Provide and Essex County Council
Provide Community Interest Company (CIC) and Essex County Council aim to deliver high quality healthcare to adults in Mid Essex, and help them to ‘live well’. Local and national factors supported a move to more integrated care and more joined up services in order to help to address some key challenges including demographic change, growth in numbers of people with complex needs, and pressure on finance and resources.
We undertook an options appraisal, which was underpinned by extensive engagement, and input from key partners, including Mid Essex Clinical Commissioning Group. The options appraisal was informed by data from both a ‘bottom-up’ workforce-led analysis, and a ‘top-down’ strategic view of the organisations. The process involved the development of criteria to reflect what mattered to Provide, ECC and stakeholders which was applied to four potential delivery model options. These were:
- In-house ‘as is’ option
- Corporate Joint Venture
- Contractual Joint Venture, through an Alliance Agreement
- Lead provider
We recommended that ECC and Provide should integrate services by implementing a Contractual Joint Venture through an Alliance Agreement. This option offered many benefits and provided a way to embed a holistic view of Community Health and Social Care provision and a legal basis for strategic and operational alignment between ECC and Provide, without change to existing commissioning structures or existing corporate entities.
To understand exactly how ECC and Provide should proceed, we produced a ‘Roadmap’ describing the next steps towards integration and continued exploration of consolidation.
‘’The work has taken the partners exactly where we wanted to get to’’John Niland, Chief Executive, Provide