For the Domiciliary Care Programme, Procomp will provide their Strategic Optimisation Service where a snapshot of operational data is taken and Procomp’s advanced Artificial-Intelligence-based planning tool (R2 Optimiser) is used to perform detailed modelling of alternative scenarios.

These scenarios are used to investigate the impact of a wide range of changes. These changes could include:

  • Care assessment and care planning practices.
  • Commissioning and brokerage practices.
  • Market shaping and approaches to provider market utilisation.
  • Roles and shares of responsibility in integrated teams.
  • Work patterns.
  • Outsourcing and insourcing of services.
  • Work patches and team sizes.
  • Taking certain equipment into use.

The following scenarios are in scope of this project:

Scenario 1: Flexibility – Care Planning and Assessment Practices

Elements to be included:

  • Analysing planned/actuals to understand the current situation.
  • Effect of care planning, assessment, and brokerage practices on visit time flexibility​.
  • Moving non- time-critical tasks to off-peaks (can include splitting visits).
  • Flexibility of visit​ start times.
  • Flexibility of visit length.
  • Reducing the number of exclusions and other constraints.

Objectives​

  • Identify improved care planning, assessment and brokerage practices​.
  • Pilot the changes.
  • Better shape demand to fit supply: level out peaks and troughs​.
  • Have a positive impact on KPIs: mileage, continuity of carer, number of care workers needed (utilisation)​.
  • Have a positive impact on workforce satisfaction, retention, sickness.

Scenario 2: Density – Commissioning and provider market utilisation practices

Elements to be included:

  • Model the impact of using a more consolidated provider market approach.
  • Using existing providers in coordinated way.

Objectives​

  • Identify improved provider market utilisation strategy​.
  • If possible, pilot the approach in a selected area during the project.
  • Have a positive impact on KPIs: mileage, number of care workers needed (utilisation). Depending on approach, economies of scale also possible​.
  • Develop an early insight of the potential benefits of a consolidated approach​.

Scenario 3: Integration – Integration of services

Elements to be included:

  • Model the impact on mileage and care worker utilisation when using a more integrated approach between services.
  • Focus on integration of reablement and home care.
  • Could also include local community health provider.

Objectives​

  • Identify integration opportunities​ which would yield economies of scope.
  • If possible, pilot the approach in a selected area.
  • Have a positive impact on KPIs: mileage, number of care workers needed (utilisation)​.
  • Improve care worker satisfaction, provide training and career path opportunities.