Community Health Providers |

North East

Development of a domiciliary care service that addressed the market failure in social care.

City Healthcare Partnership CIC are a provider of health and care services to people in Hull, the East Riding of Yorkshire and Merseyside. They provide over 50 services in community settings such as palliative care, psychological wellbeing, urgent care and dental services, and have over 1.7m patient contacts each year.

What We Did

The client was exploring the development of a new domiciliary care service to support both Local Authority demand and entry into the self-pay market. They required a clear understanding of market viability, financial sustainability and delivery risks. The project focused on assessing the opportunity, defining a scalable service model, and establishing the operational and financial foundations needed for a successful launch.

What Changed

We performed an in-depth market analysis to determine the need, demand and market for the service, analysing market trends and dynamics, assessing levels of competition, the commissioning landscape and possible barriers and opportunities. This indicated the most attractive option and highlighted the pitfalls of entering this challenging market with significant pressures both on provider financial sustainability, and recruitment and retention.

We worked with service teams to create an overarching service model designed to meet the needs of both commissioners and service users. Through a tailored, strength-based approach to delivering domiciliary care, this model maintains and improves quality of life, wellbeing and independence in one’s own home. The granular operating model detail required to build a multi-segment financial model, which illustrated the financial impact of launching the service.

We also developed an operating framework which established SOPs for referral, assessment, care delivery and discharge whilst ensuring effective integration of the newly procured rostering, scheduling and care planning platform.

Results

The Outline Business Case produced paved the way for the launch of Bee at Home Care, a CHCP run service delivering domestic, personal and complex care. The new service has allowed CHCP to meet its dual strategic objectives of stepping in to provide additional capacity for Local Authority commissioners where required, as well as diversifying its revenue streams through entering the self-pay market.

Close collaboration between the new service and existing community nursing services provided an opportunity to further maintain and improve service user quality of life through its tailored model.

CHCP effectively de-risked the launch through detailed understanding of risk exposure by customer segmentation by commissioner, geography, package of care complexity and delivery vehicle. Central to this was a workforce solution that moved away from zero hours contracts to terms and conditions that would support staff development and retention.

Related Case Studies

BAXCQC

Find out how MDC PCN simply and quickly worked through their CQC registration application

Quality

Supporting a mental health trust to deliver on their CQC Must and Should Dos

Quality

Implementation of a Quality Management System, completion of the Single Assessment Framework and introduction of a new audit schedule and governance framework for Psychiatry UK.

BAXCQC

Helping a specialist fertility service with a full CQC registration support package.

BAXCQC

Helping a dermatology provider navigate CQC registration.

BAXCQC

A collaborative group of practices who work together to focus on local patient care

Quality

Developing a robust improvement programme to address the key quality and safety issues within a mental health trust

Quality

Leading the mobilisation of a primary care contract, ensuring a safe and seamless contract handover

Quality

Utilising CQC's Single Assessment Framework to enable cross-learning and improve care delivery and safety across the Trust

Estates

A space optimisation project in collaboration with Abintra Consulting, addressing the additional space needs of Livewell Southwest.

Ready to tackle your next challenge?

Let’s start the conversation