Care and Support West run the well received Registered Manager’s Network sessions in B&NES, Bristol, North Somerset and South Glos in conjunction with Skills for Care. We start our fifth year in July.

See below for details of our new programme. 

Click here to register your interest

Principles of RMN sessions:

• To share thoughts, ideas and resources to help each other to meet these requirements as clearly and unambiguously as possible. Presentations and resources from the Network sessions will be made available to participants via a special web page on the Care and Support West website.
• A focus on participants supporting each other to raise our game collectively in line with the importance of complying with CQC’s requirements. 
• A ‘problem shared is a problem halved’ slot: The opportunity for participants to raise issues that are affecting them; . Whether this is dealing with a particular situation or with difficult individuals, again it will be an opportunity to share experiences and ideas.
• Pertinent updates. EG: At the first session this will be around the General Data Protection Regulation requirements which will be incoming from the end of May.

The Session Content:

Session 1 Well Lead: a focus on how we best evidence a service is being well led

Session 2 will be the part one of two parts focusing on meeting CQC’s Key Lines of Enquiry requirements as effectively as possible

Session 3 will be the part two of two parts focusing on meeting CQC’s Key Lines of Enquiry requirements as effectively as possible

If you are not a participant already and are interested in joining the Registered Manager’s Network in your area, then please contact Mik Alban on mik.alban@careandsupportwest.com or 07788 498909.

Costs

£70 per participant for all 3 sessions (equivalent to £23.33 a session). making this a cost effective networking and Continuous Professional Development opportunity.

Click here to register your interest

Catherine Twine-Kelly is the Managing Director at Supported Independence Ltd. She told us about their approach to rewarding staff.

Each year SI holds a surprise event for its staff to thank them for all their hard work, dedication and commitment.  This has been clearly demonstrated with the recent snow, with staff staying over night and walking up to 4 miles to get into work!

The surprise was a fire walking event, where staff where amazed to see the burning logs! They found they had other treats in store were when they first had to prove their skills in chopping wood with their bare hands and breaking pointed arrows against their throat!

Everyone left on a high and now we just have to plan for next year! 

Winash Care Home have been very active in promoting community and intergenerational activity so we are delighted that 2018 started really well for us.

We were granted books through The Big Issue as part of their big book giveaway initiative, to support us in our reading to Nursery children from next door; but in addition they also did a double page spread in the national magazine as part of mental health awareness week. The spread was regarding the two way benefits of our intergenerational activities.

Additionally, Winash Wingers, were awarded a grant from The Big Lottery. The money is to make an inter-generational 'Communi-tree', and we have enlisted Wyldwood Arts to deliver the project. Our plan is to work with a range of local community groups. So far, we have worked with local 6th formers, next on the list will be Nursery children, followed by the local YMCA, and 3 Brownie groups. The end project will be a multi- sensory tree. Which will be on public display at 'Clevedon flower show'.

Sound Minds: Music for Mental Health: As we are understanding the positive impacts of music more and more and because it runs so deeply through the veins of Bristol, we have organised a little evening of music to both celebrate and raise awareness of how it can make a great difference, particularly to those most in need. The event is to be held at the Leftbank on 128 Cheltenham Rd, on the 27th of April 2018. There will be great music, excellent drinks and spectacular dancing. All proceeds are going to Cintre to help kick start a music project for service users. This Facebook link has more details and regular updates on bands playing, DJ sets and general important information: https://www.facebook.com/events/2075813089330309/

Lunch Club: We have been awarded just under £5,000 to start a Community Lunch Club at Invia!
Thanks to the Big Lottery Fund we will be setting up a Lunch Club for service users to learn to cook, eat together and meet new friends.
Service users will get:
- Free cooking lessons
- Free meals
- A chance to meet new people
- Lessons in nutrition, health and safety in the kitchen and hygiene around food
- Your travel to and from Invia paid for

Dan's Vlog - Work Experience: Meet Dan who is supported by Cintre Reachout, he has recently started volunteering for a local charity shop to gain skills for the workplace. You can watch this 'chatty' video led by Dan to learn more of how his Cintre Support Workers are helping him. https://www.youtube.com/watch?v=BWUvJTj0yGo&t=75s

Vegetarian Week: Between the 14th and the 20th of May it is Vegetarian Week, where lots of people celebrate vegetarian food and how it helps with health and the environment.
We have been awarded over £100 to spend on a Vegetarian Taster Session at Invia.
We will be cooking a three course meal for over 30 people where you are all invited to come along and enjoy some vegetarian tasters for free!
Don’t worry if you don’t like vegetables, we will be coming up with some delicious recipes for you to experience vegetarian food in a positive way.

Care Home Open Day is upon us yet again!

With CQC emphasis on community links, Care Home Open Day is a really important initiative that can help you shine at the next assessment. You can find out more about it from their website

In 2018, the official day is 21st April but you can choose a date that suits you. Member Able Care have chosen 5th April because it works better for them for their open day at HENGROVE LODGE CARE HOME:  in Petherton Road. The idea behind the day is to encourage local people to visit care homes in their community and to work together to develop better relationships.

This important connection is something that Hengrove Lodge has nurtured and the home is already acting as a community hub, including regular visits from the Stay and Play Group from Southern Links Children’s Centre.

As part of the Care Home Open Day 2018 and working with LinkAge, Hengrove Lodge is hosting an afternoon with tea and cakes and the opportunity to get involved in flower arranging with Don Gay’s Florist who are based nearby.  Members of Christ Church Coffee Group have been invited to join in along with residents and their families.  You can see the full programme for the day under our page on the website by visiting www.carehomeopenday.org.uk.

Sam Hawker, AbleCare Homes Director said: "This is a great way to show the excellent services on offer and the fantastic work that goes on at Hengrove Lodge.  Some people still have misconceptions about care homes so we are keen to dispel any myths and for people to come and have a look around, meet the staff and our residents."

Care & Support West will also be affected by GDPR ; watch out for or communications with you to make sure we are compliant.

In the mean time with new rules coming on stream on 25th May, it is important to be prepared.

You will also be affected with regards to business information and also staff information. However there is a lot of help and advice available, here is a round up of the best we have come across.

• Essential reading from the Information Commissioners Office
• General advice form Business West
• Legal advice from Royds Withy King: 

1. GDPR: Impact on business
2. Get ready for GDPR day
3. Dispelling Myths about Data Protection and GDPR
4. GDPR: Fine or Fined?
5. GDPR and Consent

• Guides from Citation

1. GDPR Readiness Assessment
2. Free Guide to GDPR

Below is the letter we have sent to our members. Whoever you are, member or not, if you are in the care sector, this is really important and we need to support t his campaign!

The Care Alliance Association has asked us to put out this message about the real crisis facing social care because of the recent sleep in payments ruling. It is really important; please read it and if you haven't already done so and you are affected, please complete the survey and look at what else you can do to support the campaign.

Below you will find

• a notice saying that the deadline has been extended until 9th March 
• the link to the campaign
• the original e-mail outlining what people can do to support the campaign, this includes lobbying including social media and a day of action

Thank you,
 
David Smallacombe, CEO                                       Angela Roberts, Deputy CEO
07860 439 809                                                         07535 820 552
David.smallacombe@careandsupportwest.com      angela.roberts@careandsupportwest.com

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• Sleep In Crisis campaign. 

 
A quick note that the survey deadline has been extended to close of business Friday 9th March. 
 
We appreciate the survey does take time and resources to complete however this is an essential building block in providing new data to inform the collective public affairs campaign.  Without a robust dataset we are left in a poorer influencing position.
We have been encouraged by organisations who have told us that by completing the survey has been a useful exercise, as well as providing a useful basis for briefing local parliamentarians. 
 
Every good wish - and I look forward to catching up with you and members in the future. 
 
Rhidian Hughes
Chief Executive | VODG (Voluntary Organisations Disability Group)
www.vodg.org.uk | 0793 113 1724 | rhidian.hughes@vodg.org.uk | @rhidianhughes

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• Sleep In Crisis e-mail

 
We are now at the point where it is easy for Government to continue to do nothing to support providers affected by the sleep in payments crisis. A working group/alliance has come together - #SolveSleepIns Alliance  - for a time-limited basis, to ensure a full consolidated and coordinated effort on all matters about the payments crisis. Through this email I am summarising some key developments in the hope that you could share with CAA members in order that we can now extend our reach CEOs and owners. (The public affairs briefings are restricted to CAA and your members, the template letter is not.)
 
Sector-led survey to identify current and future impacts
 
The Laing Buisson and Frontier Economics research seeks to calculate (again) the back pay liabilities in the sector there is a very urgent need for an independent assessment about the impact that the sleep in payments is having on service arrangements, workforce and sector stability.
 
We are very grateful to Agenda Consulting and Trowers & Hamlins LLP who have stepped forward to undertake independent research.
 

• Survey

Their survey is now live and can be accessed via:
www.sleepinsurvey.org.uk

It would be of great help if you could also share news of this story…
https://www.vodg.org.uk/press-releases/independent-survey-to-assess-impact-of-sleep-in-pay-crisis-on-future-of-social-care/

…and the survey link above with your members and encourage further action locally.
Public affairs
There has been a great deal of public affairs work in recent months, and with some successes. Despite our recent campaign wins – getting Labour front bench support and having the Prime Minister questioned directly on sleep-ins at PMQs amongst many others - getting the Government to act won’t be easy. So now is the time for the sector to come together to ramp up approaches to all parliamentarians.
 
Attached to this email is a letter which, if CAA members could cascade down to chief executives and owners, would help the sector wide campaign. Finding email contact details and changing the letter should take less than five minutes for each constituency – and make a big impact.
 
If possible it would be helpful to have any responses sent toresearch.policy@vodg.org.uk to ensure sector coordination.
 
Single day of action
 
We need a single day of action in April/May as a pre-planned campaign tool to push the Government to act on sleep-ins before it’s too late.
 
Options could include a mass lobby of Parliament, where a number of people come to Westminster on the same day to meet with their Parliamentarians, a regional/local lobby where providers assist visits to their Parliamentarians in their local offices and a virtual lobby where the networks of all providers (including families, staff and others) are engaged to call and email their Parliamentarians on a specific day with a message about this issue. We believe that the most effective campaign activity may be a strategic combination of all three of the options mentioned.
 
To plan this, we need to get an idea of what everyone might be able to do.  Can you please respond to the three questions below by the end of February please?
 
1.       Can you commit to urging people you support / their families / carers to attend a day at Westminster to lobby Parliamentarians? If yes, how many? What constituencies would they be from?
 
2.       Can you commit to participating locally by urging people you support / their families / carers to their MP’s local office or surgery? If yes, how many in which constituencies?
 
3.       Can you commit to participating by promoting to your staff, volunteers and other relevant contacts that they make a phone call in support of our campaign including any mailing lists and social media outlets you currently use? Approximately how many people would this be to and in which constituencies are they likely to be based?
 
Please email research.policy@vodg.org.uk with your responses by 28 February 2018. Alternatively if CAA or individual associations wish to collate regional responses that would be helpful too. 
 
Your response will allow us to know what we are working with to strategically plan the most effective campaign action. And we need to start planning now.   
 
Social media
 
For those individuals and organisations that are in a position to comment and share publicly please use these hashtags in the weeks ahead:
#SolveSleepIns
#StopSleepInCrisis

Cintre has a new Community Hub, where staff and service users across the charity meet to partake in diverse social events. Latest activity was "Just Pool-ing Around", at the local All Stars Snooker and Pool Hall. 7 teams of 2 each, 1 staff member and 1 service user per team. The competition was friendly but fierce and with an unblemished record of 6 wins out of 6, Majid and Colin were victorious! Soon in February there will another game of Football – and it will be the Hub’s, 4th match. The Hub is great because it includes staff and service users of all ages and abilities. Creating confidence and helping to build networks

STAMP OUT SOLITUDE CAMPAIGN (SOS). We are raising money towards Community Hub activities, and to end loneliness for adults with complex needs. So far we have raised £87.00 from a raffle at Christmas Party,. Please read article link.

VLOGS FOR SERVICE USERS: In another initiative to understand support needs, we are starting Vlogs with service users to begin an insight into their lives, and support. Here is a sample video featuring Sam, who lives at Cintre In-Via Supported Living Service.

Care and Support West produce a report each year on the Cost Pressures facing the sector every year; these are used in dialogue where we represent the sector. It is sent to both Local Authority and CCG commissioners within B&NES, Bristol, North Somerset and South Glos as well as relevant councillors and local MPs.

These are difficult times and we represent the entire sector in this dialogue, not just members. If you are not currently a Care and Support West member and are interested in supporting this work then you can find out more about C&SW membership

Our new 2018/19 Cost Pressures report can be found here

Developed from responses to a questionnaire, the report takes the stormy national discussions on the perfect storm brewing in relation to the funding of Social Care, and gives a local viewpoint, looking at what can be done to avoid it. 

We urge you to read the report. There is some useful information contained within it which can help you make your own case in relation to funding and to respond to the ongoing consultations

If you have any comments or feedback about the report then you can get in touch by emailing Mik Alban at mik.alban@careandsupportwest.com.

It seems that the music paused for a moment and the Social Care parcel has been left in another pair of hands! When Damien Green announced the Green Paper on how to fund and manage social care in the context of rapidly growing demand there was a kerfuffle. 

Care Industry News focused on the ADASS response; namely that the sector is already at tipping point with a funding gap. Secondly, where the Green Paper has a focus on the ageing population, Leonard Cheshire  point out that the Disabilities (Physical and Learning) Sector is just as big and the crisis is a "blight on the daily lives of disabled people up and down the country". The Guardian called the announcement a missed opportunity, it failed not just to take into account younger people in need of care and the disabled but failed to roll into it the long promised 'Carers Strategy' and failed to incorporate carer representation. The Local Government Association called for councils to have a key role in defining and shaping local care and again calling for immediate action to address immediate short term pressures.

However there was a broad welcome to the direction of travel albeit with a call for greater urgency and the need to build upon the inter-dependency of Health and Social Care.

At the time Jeremy Hunt said “We are committed to reforming social care to ensure we can guarantee everyone dignity and security in old age. It is important we consider a wide variety of views on the future of the social care system – as our ageing population continues to grow it is absolutely vital that we get this right.” So, is it surprising that Hunt's remit has been extended to Social Care and he has picked up responsibility for the Green Paper? Possibly it was the only and inevitable solution since Green's departure from the government.

But, is this extended role a substantive change?  The Financial Times tells us there is a sceptical response. A spokesman at Health says 'yes it is'; that where there were three organisations involved before, now there are only two. Plus, Hunt's role as Secretary of State for Health and Social Care and the appointment of Caroline Dinenage as a minister of Health and Social Care, re-positions Social care at Ministerial level. On the other hand, according to Norman Lamb, ex Minister for Health, while funding still remains with Communities and Local Government, there is no real change at all. And funding is the crux of the matter; in the words of ADASS, "...more needs to be done now to secure extra recurring money to address funding gaps, address continuing service pressures and the stability of the care market".

Rachel Sylvester at the TIMES* says that the funding must follow the ministerial remit that it's absurd that it remains with councils. "If local authorities are funding social care they have a perverse incentive to transfer the cost to hospitals". And this debate doesn't consider the iniquitous situation where some conditions are funded and others are not (viz cancer v alzheimers) and where private funders are subsidising those paid for by the public purse. Hunt's new 'Social Care Parcel' appears to contain a ticking time bomb and needs to be handled with care! "..Mr Hunt is willing to be brave. The only question is whether the Prime Minister has the authority to back him up"

But with all that said... at C&SW we welcome the debate and are pleased to see the integration of Health and Social Care at a Ministerial level even in semantics! We are particularly pleased to see the role requested of Skills For Care in handling the Care Sector Workforce Consultation. We understand that a further consultation questionnaire , with more focus on care needs will be available from Skills for Care shortly. We would urge our members, indeed the whole local care community to respond in your droves to the consultation, and to continue to lobby politicians wherever possible. 

Sources: Care industry News: ; Guardian article; Local Government Association; Leonard Cheshire; *Times article: you will need to register to see the full article.

Nominations open on 24th January and close on 16th April

Judging will take place in May and June.

Finalists will be notified by the end of June and will all qualify for a free place at the Awards Dinner on 20th October at the Lansdowne Stand, Bristol Football Stadium.

Nomination materials will be found here. (from 24th)

Juliet Binning is a dance therapist who attended the Activities Fair almost by accident! She is pleased she did as it lead to a contract with Ablecare for 2018!

Sam Hawker, director at Ablecare says: "our team who went to the event thought Juliet’s sessions would be good for our homes.  Juliet has done a trial in each of the 6 and as a result we have booked her up for the whole of next year!.

A large number of our residents really enjoy taking part in music and dance sessions.  We already have Music for Health coming in on a weekly basis and the new Dance Therapy sessions with Juliet give another opportunity in our programme to get up and active. 

Overall we have found interactive sessions have been really popular and so next year we will also be having regular Chair Yoga and Percussion Workshops.    We are also working with Making Pals and setting up links with local nurseries so that children will be coming in to visit.  It is a really exciting time for resident activities in our homes at the moment.  We are putting a big investment into them as we believe the results in health and wellbeing are clear to be seen."

Juliet says: "The sessions have been meet with enthusiasm by the residents. They really enjoy the tailored music, the 'football' warm up is especially a hit with the men! They have joined in the warm up and the dancing section of the session really well and with energy! They are definitely having a good workout on a Friday afternoon!
These are some of the comments I have received from my clients/the residents recently at the Ablecare homes, I was very touched,and just love my job!
' you make people smile'
' you bring people out of themselves'
' well I haven't kicked a football in 12 years!'
' I haven't heard this in years,I love this song!'

Several people who often 'don't respond' have been up and dancing to 'mack the knife' by the end of the session & I can hear them singing

It has been a pleasure getting to know the residents and having a chat,exercise and a dance.
The care staff have been great too, joining in and helping within the sessions.

I think the sessions benefit the clients hugely; socially, physically, cognitively, spiritually and emotionally, Dance Movement Therapy and Ablecare fit like a glove! I look forward to each session and what will 'come out' today!?!.. We've already had a 'chorus line'!! It was such fun!

The residents also inspire me and show me 'the moves'!

You can contact Juliet on jobinning1974@gmail.com

Ablecare have started a new initiative which aims to recognise contributions to the home and to wellbeing, made not by staff but by residents or visitors or volunteers.

Director Sam Hawker says: "A suggestion was made at our recent Managers’ Meeting to recognise the input of people other than paid staff into the running of the homes. As a result AbleCare Homes have created a Contribution of the Month Scheme.  Each month one individual will be honoured and will receive a certificate to thank them for their involvement. A copy of their certificate will be presented to them and posted on social media.

Suggestions for selecting AbleCare Homes Contribution of the Month:

• Helping out around the home with duties such as setting tables, watering the plants etc. 
• Joining in and helping to set up and lead activities for the enjoyment of residents. 
• Cooperation, relationship with and support provided to residents.

The September Award was won by Roger, a resident at Crossley House in recognition of all the help he provides around the home

The October Award was won by Megan (below) who visited Hengrove Lodge every day during her half-term break, joining in activities and spending time with residents.  It really means a lot to everyone to have someone willing to spend time with them.

Director Sam Hawker tells C&SW about the visit to Ablecare by the Mayor Lesley Alexander:

"It was a great pleasure to welcome Bristol Lord Mayor, Lesley Alexander, when she visited AbleCare Homes Patron House.

Lesley took time to chat to staff and residents and find out about life in the home. Everyone got involved, even our training provider who was assessing NVQ Candidates on the day. 

Sam Hawker, said ‘It was really special for the resident and staff team in the home to know that Lesley was interested in what they do.  It is another positive PR success for Social Care when those in public life are genuinely interested in discovering the difference good care can make to the lives of individuals in the city.’   

In case you were wondering about the post, The Lord Mayor is the first Citizen of the City and County of Bristol. There have been Mayors in Bristol since 1216 and a Lord Mayor since 1899, following Queen Victoria's decision to grant Bristol this privilege."

In another initiative Hengrove Lodge has seen toddlers brightening the lives of residents. Children from the Hengrove branch of the Southern Links Childrens Centre visit the home. These visits have a real impact on the lives of people in the home says Lil Bowers from the Centre. Read the article in B24/7 here

Free to people in North Somerset, this Inclusivity Training could provide essential advice for carers working with disabled people whether in the community or in care homes. More information here

The actual course is on 16th so short notice, but the team can give general advice: email sport@n-somerset.gov.uk

More information about inclusive sport in North Somerset

About Our 2018 Energy Buying Basket

Our energy buying baskets are intended to help businesses that want the best available rates for their gas and/or electricity whilst being able to fix their prices for the length of the contract. Combining your purchasing power with others means that the prices will be better than if you purchase on your own.

Many energy buying baskets are sold on the basis that the energy will be bought on a ‘wholesale’ or ‘flexible’ basis. The energy buying basket at Power Direct is not like that. The term of your contract will be a minimum of 12 months and a maximum of 24 months, depending on when your current contract ends, and your prices will be fixed for that period. All the options that we have negotiated include direct debit payments.

Clients who purchased their gas as part of our last basket, on average, saved 5.4% per meter and an average of 3.4% per meter on their electricity, compared to the best individual price quoted.

Our next basket will be in March 2018 and anyone with an electricity or gas meter with a contract end date between now and September 2019 can take part.

Our gas basket is currently at 9,546,246 kWh and our electricity basket is at 6,174,706 kWh both of which are growing fast.

Power Direct in Action

Whilst checking the latest invoice for a care home, we noticed that they had not been billed for any night rate consumption. Since we knew that the premises had a meter fitted that should identify day and night consumption separately and that our client had been contracted to pay differential day and night rates, we knew this could not be correct.

We contacted the supplier to ask them to investigate the fault. The supplier advised us that it looked as though the meter was configured incorrectly and it needed an engineer to visit the premises to replace the meter.

All the consumption had been charged at day rates when some of the consumption should have been charged at a lower night rate. The client had been overcharged and would continue to be overcharged until the metering issue was corrected. We proceeded to arrange an appropriate time with the client and supplier for the meter to be changed.

The meter was swapped and after obtaining up to date meter readings the supplier advised that the client used on average 81% consumption during the day and 19% during the night. The supplier acknowledged their error and split the consumption 75% (day) - 25% (night) for bills they had already sent. They then credited back the invoices and rebilled.

This generated a refund of £382.96 and going forward the client was not further overcharged.

 Get in Touch

To find out more about our energy buying baskets or for anything else relating to your energy supply, please don’t hesitate to contact Jordan either by phone 01452 347 549 or email jordan.douglas@powerdirectltd.com

Access the video here; use password careawards. ENJOY

Skills for Care have sent a copy of a letter they have received giving greater clarity on the rights of EU Nationals and Immigration post Brexit. 

The agreement reached means that EU citizens living lawfully in the UK and UK nationals living lawfully in the EU by 29 March 2019 will be able to stay and enjoy broadly the same rights and benefits as they do now. There will be a transparent, smooth and streamlined process to enable EU citizens to apply for settled status starting in the latter half of next year for two years after the UK leaves the EU – from 2018 to 2021.

The letter can be read in full here

David Smallacombe, CEO of Care & Support West suggests that current dithering on the part of government risks fundamental damage to the very structure of the care sector, increasing costs and reducing choice; the very opposite of what is required:

" a green paper entitled “Shaping the future together” in June 2018 will be too late for the care sector as many small to medium size businesses (which provide 70% of the care in England) will have by then folded. There will be a much reduced independent and private sector future to shape and local authorities will already have needed to fill the gaps via their Duty of Care to citizens under the Care Act and by dint of that will be in even more financial difficulty.

My advice to Government is simple 3 point ask:

1.   “Stop Brexiting” and manage the care crisis at home” or at least do it alongside

2.   Immediately fund local Councils to pay the real cost of care

3.   Challenge CQC and local authority QA Teams to work in partnership with independent sector care providers to appropriately weed out poorly performing providers

The meeting on Wednesday enabled us to look at regulation by CQC, Local Authorities and Healthwatch.

First up was Joanna Parker from Healthwatch outlining healthwatch's remit and the Enter & View process. Joana's slides are here.

New C&SW board member and new CEO at CINTRE, Claire Mould put the care provider's perspective on what it is like to have outsiders come into the service and the impact external pressure has on staff's performance. Claire called for more consistency in what assessors are looking at and for providers to take ownership of the process and make it more than an 'intrusive, exhausting interruption'. Claire's slides can be found here.

We were able to look at the recent CQC changes and what the revisions to the KLoEs will mean in practice. It was a great shame that Sue Burn from CQC was unable to join us on the day, but C&SW's Mik Alban was able to run through Sue's slides and Nicola Cutler, associate at Royds Withy King outlined in more detail the ramifications for care providers. Nicola talked about the the new PIC, replacing the PIR. Nicola's slides can be found here.

CQC have changed the website to make it easier for people to navigate, here is a link to the REVISED KLoEs. 

From Bristol City Council, Lucia Dorrington, strategic commissioner and Lynn Collingbourne, contracts and quality manager, talked about the Commissioning and Procurement cycle, emphasising the supportive role of the council and their need for council and care providers to work in partnership. Their slides can be found here.