Commissioning and Purchasing

by Bamford; Terry

• ISBN13: 9780415247436
• ISBN10: 0415247438
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2001-11-16
• Publisher: ROUTLEDGE

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