppts) and Making relationships (-6.5ppts). Attainment is least secure in Speaking, with fewer than 40% of children with SEN support reaching this milestone annually. Attainment fell by at least 5ppts in both Listening and Attention and Understanding. Key Stage 1. Combined R/W/M 2016 2017 2018 Lancashire 61% 63% 64% National 60% 64% 65% North West 61% 62% 63%  Groups. Disadvantaged Pupils 1% to 48% combined R/W/M FSM pupils up 1%, 44% to 45%. There is a three year trend of improvement amongst FSM pupils. Standards amongst CLA pupils fell overall and in each subject. 33% of CLA attained combined R/W/M, a fall of 14% and the lowest in three years. Standards of attainment of SEN (all) fell in 2018, from 25% in 2017 to 24% in 2018. SEN (support) down 1% SEN (EHC) down 2%. Bangladeshi: up 6%, Pakistani-heritage: up 2% 10% gaps between highest performing districts and lowest Key Stage 2. Combined R/W/M 2016 2017 2018 Lancashire 54% 61% 64% National 54% 61% 64%  Pupil Progress Progress measures 2016 2017 2018 Reading -0.27 -0.09 0.1 Writing 0.5 0.28 0.18 Maths -0.03 0 0.17 Three year trend of improvement in reading and maths. Above the national average. Down your way: the 8% club.  KS4 Standards at the end of KS4 are above the national average. Basics (EM): Grade 4 rose from 64.8 to 65.7%. Above N/A (64.3) & NW (63.7%). G5: rose from 42.8% to 44.2%, above the national and North-West average. A8 scores: up 45.7 to 46.2. In line with N/A & NW Statistical neighbours up, 6th Attainment 8 scores Total A8 Non-FSM FSM Lancashire 47 50 35 District a 38 43 30 District b 41 43 34 District c 43 46 35  Progress 8 scores Total P8 Non-FSM FSM Lancashire -0.3 -0.1 -0.6 District a -0.4 -0.1 -0.8 District b -0.1 0 -0.4 District c -0.2 -0.1 -0.4  Overall summary Overall standards of achievement are good, but with known areas for improvement. Key priorities: • White British, boys, FSM, SEND, CLA • Early language, communication, reading. As our partners..... SEND, DAPs, White British, Boys, Transience Known to CSC Exclusions CLA  Commissioning Intensions Paul Riley (Outcomes UK) Commissioning • Cohorts & outcomes • What young people said • Impact framework • Outcomes based contracting & Social Impact Bond • Payment metrics • Learning and continuous improvement Variation across LCC of CLA rate Location CLA No. <18 Rate SN Comparison %KS2 NEET 16/17 Lancaster 216 27,150 79.6 Higher 62.0 6.5% Fylde 66 13,963 47.3 Lower 66.0 3.4% Wyre 99 19,903 49.7 Lower 65.0 3.8% Sub-total 381 61,016 62.4 vs median Preston 336 31,036 108.3 Higher 58.0 8.2% Chorley 129 23,398 55.1 Lower 66.0 5.1% South Ribble 126 22,626 55.7 Lower 64.0 4.6% West Lancashire 116 22,070 52.6 Lower 65.0 3.7% Sub-total 707 99,130 71.3 vs median Burnley 249 19,871 125.3 Higher 53.0 5.6% Hyndburn 195 18,546 105.1 Higher 59.0 5.3% Pendle 202 21,117 95.7 Average 55.0 4.1% Ribble Valley 45 11,761 38.3 Lower 69.0 2.0% Rossendale 97 15,351 63.2 Lower 61.0 4.9% Sub-total 788 86,646 90.9 vs median Other 75 Lancashire 1951 246,792 79.1 61.0 5.0% DfE/LCC Business Intelligence 2018  Cohort & Outcomes Sub-cohorts: a) 5-9 years old diverted from entering care b) 10-15 years old diverted from entering care c) 5-9 years old reunited from care d) 10-15 years old reunited from care   What young people said • The right care and support – flexibly applied • Training parents – strategies to cope / parenting skills • Transport – for education, positive activities & social networks • Support to access education / training that meets individual needs • Support in functional skills – managing in the home and society • Encourage and enable healthy living • Support groups and positive social networks • Homes adapted where physical disabilities and LDD, and staff experienced and had relevant training Impact Framework • Payment Metrics for the Referred Child • Non-payment Metrics for the Referred Child • Non-payment Metrics for Siblings • Local Social Value Metrics Outcomes based contracting & Social Impact Bonds This service will be 100% payment against outcomes The contract will need some form of SIB structure Beneficiaries Further information: Social Investor  Payment Metrics for the Referred Child The Provider will drive better outcomes for the referred Child through measuring and setting targets for improvement in at least the following: i. Stability at home (Measured by days of care avoided) ii. Improved Family Functioning (Measured by level of improvement in Outcomes Star scores, e.g. Family Star Plus and My Star) iii. Educational engagement (Measured by percentage reduction in unauthorised absence) [Evolve to reduction in lateness? ] iv. Improved reading skills (Measured by improvement in reading age beyond level forecast by school) [Evolve to vocabulary focus?] Non-payment Metrics for the Referred Child The Provider will drive better outcomes for the referred Child through measuring and setting targets for improvement in at least the following: a) Educational engagement (Measured by duration of fixed term and permanent exclusions) b) Educational attainment (Measured by improvement in levels or assessment and/or qualification attainment) c) Mental health, emotional wellbeing and pro-social skills (Measured by use of tools such as Strengths and Difficulties Questionnaire) d) Engagement in high risk behaviours (A range of measures covering issues such as anti-social behaviour, going missing, offending, substance misuse, gang involvement, risk of pregnancy, risk of exploitation) e) [DN: Others to be determined between the Parties prior to Contract] Non-payment Metrics for Siblings For siblings in the same household the Provider will track the following, as appropriate: a) Improved Family Functioning (Measured by level of improvement in Outcomes Star scores, e.g. My Star) b) Educational engagement (Measured by level of unauthorised absence and duration of fixed term and permanent exclusions) c) [DN: Others to be determined between the Parties prior to Contract] Local Social Value Metrics Provider will commit to and track progress against the following local social value measures: a) Non-referred children able to benefit from the improvement in reading skills related interventions delivered by the Provider (Measure number & progress). b) Agreed measures from the latest version of the National Themes Outcomes and Measures framework e.g.:  More local people in employment - NT1 and NT2.  More opportunities for disadvantaged people - one or more of NT3-6. (e.g. care leavers, disabled, ex-offenders, NEETs)  Improved employability of young people - NT11. (e.g. opportunities for apprenticeships and paid internships)  Continuous Improvement Life Chances Fund commitment to share learning Independent evaluations: a) application of the SIB mechanism as an approach to achieve LCC’s objectives ( LCC) b) efficacy and impact of its chosen service model and interventions (Provider) Contract management: – Data and narrative informed – Holding Parties to account for their performance – Joint problem solving Any Questions? Procurement Strategy Procurement process, timescales and guidance Kirsty Harrison 07/09/2018 Procurement Part 1 – Procurement Guidance Part 2 – Oracle iSupplier Portal Procurement Contacts Kirsty Harrison [email protected] Category Manager (Care Services) [email protected] Procurement Information Management Team  Introduction The purpose of this Procurement briefing is to support you through the potential tender process, implement fairness and transparency and create an open networking opportunity for all. The Council reserves the right to amend what is set out today and any procurement process will be conducted only in accordance with the procurement documents that are published. Part 1: Applicable Legislation EU Directives (Public Sector Procurement Directive 2014/24/EU) UK Legislation (Public Contracts Regulations 2015 SI 2015/102) • The Council is required by law to tender services at regular intervals to encourage competition and value for money. • Finding New Opportunities All of our council tenders are advertised on the Council’s tendering portal and on Contracts Finder To access the Supplier Portal to view tender documents and respond to active tenders you must register. • • • Links in Part 2 of the It is free to register. presentations  Chosen Procurement Process Competitive Procedure with Negotiation • It is intended that the Council will not specify the interventions to be used. known as a ‘black box’ approach, which is one of the ways in which a payment by results contract can be designed:  Encourage innovation  Optimum choice if proven interventions for the desired outcomes and target cohort • Therefore we intend to use a procurement process which will involve the option to negotiate tenderers proposal to improve and refine their content. • More information about the negotiations will be published in the tender documents Next Stages: Procurement Process 1 Procurement Planning Market Analysis, Engagement, Feedback and Review Stages 2 Publication of the Tender Selection Criteria, Award and Price Criteria, Specification and additional requirements will be explained in the documents 3 Selection Stage Evaluation 4 Feedback on whether you have been successful at award stage 5 Initial Evaluation of Award Criteria 6 Notification of Negotiation (Optional) 7 Issue Final Tender (if negotiation took place) 8 Tender Evaluation and Award of Contracts 9 Mobilisation / Setting up Period  Indicative Dates Invitation to Tender (Selection & Award) issue date Jan / Feb 2019 Initial Tender Return Deadline Feb / March 2019 Selection Criteria Evaluation March 2019 Outcome of selection criteria notification March 2019 Tender Evaluation & Negotiation (optional) April 2019 Issue Final Tender May 2019 Final Evaluation June 2019 Award of Contract July 2019 New Service to Commence End of Sept 2019 These dates are an approximate guide only and are subject to change at the Authority's sole discretion. Any significant changes to the procurement timetable during the tender process shall be notified to all Tenderers as soon as practicable. Changes to these dates will be notified to Tenderers via the means of the online discussions function within the e-Tendering system when the tender is live. Dates communicated to Tenderers via these means take precedent over the dates listed in the above table.  Evaluation Criteria Evaluation Criteria (Selection and Award) Selection criteria (formerly referred to as PQQ) • Pass/Fail • Selection – Business Standing, Financial Standing, Technical and Professional ability – Demonstrate you meet minimum requirements Award Criteria • Most Economically Advantageous Tender – Based on a Quality and Price Ratio • Award Stage Questions – Demonstrate how you will deliver the requirements. • A cross-cutting panel of experts assess responses and give scores. • A scoring matrix will be used to assess answers. Price Evaluation Forms part of the Award Criteria - Price/Quality ratio will be confirmed within the tender documents. Tenderers will be required to submit a price. Please refer to the tender documents, where further details will be provided. General Information • The Council intends to award one Contract to cover delivery of Service across Burnley, Hyndburn, Pendle and Preston areas of Lancashire. • Contract is intended to be for a total of 7 years Operational period for accepting referrals will be 5 years Remaining 2 years to enable outcomes to be realised Contract break clauses Bidding Model Think about your organisation’s bidding strategy? The Council will only contract with a single legal entity • Are you considering to bid alone (as a single provider)? • Are you considering to form a consortium? • Will you need a Social Investor? • Will you bid as a Special Purpose Vehicle? • Are you considering/reliant on a subcontracting arrangement? Consider: • As part of the tender process you will be required to submit a copy of the agreement between consortium members/service provider(s) – social investor • Start planning early Simultaneous Competition Where a Tenderer is affiliated to more than one bidding model for example; • Consortia, • Subcontracting arrangements, • Special purpose vehicles, • or as an Individual Tenderer, then the Tenderer is under an obligation to ensure that such arrangements do not detract from its ability to service the Contract. LCC’s Consortium Exchange Lancashire County Council would like to make it easier for suppliers to form consortia with a view to bidding on any tender process. What is the Consortium Exchange? • An open on-line directory for like-minded organisations to share their contact details. • The opportunity to work together is available to suppliers of any size and any type including SMEs, large business, voluntary, faith, third sector or social enterprise. • To have your details added, just reply to us at the email below with the following details: – Your organisation's full name; contact person, phone number, email and address. – Your sector of work and a description of the opportunities you might be interested in. • Your details will be published on LCC’s website, and you can remove them at any time by contacting us at the following email address: – [email protected] Please note: use of the Consortium Exchange is optional, LCC does not endorse any particular bidding model. How you bid is your choice.  Key Points • Register on the Oracle iSupplier e-Tendering system at the earliest opportunity. Go on and search for “Oracle”. Takes you to straight to registration page. • For technical support issues and for support with registering on Oracle iSupplier, dial - 01772 534966 (option 2). • For guidance on navigating the system to locate the tender dial - 0300 123 6701. • For written guidance on using the system, including finding tenders and how to submit your tender to us, you can use the quick guides ( . • Use “on-line discussions” feature within Oracle iSupplier for clarifications on the tender content or questions about the service. Please do not email officers directly. This is to ensure transparency. • Remember to check online discussions facility regularly throughout the tender process. Bidders’ clarification questions will be published along with responses from Lancashire County Council.  Hints and tips – Do • Read the entire tender documentation. • Finalise agreements between parties early (if appropriate) • Read all clarification responses - the system will allow Tenderers to resubmit their bids before the deadline. • Dedicate time to write your submission and use the expertise within your organisation, it is advisable to have someone else check through before submitting. • Address the exact requirements of the contract – specification, evaluation criteria and weighting. Cover the minimum requirements within each Award Criteria question as a minimum. • Give correct information in the format requested. (found in the Award Criteria Questionnaire) • Demonstrate skill and capacity. • Demonstrate your strengths and advantages. Hints and tips – Don’t • Miss deadlines – we cannot accept late submissions - Start early. • Canvass Council staff – this could lead to exclusion of your bid. • Assume, leave gaps or give ambiguous information – we can only assess the information or responses provided. • Promise what you can’t deliver – responses to Tender form part of the final contract. • Use generic and stock responses – show that you are addressing the contract requirements. • Insert marketing material unless instructed. • Exceed the word/character counts provided- any information submitted which exceeds the word/character count will not be considered at evaluation stage. Part 2: Oracle ISupplier Portal  Your Oracle Self Service It is important to keep your Oracle record up to date. This minimises the risk of missing any email notifications or delaying payments. This can be done via iSupplier using the admin section or by contacting the iSupplier Support Team. The most important information to update is: • Email address (user account). • Banking details. • Contact telephone number. ORACLE ISUPPLIER GUIDANCE Access the e-tendering iSupplier system via: &pageid=41137&e=e Access the Oracle iSupplier guidance via: &pageid=41143&e=e  Clarifications • Clarifications also known as ‘Online Discussions’ within the system are queries submitted by Tenderers regarding the tender • All clarifications must be sent via the online discussions function, any clarifications sent outside of the system will be redirected to the portal • The Authority will respond via an online discussion which will be available for all Tenderers to view for transparency. • Tenderers will receive a notification via the system when a new online discussion is published by the Authority. RFQ Amendments Request for Quote • Amendments are made to the RFQ when The Authority make any changes to the tender. For example if new or updated documents are uploaded an amendment will be made on the system. • Tenderers will receive a notification via the system when an amendment is made and the system will identify the changes. • The new RFQ will have a comma followed by a version number for example: RFQ 15144481,2. • Tenderers must submit new clarifications to the most recent RFQ version and if you have already submitted a bid to a previous version it must be resubmitted to the new version. • All previous clarification responses will be attached via an online discussion to the newest amendment. Any Questions? Break and Refreshments Group Workshops • Task 1 – Service Specification With reference to the Authority's service specification; What are your views on the Authority's proposed approach? Please identify the positive aspects? Would any aspects of the service specification cause your organisation issues? If so, please identify the aspects which would cause issues and explain why. Is there anything in the service specification which is an absolute deal breaker and would contribute towards your organisation not bidding? Group Workshops • Task 2 - Impact Framework- Metrics With reference to the Authority's outcome framework; What are your views on the proposed payment metrics and mechanism, including the key risks that would be costed, any perverse incentives that may be created and relative weighting of each metric payment? What are your views on the proposed beneficiary non-payment outcomes? What are your views on the proposed family non-payment outcomes? What are your views on the proposed local and broader social value metrics? What specific comments do you have on the Government Social Impact Bond template contract? Group Work Feedback You can provide feedback using the online questionnaire access via this link: procurement/tenders/lps-care-provision-of-outcomes-based- commissioning-of-edge-of-care-services-social-impact-bond/ Please also use this link to keep up to date with further details  Questions and Answer Session Networking Opportunity Thank you for attending