Disability services: Metropolitan Borough of Dudley Council (2016-present)

Public sector consultancy and PSTA delivery partner RedQuadrant shares a case study in service transformation

We carried out an opportunity assessment across Dudley council’s adult social care directorate annual spend (£110 million) with the aim of identifying potential efficiencies.

We prioritised areas of spend identified through a resources diagnostic and a cultural audit with staff. We developed eight business cases including a greater focus on outcomes within the assessment process and reviews of care packages, revised approach to NHS continuing healthcare and section 117s and investment in targeted prevention services. We ran a series of eight cultural workshops in different localities with staff across the Dudley region and identified current values, beliefs and behaviours and the priority areas to work on. By engaging teams, we were able to recommend a series of workforce development interventions that were designed to improve skills and kick start cultural change.

We are currently project managing the implementation of an all-age disability service for Dudley as well as developing strategies in relation to autism, physical disabilities and employment for people with disabilities. We are also supporting the council in the implementation of the local Multi-Speciality Community Provider programme.

We provided a clear plan to achieve a balanced adult social care budget 2017-20 based on business plans for securing annualised savings of £5 million (which is currently being delivered ahead of schedule with a projected underspend in 2017/18)

 

#agile, #disability-service, #performance-management, #social-care, #transformation

Service transformation in social care: The London Borough of Bexley (2016-present)

Public sector consultancy and PSTA delivery partner RedQuadrant shares a case study in service transformation

As Bexley’s social care transformation partner, we have reviewed business and savings plans across £60 million of annual spend with the aim of identifying potential efficiency opportunities.

Projects have focused on improving contract management, devising and implementing revised transition pathway and rapid response service. We have used an agile methodology to help the council implement new approaches to outcome-based assessments and reviews of packages for working age adults.

We have provided challenge and support to the staff both modelling good practice and reviewing current practice within the service and to lead the re-design process. So far, we have:

  • Reviewed business and savings plans across £60 million annual spend in order to identify potential efficiency opportunities (10% savings identified and required policy changes now implemented)
  • Reviewed performance management of contracts and helped to implement a new approach including incentivisation of providers to reduce care costs
  • Devised and implemented a revised transition pathway with substantial policy and practice changes in relation to triage, joint working and joint care planning
  • Devised and implemented a revised rapid response and discharge to assess service in order to maximise effective use of resources and minimise DToCs
  • Reviewed arrangements for single point of access

#socialcare #transformation #agile #performancemanagement

#performance-management, #social-care