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Coproduction and Engagement

Cornwall Council and NHS Kernow are due to recommission a new contract for Home Care Services later this year.

The services are commissioned for adults over the age of 18 years who have eligible health and/or social care needs and include people with physical disabilities, learning disabilities, sensory loss and age related needs.

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The Council’s current Framework Agreement is due to expire in June 2018 and the Commissioning Team co-designed a new service delivery model, with service providers and other stakeholders.

The new service model aims to deliver:

  • The best outcomes that people want for themselves
  • Good quality support
  • County-wide accessibility
  • Compliance with legislation and regularity requirements
  • Individuals to have control over the type of support they access to improve their health and wellbeing
  • Individuals to feel safe in their own homes
  • Good information, advice and guidance
  • Works in partnership with all support services providing choice of types of support available to people
  • Works in partnership to support the health and social care system eg, Acute and Community Hospitals, GP Services, Ambulance Services and NHS Services in Cornwall and Social Care.
  • Value for money
  • April-July 2017 –Co-production Opportunities with
    • Care Businesses
    • People receiving services
    • People who may require services in the future
    • Health and Social Care Partners
    • Other Stakeholders
  • July 2017 – Market Update:  Service Design progress
  • November to January: potential Procurement Period
  • Early 2018 – Contract Awards

Throughout April, May, June and July 2017, our team have been involved with organising engagement sessions, focus groups and co-production workshops to help us formulate new ideas and new ways of doing business to enable us to develop better outcomes for people who use Home Care Services.

These sessions and workshops have been extremely successful and have helped understand the position of the market and what the future model of care could look like.

April – June 2017 - Coproduction Opportunities with:

  • Care providers
  • People receiving our services
  • People who may require services in the future
  • Health and Social Care partners

Care Providers

  • 9 provider engagement focus events
  • Locations – Redruth, Camborne, Bodmin and Truro
  • Care at Home/ Supported Living Market update event St Erme, Truro, 2 May 2017 and 13 July 2017

Discussions were focussed on addressing key challenges such as:

  • Shortage in carers
  • Geographical challenges
  • Travelling time
  • Low hourly wage/ competition from local stores
  • Transport and parking
  • Seasonality / busy areas to get to
  • ECM system
  • Loosing trained workers to hospitals
  • Negative media perception

Challenges for commissioning:

  • County-wide coverage
  • How to attract more care workers and increase the felling of job satisfaction
  • Cost of care
  • Staff training
  • Limited funding
  • Trained carers used for domestic tasks
  • Improving media perception

Cornwall Council and NHS Kernow held a Market Update Supplier Event for Care at Home and Supported Living Services on 13 July 2017.

The event was held to discuss information about the Service Design Models for Cornwall and a timetable for tendering.  The Event raised exciting discussions about the challenges ahead, how things can be done differently and the way forward in Home Care and Supported Living in Cornwall.

The event included: 

  • Introduction with Jonathan Price – Adults Commissioning and Transforming
  • Partnership Working with Bernie Edwards General Manager NHS Kernow
  • Proud to Care with Val Smith and Liz Symons, Cornwall Council
  • Supported Living Services – Vicki Allan, Commissioning Manager, Cornwall Council
  • Home Care – Karen Hooper, Commissioning Manager, Cornwall Council

Proud to Care

Proud to Care are an organisation supporting the South West to attract Care and Support workers to the sector. Proud to Care came to the Market Event to discuss their new regional campaign and what it is designed to do.

Copies of the notes and presentations of the sessions are available below:



  • Flexible Service Delivery Pilot
  • 6 Service User engagement sessions in the St Ives, Falmouth, Camborne and Truro areas
  • Carer engagement sessions
  • Day Centre engagement sessions in Newquay
  • On-line survey for individuals or use the service or who may be using the service in the future
  • Royal Cornwall Show 8-10 June 2017

General issues discussed:

  • What is important about staying at home
  • What is the main thing that helps you stay independent in your home
  • Are you happy with the care provided in your home
  • Do you think local communities and organisations could help support you
  • Do you use equipment to help you remain independent at home
  • If you need equipment would you know who to contact

Social Care Partners

  • 7 meetings with Social Services staff members
  • 2 hospital discharge team engagement sessions

General issues discussed:

  • Lack of provision county-wide
  • Shortage in carers
  • Hospital discharge – delayed transfers
  • Carers to be more valued and have more responsibility
  • Carers to have more training especially with equipment
  • Processes are too slow
  • More personalized packages of care

Commissioners are in the process of developing a Market Position Statement for Home Care in Cornwall together with an overall Market Position statement of Social Care in Cornwall.  This will be available to view on the website soon.

Stakeholder Engagement & Co-Production Report

Commissioning Intentions Report

  • The Commissioning Intentions Report, which will be available shortly, is aimed towards improving individual and strategic outcomes and supporting people to live in their own homes independently for as long as they wish.  This could be achieved by developing high quality services that are flexible and give people choice and control over how their care and support is provided.