9780415247436

Commissioning and Purchasing

by ;
  • ISBN13:

    9780415247436

  • ISBN10:

    0415247438

  • Edition: 1st
  • Format: Nonspecific Binding
  • Copyright: 2001-11-16
  • Publisher: ROUTLEDGE

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Summary

This much needed guide to commissioning and purchasing in social care provides case studies, guidelines, and checklists to help readers to assess need, develop care plans and select suppliers of care. It clearly explains:* the reasons for the shift to commissioning and purchasing away from direct provision* the distinction between commissioning and purchasing* how to ensure that the commissioning and purchasing process fully reflects the views of users and carers* contracts and tenders* costs and prices in relation to providing quality care* how safeguards can be built into the commissioning and purchasing process.This is a practical book that focuses on the practical skills required to deliver effective care. It has been written for social care students, frontline staff and their managers to help them through the process.

Table of Contents

Figures and tables
ix
Case studies xi
Acknowledgements xiii
Introduction 1(2)
Putting purchasing in context
3(15)
Objectives
3(1)
The role of social services departments
3(1)
The growth of the private sector
4(1)
The enabling role
5(3)
The drive to externalize services
8(2)
Organizing social services
10(1)
Commissioning
11(2)
The growth of the contract culture
13(3)
Key points
16(1)
Key reading
17(1)
Commissioning
18(30)
Objectives
18(1)
Micro-commissioning
18(2)
Social care planning
20(1)
Strategic commissioning
21(3)
Commissioning skills
24(4)
Joint commissioning
28(4)
Key points
32(1)
Key reading
32(1)
Involving users and carers
33(1)
Objectives
33(1)
The rights of users and carers
33(1)
The social model of disability
34(2)
The spectrum of involvement
36(3)
From consultation to participation
39(2)
Getting users involved in decisions
41(1)
Taking control through direct payments
42(4)
Key points
46(1)
Key reading
47(1)
Care management
48(18)
Objectives
48(1)
The development of care management
48(3)
The components of care management
51(10)
Who are the care managers?
61(2)
Multi-disciplinary approaches to care management
63(2)
Key points
65(1)
Key reading
65(1)
Contracting
66(17)
Objectives
66(1)
When do you need a contract?
66(1)
Knowing what you want
67(5)
Preferred provider lists
72(1)
Tender documentation and selection
73(3)
Contract conditions
76(1)
Monitoring contracts
77(1)
Default
77(2)
Service agreements
79(1)
Contract extensions
79(1)
Not quite 57 varieties
80(1)
Key points
81(1)
Key reading
82(1)
Costs and prices
83(14)
Objectives
83(1)
Direct costs and overheads
83(2)
Marginal costs
85(2)
The three Es
87(2)
Cost-benefit analysis
89(1)
Costings in tenders: cautionary tales
90(4)
Glossary of financial terms
94(1)
Key points
95(1)
Key reading
96(1)
Purchasing quality care
97(14)
Objectives
97(1)
The dimensions of quality care
97(1)
Building quality into the contract
98(5)
Building collaboration on quality
103(2)
National standards
105(3)
Accreditation mechanisms
108(2)
Key points
110(1)
Key reading
110(1)
Next steps in commissioning
111(15)
Objectives
111(1)
Achievements and failures
111(1)
The mirage of structural solutions
112(1)
Mistrust of local government
113(1)
Social services failures
114(1)
The NHS plan
115(2)
Issues for commissioners
117(3)
A new set of skills
120(3)
Perils and pitfalls
123(1)
Commissioning in 2005
124(1)
Key points
125(1)
Key reading
125(1)
Activities: Pointers to the issues
126(7)
Bibliography 133(3)
Index 136

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