Common use of Annual Audit Programme Clause in Contracts

Annual Audit Programme. Audit South West (ASW) as the Internal Audit provider to Torbay and South Devon NHS Foundation Trust will undertake the following actions and requirements:-  Consult with the Director of Adults Social Services (DASS) of Torbay council on proposed internal audit coverage;  Provide to the DASS copies of assignment reports that relate to control arrangements for Adult Services;  Provide an annual report to the DASS on the adequacy and effectiveness of the overall system of internal control for the Trust, and in particular, those areas directly affecting Adult Services. Detail is included in Annex 5. The 2018/19 Performance Description column gives a basic verbal comparison with the benchmarking figures (England, SW Comparator Group) which are currently only available to 2018/19  Adult Social Care Outcomes Framework (ASCOF)  Better Care Fund  Local Measures Amended PoC Review & Insight All PoCs reviewed under Care Act 2014; CLS & strength-based; post- COVID-19 reinstatement New Data Accessible data for ASC System leadership and operational measurement New Training Transfer of CLS to business as usual; project insights for ongoing dynamic training Amended Voluntary & Community Development Understanding the sector; supporting the sector; developing the sector Amended Information, Advice & Guidance Provide comprehensive information and advice about care and support services in Torbay No change Technology, Aids & Adaptions Effective use of TEC, aids and adaptions at ASC Front Door and reviewed packages of care Amended ASC Front Door Redesign the front door creating effective mechanisms for finding solutions for people and their problems which can then demonstrate impact in terms of diversions from formal care, delivering good outcomes and avoiding adult social care costs No change Arranging Support Team (2) An operational function to allow for arranging all care and the efficient discharge of patients to their arranged care, negotiated by the AST, and will include an assurance function for timely and effective reviews. No change Future Quality & Assurance Market oversight and provider failure, including undertaking improvement work with regulated provider sector and assurance activities that the sector is effective. No change Extra Care & Housing Capital Development activities (project specific) No change Market Shaping Understand the strengths and fragility of the care home market, and to link with the homecare market which is equally under pressure. Create ability to be bolder and do things differently in to shape the market. Amended Effective Social Work Practice Increase the number of staff supervisions; Reduce the time between supervisions taking place; Variance within the staff supervision process eliminated; Increase number of staff working in a strengths based way; Reduce the length of time a case has been open: review the way staff performance is currently measured and reported including the governance Plan reinstatement Project Name Desired Outcome structure. No change Digital & IT Infrastructure: Strata Understand current business process; strength business process, managed and then optimise process using technology; integrating with Care Management Systems and national capacity tracker. No change Digital & IT Infrastructure: ASC Case Management System & Beyond IT system implementation – replacement of PARIS. No change MH Review Develop a MH approach to provide efficient and effective mental health services for Torbay. New Innovation Hub Work with local health and care teams in Torbay, AHSNs, national commissioners (NHS England & Improvement, NHSX, Office for Life Sciences) and industry to make sure Torbay benefits from innovations and to learn about what works from project insights. MICRO COMMISSIONING OF PROVIDERS, PROCUREMENT AND BROKERAGE Develop and implement operational commissioning plans  Market shaping and developing new providers to fill gaps in provision and oversight of decommissioning plans   Market Position statement and Joint Strategic Needs Assessment  Market mapping  Gap analysis  Analysis of sufficiency of supply  Manage provider failures and market exits   Strategic Commissioning Strategy  Proactive strategy to develop the market as a whole  Market engagement with provider market as a whole  Run Multi Provider Forum for all providers with strategic themes  Joint commissioning arrangements with partner organisations and other areas  Lead on co-design of new service models with providers and stakeholders   Develop population outcome based commissioning approach for market  Develop and co-produce Payment by Results mechanisms that encourage sound outcomes  Co-ordinate user and carer engagement and consultation  Contract review and performance management of ASC   Review3b2udget for ASC and sign-off cost improvement plans related to ASC   Function/role lead Torbay Council Strategic Commissioning function Torbay and South Devon Trust ASC function Overarching sub contracts between Trust and other ASC providers, e.g. Care homes, community care  Prepare and agree individual service specifications  Develop and monitor outcome based commissioning approach for each provider at service level   Develop personal outcome based commissioning for each service user  Contract management & performance review of independent & voluntary sector including, grant funding  Proactive quality assurance of individual providers including, develop/implement service improvement plans  Achieving value for money from providers including, cost improvement planning  Procurement of ASC providers  Manage provider failures and market exits including, for service users and relatives/carers involved  Individual contracts for care packages  Brokerage/purchasing processes and brokerage of individual care packages  Direct payments and personal budgets  Lead and manage safeguarding processes including, Whole Provider/Provider of concern/quality concerns  Resolution of Safeguarding incidents and implementation of lessons learned  Run and co-ordinate forums for specific provider areas with operational focus e.g. forums for care homes  Collection, collation and regular reporting of data on need, demand, supply, cost, workforce and performance (Trust and sub-contractors) with interpretation and presentation  Benchmarking of cost/performance of services – own and sub-contracted  Management of pooled budget to achieve value for money and cost improvement  Name/Title Emergency Role Xxxxx Xxxxxxxxx Head of Partnerships and People Communication with contracted providers of Care and Support for vulnerable people. Availability and co-ordination of needs assessment. Xxxx Xxxxxx Head of Integration and Development Safeguarding vulnerable adults and serious case review Xxxxxx X’Xxxxxx , Deputy Director of Adult Social Services The role will provide professional leadership for social care services and lead on workforce planning, implementing standards of care, safeguarding and and will chair the Adult Social Care Performance Committee. The role also oversees the Deprivation of Liberty Safeguards and Guardianship arrangements in Torbay including authorisation of deprivation of liberty under Mental Capacity Act. Adults Services Secondary Contacts Xxx Xxxxxxx, Lead AMHP Assessment and placement, access to services, medication and packages of care and place of safety for older people with poor mental health. Xxxxxx Xxxxx, Manager Older Person Mental Health Team Assessment and placement, access to services, medication and packages of care and place of safety for people under 65 with poor mental health.

Annual Audit Programme. Audit South West (ASW) as the Internal Audit provider to Torbay and South Devon NHS Foundation Trust will undertake the following actions and requirements:-  • Consult with the Director of Adults Social Services (DASSDAS) of Torbay council on proposed internal audit coverage;  • Provide to the DASS DAS copies of assignment reports that relate to control arrangements for Adult Services;  • Provide an annual report to the DASS DAS on the adequacy and effectiveness of the overall system of internal control for the Trust, and in particular, those areas directly affecting Adult Services. Detail is included in Annex 5. The 2018/19 Performance Description column gives a basic verbal comparison with the benchmarking figures (England, SW Comparator Group) which are currently only available to 2018/19  Adult Social Care Outcomes Framework (ASCOF)  Better Care Fund  Local Measures Amended PoC Review & Insight All PoCs reviewed under Care Act 2014; CLS & strengthAppendix 7 Programme Lead Flowchart.docx Appendix 5 – Strategic and Micro-based; post- COVID-19 reinstatement New Data Accessible data for commissioning functions Function/role lead Torbay Council Strategic Commissioning function Torbay and South Devon Trust ASC System leadership and operational measurement New Training Transfer of CLS to business as usual; project insights for ongoing dynamic training Amended Voluntary & Community Development Understanding the sector; supporting the sector; developing the sector Amended Information, Advice & Guidance Provide comprehensive information and advice about care and support services in Torbay No change Technology, Aids & Adaptions Effective use of TEC, aids and adaptions at ASC Front Door and reviewed packages of care Amended ASC Front Door Redesign the front door creating effective mechanisms for finding solutions for people and their problems which can then demonstrate impact in terms of diversions from formal care, delivering good outcomes and avoiding adult social care costs No change Arranging Support Team (2) An operational function to allow for arranging all care and the efficient discharge of patients to their arranged care, negotiated by the AST, and will include an assurance function for timely and effective reviews. No change Future Quality & Assurance Market oversight and provider failure, including undertaking improvement work with regulated provider sector and assurance activities that the sector is effective. No change Extra Care & Housing Capital Development activities (project specific) No change Market Shaping Understand the strengths and fragility of the care home market, and to link with the homecare market which is equally under pressure. Create ability to be bolder and do things differently in to shape the market. Amended Effective Social Work Practice Increase the number of staff supervisions; Reduce the time between supervisions taking place; Variance within the staff supervision process eliminated; Increase number of staff working in a strengths based way; Reduce the length of time a case has been open: review the way staff performance is currently measured and reported including the governance Plan reinstatement Project Name Desired Outcome structure. No change Digital & IT Infrastructure: Strata Understand current business process; strength business process, managed and then optimise process using technology; integrating with Care Management Systems and national capacity tracker. No change Digital & IT Infrastructure: ASC Case Management System & Beyond IT system implementation – replacement of PARIS. No change MH Review Develop a MH approach to provide efficient and effective mental health services for Torbay. New Innovation Hub Work with local health and care teams in Torbay, AHSNs, national commissioners (NHS England & Improvement, NHSX, Office for Life Sciences) and industry to make sure Torbay benefits from innovations and to learn about what works from project insights. MICRO COMMISSIONING OF PROVIDERS, PROCUREMENT AND BROKERAGE Develop and implement operational commissioning plans  Market shaping and developing new providers to fill gaps in provision and oversight of decommissioning plans   ✓ Market Position statement and Joint Strategic Needs Assessment  ✓ Market mapping  ✓ Gap analysis  ✓ Analysis of sufficiency of supply  ✓ Manage provider failures and market exits   ✓ ✓ Strategic Commissioning Strategy  ✓ Proactive strategy to develop the market as a whole  ✓ Market engagement with provider market as a whole  ✓ Run Multi Provider Forum for all providers with strategic themes  ✓ Joint commissioning arrangements with partner organisations and other areas  ✓ Lead on co-design of new service models with providers and stakeholders   ✓ ✓ Develop population outcome based commissioning approach for market  ✓ Develop and coc-produce Payment by Results mechanisms that encourage sound outcomes  ✓ Co-ordinate user and carer engagement and consultation  ✓ Contract review and performance management of ASC   Review3b2udget ✓ Review budget for ASC and sign-off cost improvement plans related to ASC   ✓ Function/role lead Torbay Council Strategic Commissioning function Torbay and South Devon Trust ASC function MICRO COMMISSIONING OF PROVIDERS, PROCUREMENT AND BROKERAGE Develop and implement operational commissioning plans ✓ Overarching sub contracts between Trust and other ASC providers, e.g. Care homes, community care  ✓ Prepare and agree individual service specifications  ✓ Develop and monitor outcome based commissioning approach for each provider at service level   ✓ ✓ Develop personal outcome based commissioning for each service user  ✓ Contract management & performance review of independent & voluntary sector including, grant funding  ✓ Proactive quality assurance of individual providers including, develop/implement service improvement plans  ✓ Achieving value for money from providers including, cost improvement planning  ✓ Procurement of ASC providers  ✓ Manage provider failures and market exits including, for service users and relatives/carers involved  ✓ Individual contracts for care packages  ✓ Brokerage/purchasing processes and brokerage of individual care packages  ✓ Direct payments and personal budgets  ✓ Lead and manage safeguarding processes including, Whole Provider/Provider of concern/quality concerns  ✓ Resolution of Safeguarding incidents and implementation of lessons learned  ✓ Run and co-ordinate forums for specific provider areas with operational focus e.g. forums for care homes  ✓ Collection, collation and regular reporting of data on need, demand, supply, cost, workforce and performance (Trust and sub-contractors) with interpretation and presentation  ✓ Benchmarking of cost/performance of services – own and sub-contracted  ✓ Management of pooled budget to achieve value for money and cost improvement  ✓ Name/Title Emergency Role Xxxxx Xxxxxxxxx Xxxxxxx Xxxxx, Head of Partnerships Partnerships, People and People Housing Communication with contracted providers of Care and Support for vulnerable people. Availability and co-ordination of needs assessment. Xxxx Xxxxxx Head of Integration and Development Safeguarding vulnerable adults and serious case review including authorisation of deprivation of liberty under Mental Capacity Act. Xxxxxx X’Xxxxxx Xxxxxxxx, Deputy Associate Director of Adult Social Services The role will provide professional leadership for social care services and lead on workforce planning, implementing standards of care, safeguarding and and will chair support the Adult Social Care Performance Committeerunning of the ASCPB. The role also oversees the Deprivation of Liberty Safeguards and Guardianship arrangements in Torbay including authorisation of deprivation of liberty under Mental Capacity ActTorbay. Adults Services Secondary Contacts Xxx XxxxxxxXxxxx Xxxxxxxxxx, Lead AMHP Assessment and placement, access to services, medication and packages of care and place of safety for older people with poor mental health. health Xxxxxx XxxxxX’Xxxxxx, Manager Older Person Mental Health Team Assessment and placement, access to services, medication and packages of care and place of safety for people under 65 with poor mental health.

Annual Audit Programme. Audit South West (ASW) as the Internal Audit provider to Torbay and South Devon NHS Foundation Trust will undertake the following actions and requirements:-  • Consult with the Director of Adults Social Services (DASS) of Torbay council on proposed internal audit coverage;  • Provide to the DASS copies of assignment reports that relate to control arrangements for Adult Services;  • Provide an annual report to the DASS on the adequacy and effectiveness of the overall system of internal control for the Trust, and in particular, those areas directly affecting Adult Services. Detail is included in Annex 5. The 2018/19 Performance Description column gives a basic verbal comparison with the benchmarking figures (England, SW Comparator Group) which are currently only available to 2018/19  • Adult Social Care Outcomes Framework (ASCOF)  • Better Care Fund  • Local Measures Amended PoC Review & Insight All PoCs reviewed under Care Act 2014; CLS & strength-based; post- COVID-19 reinstatement New Data Accessible data for ASC System leadership and operational measurement New Training Transfer of CLS to business as usual; project insights for ongoing dynamic training Amended Voluntary & Community Development Understanding the sector; supporting the sector; developing the sector Amended Information, Advice & Guidance Provide comprehensive information and advice about care and support services in Torbay No change Technology, Aids & Adaptions Effective use of TEC, aids and adaptions at ASC Front Door and reviewed packages of care Amended ASC Front Door Redesign the front door creating effective mechanisms for finding solutions for people and their problems which can then demonstrate impact in terms of diversions from formal care, delivering good outcomes and avoiding adult social care costs No change Arranging Support Team (2) An operational function to allow for arranging all care and the efficient discharge of patients to their arranged care, negotiated by the AST, and will include an assurance function for timely and effective reviews. No change Future Quality & Assurance Market oversight and provider failure, including undertaking improvement work with regulated provider sector and assurance activities that the sector is effective. No change Extra Care & Housing Capital Development activities (project specific) No change Market Shaping Understand the strengths and fragility of the care home market, and to link with the homecare market which is equally under pressure. Create ability to be bolder and do things differently in to shape the market. Amended Effective Social Work Practice Increase the number of staff supervisions; Reduce the time between supervisions taking place; Variance within the staff supervision process eliminated; Increase number of staff working in a strengths based way; Reduce the length of time a case has been open: review the way staff performance is currently measured and reported including the governance Plan reinstatement Project Name Desired Outcome structure. No change Digital & IT Infrastructure: Strata Understand current business process; strength business process, managed and then optimise process using technology; integrating with Care Management Systems and national capacity tracker. No change Digital & IT Infrastructure: ASC Case Management System & Beyond IT system implementation – replacement of PARIS. No change MH Review Develop a MH approach to provide efficient and effective mental health services for Torbay. New Innovation Hub Work with local health and care teams in Torbay, AHSNs, national commissioners (NHS England & Improvement, NHSX, Office for Life Sciences) and industry to make sure Torbay benefits from innovations and to learn about what works from project insights. MICRO COMMISSIONING OF PROVIDERS, PROCUREMENT AND BROKERAGE Develop and implement operational commissioning plans  ✓ Market shaping and developing new providers to fill gaps in provision and oversight of decommissioning plans   ✓ ✓ Market Position statement and Joint Strategic Needs Assessment  ✓ Market mapping  ✓ Gap analysis  ✓ Analysis of sufficiency of supply  ✓ Manage provider failures and market exits   ✓ ✓ Strategic Commissioning Strategy  ✓ Proactive strategy to develop the market as a whole  ✓ Market engagement with provider market as a whole  ✓ Run Multi Provider Forum for all providers with strategic themes  ✓ Joint commissioning arrangements with partner organisations and other areas  ✓ Lead on co-design of new service models with providers and stakeholders   ✓ ✓ Develop population outcome based commissioning approach for market  ✓ Develop and co-produce Payment by Results mechanisms that encourage sound outcomes  ✓ Co-ordinate user and carer engagement and consultation  ✓ Contract review and performance management of ASC   ✓ ✓ Review3b2udget for ASC and sign-off cost improvement plans related to ASC   ✓ ✓ Function/role lead Torbay Council Strategic Commissioning function Torbay and South Devon Trust ASC function Overarching sub contracts between Trust and other ASC providers, e.g. Care homes, community care  ✓ Prepare and agree individual service specifications  ✓ Develop and monitor outcome based commissioning approach for each provider at service level   ✓ ✓ Develop personal outcome based commissioning for each service user  ✓ Contract management & performance review of independent & voluntary sector including, grant funding  ✓ Proactive quality assurance of individual providers including, develop/implement service improvement plans  ✓ Achieving value for money from providers including, cost improvement planning  ✓ Procurement of ASC providers  ✓ Manage provider failures and market exits including, for service users and relatives/carers involved  ✓ Individual contracts for care packages  ✓ Brokerage/purchasing processes and brokerage of individual care packages  ✓ Direct payments and personal budgets  ✓ Lead and manage safeguarding processes including, Whole Provider/Provider of concern/quality concerns  ✓ Resolution of Safeguarding incidents and implementation of lessons learned  ✓ Run and co-ordinate forums for specific provider areas with operational focus e.g. forums for care homes  ✓ Collection, collation and regular reporting of data on need, demand, supply, cost, workforce and performance (Trust and sub-contractors) with interpretation and presentation  ✓ Benchmarking of cost/performance of services – own and sub-contracted  ✓ Management of pooled budget to achieve value for money and cost improvement  ✓ Name/Title Emergency Role Xxxxx Xxxxxxxxx Head of Partnerships and People Communication with contracted providers of Care and Support for vulnerable people. Availability and co-ordination of needs assessment. Xxxx Xxxxxx Head of Integration and Development Safeguarding vulnerable adults and serious case review Xxxxxx X’Xxxxxx , Deputy Director of Adult Social Services The role will provide professional leadership for social care services and lead on workforce planning, implementing standards of care, safeguarding and and will chair the Adult Social Care Performance Committee. The role also oversees the Deprivation of Liberty Safeguards and Guardianship arrangements in Torbay including authorisation of deprivation of liberty under Mental Capacity Act. Adults Services Secondary Contacts Xxx Xxxxxxx, Lead AMHP Assessment and placement, access to services, medication and packages of care and place of safety for older people with poor mental health. Xxxxxx Xxxxx, Manager Older Person Mental Health Team Assessment and placement, access to services, medication and packages of care and place of safety for people under 65 with poor mental health.