Decision Maker: Corporate Director of Health and Adult Services
Decision status: Recommendations Approved
Is Key decision?: Yes
Is subject to call in?: Yes
To consider a series of proposals around
Shared Lives systems and processes to be potentially implemented as
part of the new Shared Lives Operating Model commencing 1st
It has been agreed to procure the Shared Lives
Scheme with a revised operating model which includes an evaluation
tool to support assessment for new placements with refined payment
terms for Shared Lives Carers
To procure an efficient and effective Shared
Lives service in North Yorkshire with a revised operating model - a
model that achieves excellent outcomes for people and communities
and adds value to the supported accommodation pathway. In order to
procure the service a review of the operating model has been
completed and as a result, a revised operating model was put
forward for decision to ensure the service is visible, accessible
and deliver meaningful outcomes for people. The revised operating
model includes the introduction of a new Shared Lives Placement
Evaluation Tool. This will help to better understand
individuals’ strengths and abilities as they enter the
service, ensuring that the service builds on those strengths and
that the person achieves more meaningful outcomes through their
Shared Lives placement. The tool has been designed by the Shared
Lives Steering Group, drawing on national best practice.
A Simplified carer payment model with paid carer break.
The current payment process for Shared Lives carers is complex and confusing, with multiple payment levels for different tasks. Care and support colleagues, and carers themselves, find the model difficult to understand. The new operating model will simplify the payment process including a 1 week paid break for carer respite. The payment took has been designed to ensure that carers income will slightly increase whilst maintaining the contract value.
The decision to procure the service with a revised operating model will simplify and standardise the current payment model so it is easy for carers, practitioners and the new Shared Lives provider to understand and apply consistently. It will also ensure payments are more directly aligned to the cared for person’s assessed needs, ensuring fairness, equity and transparency and introduces a paid carer break of one week.
Shared Lives remains significantly less expensive than other forms of accommodation with care, with good outcomes for people, the procurement will include a clear ambition to the market for the services to further develop and grow over time.
Alternative models of commissioning had been
considered and rejected at Executive meetings in July 2022. This
paper submitted a singular proposal to offer added value to a
previously agreed approach
Publication date: 14/03/2023
Date of decision: 10/03/2023
Effective from: 20/03/2023