Sunday 16 February 2020

Clarity needed on Adult Day Care 'savings' and the impact on providers and users

The proposed Council Budget includes 'savings' (rather than 'cuts') in Adult Day Care which as usual are said to have no impact on users.

The reported approved by Brent Cabinet that will go to the Full Council Budget Seeting Meeting states LINK:
Proposed savings

Current externally commissioned day care in Brent is commissioned according to an old fashioned and out of date model. The majority of provision is expensive, building based and does not offer choice and control to service users. Additionally, there is an over provision of traditional day care in Brent, meaning that providers are not transforming their services, and often wish to increase their costs to the Council to make up for low take up of their services.

The commissioning service are working with providers to redesign the service into a new model, that supports more choice and control and promotes less building based provision. Public Health outcomes will be built into the recommissioned service.

How would this affect users of this service?

The proposal is not to cut services or to reduce the amount of provision that individuals receive, but rather to transform the existing provision so that it is more efficient and cost effective. Users may be impacted through having to move to a different service provider, or adapting to a different form of non-building based provision, but the overall level of service individuals receive should stay the same in most cases. Although some people may find that transition challenging, a more innovative approach to day service should deliver better outcomes.
John Healy of Brent Advocacy Concerns, thought that this would lead to some existing Day Care Centres having to close but on Friday evening was told by a Council officer that 'there are no plans to close any Day Centres.'

John had emailed Brent officers and Cllr Neal Nerva earlier to request further information and having had at the time no reply contacted Wembley Matters:
I have been emailing the officer in charge of Commissioning and Cllr. Nerva, who chairs The Disability Forum for more information about this new model but neither of them have replied..

Maybe you could ask the council Martin about the plans for this new model, as this affects hundreds of the most vulnerable Brent residents.  The council say the big risk is not to current users but to the market providers, as they may not wish to deliver services away from the current building based model, or to continue to deliver services with £1M. less than current contracts give them, while at the same time having to meet the extra costs of paying the London Living wage to their workforce in any new contract.

So what might the council do if no providers come forward, as they set out a tender last year but no one expressed interest and now this is a re-commissioning of services. The previous contract was to save £1.5M. over 2 years (£750K in 2019/20 & £750K in 2020/21).

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