This is an HTML version of an attachment to the Freedom of Information request 'Data related to review of Learning Disability Contracts and Scrutiny of High Cost Placements Initiative'.
 
 
 
 
 
 
 
Freedom of Information Request - 3757 
 
Birmingham City Council is undertaking a review of Learning Disability Residential Care provision for 
service users/residents funded by Birmingham City Council/Birmingham City Council Social Services.  In 
correspondence from the Council to providers dated from August 2009 providers were informed that the 
purpose of the review is to a) review the current contract b) to scrutinise high cost placements.  The 
project is lead managed by Mr Simon Fenton. 
      
     1. A list of (by name) all 85 providers that are being reviewed under this initiative 
 
Please see table attached 
      
 
     2. The number of placements being reviewed by the Joint Commissioning Team at each of the 
85 providers (on a provider by provider basis) 
      
 
Please see table attached 
 
 
     3. The annual/weekly value (In Sterling Pounds) of each of the placements being reviewed at 
each of the 85 providers (on a provider by provider basis). 
      
 
Please see letter on possible exemption and public interest test on individual case data 
 
 
Weekly Value:        £440, 558 
Annual Value:   £22, 970, 690 
 
 
     4. The annualised value of price reductions initially proposed (this proposal would have been 
made after a care management review and after the care management review has informed the 
care funding calculator) by the joint commissioning team to each provider for each of the 
placements with them being reviewed (on a provider by provider basis on an i)absolute and 
ii)percentage basis). 
      
No price reductions were initially proposed for provider placements as any reductions would be 
based on applying the Care Funding Calculator to determine an indicative placement costing based on 
level of support needs and non care elements of a residential care package.  
 
 
     5. Where agreement has been reached with a Provider, on a Provider by Provider basis, the 
annual/weekly value of price reductions formally agreed (after negotiation – where negotiation 
was necessary or otherwise) for each placement reviewed on an i)absolute and ii)percentage 
basis for each placement. 
      

Please see table attached 
 
 
     6. Where agreement has not been reached as at 13 January 2010, but negotiations are 
ongoing, the reasons that the provider has not agreed with the Joint Commissioning Teams 
assessment of the cost of the placement (on a provider by provider basis for each placement  
reviewed at that provider). 
      

Please see table attached 
 
 
     7. On how many occasions, and to which providers (provider by provider for each placement 
under review with that provider) has the Joint Commissioning Team informed the provider that if 
they do not agree to the price reductions proposed they may consider moving residents from the 
home (or words to the same effect) 


 
The Joint Commissioning Team has consistently communicated to providers the need to ensure 
placements offer the Council continued best value.  To date we have not reached a point where the best 
and final price offered is rejected outright by a provider thus requiring the arrangement of alternative 
provision for service users, however this is not ruled out as a possibility in some instances.  Any change 
would be based on working with individuals and families to ensure any alternative provision was 
appropriate to meet their needs.   
 
 
     8. On how many occasions, and with which providers (provider by provider for each 
placement under review with that provider) has the Joint Commissioning Team informed the 
provider that if they do not agree to the price reductions proposed a) the provider is welcome to 
inform the Joint Commissioning Team that it cannot provide the service (or words to the same 
effect) 
      
No providers have served notice on placements as a result of this initiative to date. 
 
 
     9. A copy of the contract and the pricing framework that you are asking providers with spot 
contracts above the threshold of £1149 to enter into as part of or following your reviews of the 
highest cost residential care placements of adults with learning disabilities 
      
Contract packs containing the Adults with Specific Needs contract including pricing framework are 
available from the Contracts Team on tel. 0121 675 6632   
 
 
     10. Could you please provide full copies (only if required by law should parts of these minutes 
be blacked out) your minutes and notes of meetings with Caretech to discuss and negotiate 
costings and care requirements as part of the work to review highest cost residential care 
placements 
 

Please see letter on possible exemption and public interest test 
 
 
     11. Could you please provide full copies (only if required by law should parts of these minutes 
be blacked out) your minutes and notes of meetings with Autism West Midlands to discuss and 
negotiate costings and care requirements as part of the work to review highest cost residential 
care placements 
      

Please see letter on possible exemption and public interest test 
 
 
     12. Could you please provide full copies (only if required by law should parts of these minutes 
be blacked out) your minutes and notes of meetings with Jaffray Care to discuss and negotiate 
costings and care requirements as part of the work to review highest cost residential care 
placements  
      

Please see letter on possible exemption and public interest test 
 
 
     13. Could you please provide full copies (only if required by law should parts of these minutes 
be blacked out) your minutes and notes of meetings with Robinia Care to discuss and negotiate 
costings and care requirements as part of the work to review highest cost residential care 
placements 
      

No provider meeting to date 
 
 
     14. Could you please provide full copies (only if required by law should parts of these minutes 
be blacked out) your minutes and notes of meetings with Craegmoor to discuss and negotiate 
costings and care requirements as part of the work to review highest cost residential care 
placements 
      

Please see letter on possible exemption and public interest test 
 
 
     15. Could you please provide full copies (only if required by law should parts of these minutes 
be blacked out) your minutes and notes of meetings with Voyage to discuss and negotiate 

 
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costings and care requirements as part of the work to review highest cost residential care 
placements 
 

Please see letter on possible exemption and public interest test 
      
      

16. a) Could you please provide a list of providers with whom communication (written or 
verbal) has taken place to discuss that providers’ ability and/or willingness to provide residential 
care to service users that the Joint Commissioning Team (JCT) may move from another provider 
as part of the review of the highest cost residential care placements for whatever reason. 
      
     b) Please provide minutes and notes of all communications at 16 a) above      
 
Residential providers are contacted on a regular basis by the Contracts Team to identify 
vacancies within the residential sector; this information is shared with Care Managers so they 
are aware of available vacancies when required.          
 
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