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1.
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Introduction
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(i)
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Purpose of the strategy
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(ii)
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Brief picture of the service area under consideration
and context
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(iii)
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National and local priorities and targets
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(iv)
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Definition of commissioning and shared values
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2.
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Resume of Needs Assessment
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(i)
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Demographic trends in the area
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(ii)
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Socio-economic data
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(iii)
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Heath statistics
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(iv)
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Housing information
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(v)
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Consultation with users and carers and other stakeholders
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(vi)
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Aggregated information from care plans
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(vi)
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Overall assessment of needs
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(vii)
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Determining implication of needs data
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3.
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Current Services
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(i)
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Map of current service provision
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(ii)
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Main providers
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(iii)
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Referral and assessment mechanisms
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(iv)
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Take-up of services
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(v)
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Occupation/vacancy levels
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4.
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Local Care Market
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(i)
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Structure of the market for example residential
homes by size, range of services provided, mix of local authority,
voluntary and private provision
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(ii)
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Staffing issues
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(iii)
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Land prices
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(iv)
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National and local political factors affecting market
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(v)
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Conclusions about health of local market
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5.
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Cost of Services
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(i)
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National picture, for example Joseph Rowntree Foundation
and central Government data
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(ii)
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Survey of local costs and charges
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(iii)
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Existing local authority rates and other contract
rates
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(iv)
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Cost comparisons with other neighbouring authorities
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6.
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Contracting Arrangements
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(i)
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Existing contract/service level agreement arrangements
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(ii)
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Contracting options and advantages/disadvantages
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7.
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Changing the Focus of Services
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(i)
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Option appraisal
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(ii)
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Priorities in maintaining supply
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(iii)
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Shifts in provision required
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(iv)
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Opportunities to change and reshape existing provision
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(v)
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Potential for developing new services
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(vi)
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Decommissioning options for each commissioning round
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8.
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Monitoring Arrangements
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(i)
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Existing systems for the collection of data and
their effectiveness and efficiency
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(ii)
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Assessment of effectiveness and quality of existing
services including outputs and outcomes
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9.
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The Way Forward
Summary of agreed approach over the next three to
five years including:-
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(i)
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Service changes - investment and disinvestment
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(ii)
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Outline of future market management approach
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(iii)
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Purchasing Intentions
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(iv)
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Contracting arrangements to meet different service
needs and priorities
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(v)
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Monitoring systems and information requirements
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