Sustainable Procurement Tools

Considering the extent of potential benefits, it was agreed the next procurement for care at home services would make the shift to outcomes-based commissioning, supporting providers to deploy staff for full shifts without significant periods of downtime.

• service users can be supported in a more holistic manner to improve their health and wellbeing, with this reablement approach assisting providers to deploy staff for full shifts without significant periods of downtime.
• Support Fair Work practices by paying providers for full shifts on a permanent basis beyond 31^st March 2023, and strengthening Fair Work principles within the terms and conditions of the provider’s contract by making it a requirement that care workers are paid, at least at the rate as detailed in the funding letter, for the full shifts of work they undertake.
• Continue the engagement with providers to ensure any downtime or ad hoc availability is used effectively to meet the outcomes of the people we support, including stepping up care and support when needed to maintain the person at home.
• Continue to monitor the difference between actual contact and shift time so that this is kept to a minimum.
• Monitor additional benefits of this approach including prevention of hospital admission.

The new contract will include the wording in relation to ensure shift payment.

 

Contribution to National Outcomes

This project supports Scotland’s Purpose ‘To focus on creating a more successful country with opportunities for all of Scotland to flourish through increased wellbeing, and sustainable and inclusive economic growth’, and contributes to our national outcomes:

Economy: We have a globally competitive, entrepreneurial, inclusive, and sustainable economy

Fair Work and Business: We have thriving and innovative businesses, with quality jobs and fair work for everyone.

Poverty: We tackle poverty by sharing opportunities, wealth, and power more equally

Human Rights: We respect, protect, and fulfil human rights and live free from discrimination.

Education: We are well educated, skilled and able to contribute to society

Communities: We live in communities that are inclusive, empowered, resilient and safe

Health: We are healthy and active

 

Benefits

Feedback was obtained from service users, care workers, and care provider organisations and analysed to measure what impact the test of change made.

The results of the feedback suggest a range of benefits for the workforce, service users, and the care provider organisations by paying the workforce for full shift:

Workforce benefits

• Greater financial security
• Feeling valued and respected
• Improved motivation and morale
• Reduced anxiety

Service user benefits

• More personalised service
• Continuity of care helping to prevent deterioration or decline.
• Access to rapid support and reducing inequality.

Providers benefits

• Improved recruitment and retention
• Service reliability
• Reputation

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