Commissioning delivery plan
Within 2 years the Council will:
- Preventative services – Recommission mental health preventive support services informed by co-production with experts by experience and other stakeholders.
- Trialling new approaches – Explore and test innovative commissioning approaches through personalised 1:1 engagement with providers, fostering collaboration and seeking tailored solutions.
- Greater use of assistive technology – work with providers to embed Assistive Technology in their care and support models to enhance their promoting independence approach and improve outcomes and efficiencies.
- Support individual transition planning – Develop a model which supports individuals in transitioning through a care pathway designed to meet their evolving needs and aspirations, rather than confining them to static placements without room for growth.
- Develop pathway model – Re-assess our approach to commissioning and how we move away from sourcing traditional placements to pathways.
Up to 5 years
Optimise our capacity our preferred model is to support people to move on to create additional capacity for those with higher level needs to receive appropriate and timely support. Further develop our care and support market to drive forward our ambitions and implement the outlined changes testing innovative commissioning and review approaches that foster a dynamic marketplace, empowering individuals to participate in adaptable care pathways that prioritise aspirational outcomes over static placements. Where necessary and affordable we will expand our infrastructure to meet increasing demand with a plan to develop the following.
1. Create capacity through enabling timely progression through and out of services – Our preferred model for building capacity in a sustainable way is to create move-on opportunities as part of pathways, with short, medium and long-term planning on an individual basis to prevent people becoming stuck in high levels of support for longer than necessary. Moving people on in a timely manner will create capacity at the more intensive end for new people entering the system or for those in crisis.
2. Facilitate innovation in the care market - Further develop our care and support market to drive forward our ambitions and implement the outlined changes, testing innovative commissioning and reviewing approaches that foster a dynamic marketplace, empowering individuals to participate in adaptable care pathways that prioritise aspirational outcomes over static placements.
3. Expanding specialist infrastructure when required – Where necessary and affordable, we will expand our infrastructure to meet increasing demand with a plan to develop the following:
a) Respite and emergency services – Develop flexible respite and emergency solutions to provide short-term relief for individuals and caregivers, promoting stability and continuity of care and ensuring people have the support they need in a crisis.
b) Transition out of care schemes – Facilitate successful moves out of social care by establishing three schemes of up to 12 flats with small numbers of support hours which steadily reduce as people complete the final steps to independent living.
c) Specialist supported living – Commission a small number of supported living schemes able to support people with specific needs not currently well catered for in Coventry. These will include:
- 12 self-contained flats designed to support autistic people where mental health is the primary concern.
- 12 places for people with very complex, risky or forensic needs. These are likely to be across several schemes with some lower need beds also.
d) High needs scheme – Commission one high needs scheme of up to 6 beds for younger people transitioning from children’s services with extremely high support levels.
e) A new model of support – Develop an innovative solution for people for whom existing models have been unsuccessful.
f) Housing with care – Develop up to 10 housing with care places for people with mental health issues who will need continued support as they age.
g) Early onset dementia beds – Commission up to 6 dementia beds specifically for people aged under 65 which are responsive to the specific challenges this group face when they develop dementia.