This document provides an overview of business analysis and planning, focusing on the assumptions of demand for services, average weekly cost, and yearly budget. It also discusses the NHS tender process for commissioning care or support services.
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Business Analysis and Planning
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Contents INTRODUCTION.........................................................................................................................3 MAIN BODY..................................................................................................................................3 Assumptions of the demand for services andpolicy issues are concerning meeting the needs of the specific service area/users:.....................................................................................................3 Average weekly cost to deliver low, medium or high support services:.....................................5 Explore a yearly budget and a projected income and expenditure (Budget) for three years:....11 Requirement as to evidence how winning organization will engage with service users and wider stakeholders:....................................................................................................................13
INTRODUCTION Businessanalysis is defined asdiscipline that focuses on determining business needs, analyzing them, as well as coming up with solutions to different business issues. This method can also be described as a seriesof strategies and tasks that serve as a gateway to clients, assisting them in comprehending the company's core function, as well as its operations and policies. It is critical to describe a spectrum as a full and explicit statement. This reach would be the core idea heading forward, aiding the team in comprehending and realizing the business's requirements. It's vital to know that perhaps the scope isn't an action plan; rather, it's a roadmap that walks you through each phase of the market research process (Choudhary Harding, Tiwari and Shankar, 2019). The company selected in this report Is NHS which focus on integrated working. In the same context a detailed invitation for tender to commission a care or support service in the borough has been presented. The report also covers assumptions of the demand for services, average weekly cost to deliver low, medium or high, a yearly budget and anticipated income and expenses for upcoming 3 years. MAIN BODY Assumptions of the demand for services andpolicy issues are concerning meeting the needs of the specific service area/users: A proposal is being pursued to offer support and services to nursing staff in the City of London borough. The total tender value is £500,000 for 3years. The contract will be for three years. Per year, the fund manager will perform an inspection. There have been some tender contractual obligations, that are such as the tender to provide a cost-benefit study, proof of cooperation with the municipal authorities, a record of service users' participation, tenders can be posted online via the NHS website,On the 28th of March up and the bid shall contain all tender records as well as the bidder's identity, identity card, and phone numbers (Harding, Brunfaut and Unger, 2020). It really essential for businesses to conduct effective strategy and research in order to achieve their objectives and priorities. It is impossible to achieve targets without preparation therefore it is very much necessary for them in presenting and creation of an appropriate plan for achieving the goal.The section would provide all of the information needed to ready the tender. Through addition, the tender would include an estimate of the three-year valuation of capital, terms of
service, etc. There would be an overview of the various types of documentation that are needed for service customer interaction. Furthermore, it states the documents to be provided with the tender. Multiple data collection methods, as well as direct and indirect sources, would be addressed.Primary sources include questionnaires, interviews, and other forms of data, while secondary sources include posts, magazines, and books. Various data processing methods will be clarified by the invitation that makes a clear understanding for the NHS to make a meaningful result. It would be simple to decide what methods of data processing are usable. It will be discussed the different ways in which municipal governments will cooperate or affiliate. Furthermore, what are the various forms of stakeholders that operate in local government with which the borough may collaborate in making the deal more impactful for health and care services.Thisinitiativewouldcostasubstantialamountofcapital(Holma,Vesalainen, Söderman and Sammalmaa, 2020). The following are some ofmost significant characteristics of thistender, as follows: Both prospective contractors and vendors shall apply their bids byclient's defined deadline. The bid will contain all necessary and appropriate information, such asservicesto be used,project's estimated expense, and so on. Following the deadline,customer evaluates all bids based on a series of defined conditions such as price and efficiency. Invitationtotender also known as a call for tender, is the first step intendering process (RTF) It all comes to a head withpublic assessment process, after which one ofbidders wins the proposal or deal. Tenders are widely published in a range of media once they are circulated by the customer, allowing any potential vendors to apply on the project. Tenders or offers are assessed according to predetermined parameters like price, cost, and valuesfor capital. In other terms, the company that will have the best quality good or service at the lowest cost will be awarded the contract. Sincetender documents being opened and analyzed in a public forum, nepotism or unfairness of some sort has little space. Tenders have the most benefit for the money invested fromclient's viewpoint. This is attributed toclient's willingness to choose from a vast pool of possible vendors those who will deliver the best qualityservice atlowest expense. This enables, the business establishment, or association to save capital without
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sacrificing efficiency. As a result, despite becoming thing, tendering isa lucrative long-term process fromperspective of a company. Tendering assists in the growth of a dynamic industry. That's because each project allows a large number of prospective vendors, companies, or manufacturers to submit bids. Since procurement is based on both quality and price, each bidder attempts to eliminate as many operating inefficiencies and layoffs as practicable to minimize costs and enhance quality. Average weekly cost to deliver low, medium or high support services: Thisoverallprocesspromoteshealthycompetitioninmarketplaceandinhibits complacency and ignorance, which then in turngives an increase to innovationsand new ideas/concepts. Tendering enables it made it simpler and more transparent for new businesses to entermarket or evenspecific sector. Because contracts are assigned under this framework based on predetermined unbiased requirements this iscase. As a consequence, even a newcomer to the business with no industry experience or relationships will earn a coveted and lucrative offer by giving the customer the best deal for their money (Sutaria, Roderick and Pollock, 2017). As a result, this method aids new businesses in gaining a foothold inmarket or sector, substantially lowering the conventional barriers to entrance. In this regard following is estimation of services cost of tender, as follows: CONSULTANCY DISCIPLINE Project Stage (completed and approved) Project Type Total Meetin gs* Quantity SurveyorNew ProjectType 2a35 No * Assumed minimum number meetings for assessment purposes only (20% by Project Director to 80% by Project Senior) GradeRate ex VAT ProjectDirector [Architect/Engineer/Quantity Surveyor] £1,200. 00 /hr
ProjectSenior [Architect/Engineer/Quantity Surveyor] £1,000. 00 /hr Support Staff £785.00 /hr Average Rate (for Stage Services) @ 10% Director Rate + 40% Senior Rate + 50% Support Staff rate £912.50 /hr Hours/ Visit Travelhoursper site visit/meetingfor Director[e.g.: Dublin- Mullingar 1hr each way = 2 hrs] 1.0 hrs Travel hours per site visit/meeting for Project Senior [e.g.: Galway- Dublin 2.5 hr each way = 5 hrs] 1.0 hrs Hours Stage Services (Including Project management {DT leader}, but excluding meetings and Travel hours) 350.0 hrs £319,37 5.00 Meetings and Travel Time Director (4 Hours x 20% (rounded) of Number of Meetings) 34.5 hrs£41,400 .00 MeetingsandTravelTimeProjectSenior(4Hoursx80% (rounded) of Number of Meetings) 138.0 hrs £138,00 0.00
TOTALCOSTof SERVICES[TENDER SUM] ex VAT : £498,77 5.00 The below is a listing of expected roles that could be needed for care or support servicesand based oncare requirements by NHSdesignated staff; such list isn't really complete, and needed Services may differ depending on specific needs: As per theSupport Plan assigned by NHSpersonnel, provide all facets of personal treatment, including help in moving in as well asout of bed, washing, and controlled toileting. Organize continence treatment, including adequate handling of incontinence goods and notice of any adjustments in the Client's situation to sufficientemployees. As directed by Support Plan, providing prescription prompting and retrieval frompharmacy. Additional costs involved with picking up drugs frompharmacy must be factored into acceptable hourly rates including mileage rates, if necessary. Keep track of nutritional intake to ensure that calories and water are ingested in accordance with theSupport Plan. When the Client has persistent trouble feeding or drinking,Support Worker must notify their boss, who would then notify the proper HSE workers to note the information inclient's record of treatment. Prepare meals according to thecare and support plan. Encourage patients to walk on their own where possible. As instructed by the Home Care Package, utilizing suitable mobility equipment anddelegated fitness schedule. Any improvements in overall health and wellbeingas well as skin honesty, must be reported toSupport Worker's boss, who also must refermatter to the proper HSE employees, and that thismust be properly recorded in the log of treatment. To ensure a healthy atmosphere for the Client, perform critical household tasks as outlined in thecareandsupportPlan,providingstandardkitchen/daylivingzone,bathroomand bedroom grooming, lighting and fire planning as requiredand trash collection and drainage as needed. Provide sessionalrespite services as required. Where there is no alternative help, shop for specific food specifications. Document the treatment provided and any concerns of concern, and notify the NHS if required.
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A public authority can use its own procurement processes, tools, and methods for certain care orsupport services agreements. It would almost certainly want to pursue a procurement process that is directly proportional tocontract's worth and takes into account certain basic requirements asmatter of professional practice (for instance,TFEU'sfundamental principles where relevant as well asfair workingpractices).Publicbody can adaptor standardizeoneofprocurement procedures listed inPublic Contracts (Scotland) Regulators 2015 while doing this. This is not required to meet the specific procedural criteria laid out in theseRegulations if it chooses to do just that. As a result, a public body does not mentionRegulations intender documents it sends out to entrants, because it should give the impression thatdetailed procedural criteria will be met. In other cases,public body must be certain that the recruitment process is correctly and simply defined, and then followed (Talamo and Atta, 2018). Developing a procurement plan A localauthority must determine how the service can be implemented and design the service requirements at the planning period. A local authorityshould create a procurement strategy that explains: ï‚·Introduction and definition ofpurchase (taking into account the intent, essential nature, as well as any intolerances); ï‚·whetherthisisadvertisingrequirementandawardingcontractorframeworkagreement throughcompetition,expandinganexistingprojectorrenderingdirectawardwithout competitive advantage; and ï‚·Whether thisis advertisingrequirement and grantingcontract or structure agreement through competition, expanding an established contract or creating a direct offer without competition. ï‚·The conditions that contributed to that decision; ï‚·How thiswill be shown thatprocurement activity will be equitable, straightforward, and non- discriminatory, namely in compliance with procurement laws; ï‚·Duties and obligations of employees participating inprocurement process; ï‚·The policy framework and consent process in place; ï‚·How and where it will inform people who have used the program, as well as their cares, of its intentions, as well as plans for their participation inprocurement process;
Howservice specification would be created with the participation of individuals who use the facilities, as well as their carers as well as service providers (along with any potential to lead to monetary, social, and community issues and to minimize inequality); Howservicespecificationwouldbedevelopedwithparticipationofindividualswho useservices, as well as their carers orservice providers in its growth (along with any potential to commit to economics, social, and environmentally wellbeing as well as to minimize inequality Study of the provider industry to find existing providers offeringsame or comparable service, as well as any spend analysis possible; Form and length ofproposed contract or arrangement agreement, required expenditure, and approximate contract value, What requirements would be employed to choose service providers as well as awardcontract or framework agreement (such as whether grant requirements or performance metrics may involve equality considerations); Expected advantages and potentials (Hewison, Zafar and Efstathiou, 2020). Whatrequirementswouldbeemployedtoidentifyserviceprovidersaswell asawardcontract or framework arrangement; what transitional plans will be in force ifexisting service is transferred to a new provider; the administration of the contract or process agreement; howpublic body's interaction withservice provider(s) would be handled; plans for evaluating the service; What steps it plans to take atconclusion ofcontract term; including howbidding exercise would be assessed. When a contract involves a combination of services, that it is classified ascare and support contractswould likely concentrate on whether such services account for the bulk ofcontract's expense. The deal would be a medical and support facilities agreement if more than half of the bill is composed of such services, including vice versa. Deal is considered to becare as well assupport services contract whereexpense ofservices is equally divided (i.e. 50-50) as well ascontract value is around between£50,000 to£750,000 (i.e. agreements belowEU-regulated contract limit). While procuringcare and support servicescontract, the service definition is important because it offers accurate guidance to prospective service providers onpublic body's
specifications. It specifiestype of servicegovernment entity chooses to procure in attempt to satisfy the demands of people, as well as the expectations and results thatservice must meet. The service requirement would also be incorporated into the arrangement between the authority and the service provider (Loeffler and Bovaird, 2019). A localauthorityshould make sureservice requirements are flexible enough to allow for reconstruction and creativity, particularly ifcontract is forlonger period of time. Such future amendments tocontract could be considered material changes, requiring the agreement to also be re-tendered. Service parameters can be outcome-based whenever possible. It helps a government agencytoconcentrateontheoutcomesitneedsserviceprovidertoproduceratherthan prescribing howservice can be produced in depth. It allows service provider more flexibility in developing programs to address individual needs, proposing new ideas, and directing capital (in collaboration with service users). Work requirements for defined social care providers, such as home care, may be very precise on the activities that must be completed byservice provider withingiven amount of time. A local authority should understand the degree to which mission and time-based requirements can results inservice that meets the needs of those that use it. Where activity and time-based requirements are relevant, they should be structured in suchmanner thattime allotted for the defined tasks is adequate to deliver a high-quality service, produce the desired results for individuals who access services and enableservice provider to adapt to imminent and evolving needs. Groups who access services should be interested in identifying their requirements and the results they expect, and their perspectives should guide the implementation ofservice specification. It must also be involved in including service providers in formulation ofservice specification while making sure that they don't achieve an unfair benefit insubsequent procurement phase.Regulation 42 ofPublic Contracts (Scotland) Regulations requires public authorities to take reasonable steps to guaranteethatcompetitivenessisnot manipulatedbytendererwho wasinterestedin the procurement'splanning.Therefore,caremustbetakentoensuringthatserviceproviders participating in the preparation ofservice specification don't gain an undue benefit intendering process.
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Explore a yearly budget and a projected income and expenditure (Budget) for three years: A current service specification cannot be assumed to represent future specifications by a public authority. Existing specifications must be checked and revised to insure that they are all fit for intent. A public agency must therefore insure that there are no conflicts of interests which may distort competitiveness or discourage bidders from being treated equally. This could include circumstances where persons havedirect or indirect financial, monetary, or other private interest that could be interpreted as jeopardizing their objectivity and integrity inprocurement process (Braulio-Gonzalo and Bovea, 2020). In this context following is yearly budget and projected incomes and expenditures budget for three years, as follows: RevenueYear 1Year 2Year 3 Grants50000000 Contracts5000080000120000 United Way400004800072000 Contributions (define)300003600054000 Membership100001200018000 Individuals170000204000306000 Fees for services150000180000270000 Sales180000216000324000 Fundraisers and events7000084000126000 Endowment8000096000144000 Interest income120001440021600 Miscellaneous140000168000252000 Total cash revenue£1,432,000£1,138,400£1,707,600 Total in-kind revenue£25,000£27,000£30,000 Total Revenue£1,457,000£1,165,400£1,737,600
ExpensesAgencyProgram 1Program 2 Staff salary and benefits100000110000165000 Occupancy(rentand utilities) 120000132000198000 Insurance100001100016500 Legal, accounting200002200033000 Equipment25000000 Supplies8000088000132000 Printing and copying300003300049500 Telecommunications400004400066000 Travel and meetings250002750041250 Marketing and advertising100000110000165000 Staff training/development400004400066000 Contract services9000099000148500 Other8000880013200 General administration150001650024750 Total cash expenses£928,000£745,800£1,118,700 Total in-kind expenses£25,000£27,000£30,000 Total Expenses£953,000£772,800£1,148,700 Revenue over Expenses£504,000£392,600£588,900 The above budget prepared for tender depicts that there will be profit during all the three year. Although due to initial phase and increasing expenses there is estimation that in year 2 profit may decline but in third year profit will rise and reached to around £600000.There arenumber of flaws in the current paradigm that must be resolved in order to better satisfy people's needs. A potential service model would operate under the budgetary constraints, but on
the basis of fair hourly wages that increaseterms and conditions towardscare staff.The problems extend tohourly rates charged to servicesproviders with thecare or supportsector possessing a poor image in terms of affordability for caregivers. The regionalcare industry, according to Qualifications for Care, does have an ageing workforce, with a mean lifespan of around43 years, high employee turnover of 37.4 percent, vacancy rates of around10%, with relatively little external recruiting outside of individuals currently employed insector. This image is reflected in conversations with suppliers, though collecting readily accessible specific data forborough is challenging.Period and task'smodel, that ensures that care staff are continually racing against clock to contribute tonext visit, irrespective of the changing needs ofpeople they serve, contributes to lowerjob satisfaction. That transactional strategy does not provide for personalization or emotional satisfaction, and the related travel costs render other industries, like retail, more appealing propositions (Malouf, Henderson and Alderdice, 2019). Requirement as to evidence how winning organization will engage with service users and wider stakeholders: Existing significant care worker services must be used to the fullest extent possible. The argument for reform is well-established, includingnumber of local authorities have implemented alternate delivery methods to step away from time-frameand taskframework. This has aided in the development ofNHS model's values and approaches while report's detail was developed via co-production followingseries of formally and informally engagement meetings withwide array of stakeholders, namely: ï‚·Individuals in receipts of the care or support services by telephonic surveys ï‚·Members or group of public ï‚·Existing key contracted providers ï‚·Wider providers by soft market test sessions ï‚·An array of adults care as well as CCG staff ï‚·Community nursing as well as occupational therapists staff A co-produced, better practice framework would beonly way to accomplish the goal of providing high-qualitycare and support services. The implementation of an updated home care model would supplement Adult Care Directorateemerging TargetsOperating Model (TOM). To improve reablement-led provisions, embed strength-based interventions, and expand multi-
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disciplinary collaboration,TOM would take into consideration whole-system needs as well as the necessary collaboration with health stakeholders. New care orsupport program will be inclusive of a broader range of options, from low-cost or no-costprogramstocomplextailoredandspecializedservices.Thisiscriticalthatthe implementation ofnew model ofcare and support fits in with the Directorate's larger system innovationsandistailoredtotheneedsofhealthstakeholders.TheCouncil'sfinancial constraints, as well as the difficulties faced by suppliers, the standard of provisions, and rising demand nevergo unaddressed. IfCouncil is to maintain a thriving home care sector capable of providing higher-quality care inNHS, it must act to serve a smaller proportion ofpopulation for a shorter period of time, as well as re-able and advance to offer alternatives to traditional high- costscare. Through providing high-quality, flexible treatment and assistance only for as long as thisis required, a newcare model will help to minimize demand. A potential new delivery framework forcare and support offers a potential to resolve the concerns raised incase for reform, while also enshriningadult care vision thatCouncil "will work together as well assupport people to live full engaged lives to function independently and also to playactive role in their regional communities.People would be enabled to stay atlonger, live comfortably, and access social resources to maintain their health and quality of life if they receive efficientcare and support. In additament to decreasing demand towards traditional care facilities and thus costs,model suits withCare Act 2014's personalisation and preventive agenda (reduce, avoid, delay). The goal ofnew delivery framework is to improve user satisfaction by encouraging prospective caregivers to considercare as a viable career option and to pursue careers in community care orhealth. Attracting motivated employees withright ideals relieves providersoftheburdenandexpenseofconstantlyrecruitingandtrainingtheirstaff (ENTERPRISE, 2019). Other local governments have adoptedproposed model, offering a foundation of knowledge and learning from whichCouncil can develop. Proposed service configuration is currently in the works. It is based on the implementation of best practices from other areas, as well as the results ofco-production exercise with core stakeholders who are informingcontent. The implementation ofprinciples and methods is a key component of the planned new delivery framework.The latest model's keyprinciples are as follows:
A recovery culture for all persons using the program • The fostering of freedom by sustained reablements. Provider care workers are in charge of managing‘envelopes of time' for people. Providers are viewed as members ofmultidisciplinary team. All individuals involved incare and support ofperson receiving the service have a high degree of confidence. The Approaches of the new model are: While completing Care/supportPlan, assessment as well as provider care personnel use strength-based methods. The individual receiving the service decides the desired results, andsupport plans are person-centered. As part ofsupport planning phase options for using equipment, assistive devices, or interactive solutions are discussed. Provider personnel are informed and capable of using or collaborating with assistive devices, technology services, and other equipment. As portion ofcare orsupport for people receiving services, provider personnel makebest usage of local assets. Learning and growth opportunities for caregivers are available. The successful elements ofcurrent specification would be combined innew delivery model, which will be expressed innew service configuration. The continuity of successful provider organization against a regional footprint iscritical component (zones). This facilitates communication with evaluation teams and health-care providers, such as nursing staff.The new framework will require to be flexible in order to meetneeds of each region (Glenngård, 2019). This will provide providers with certainty of income and encourage the use of work agreements for provider caresworkers. It would be implemented only after the amount of service needed in each region had stabilized into a predictable pattern. Digital call tracking will be required to ensure service continuity toCouncil, but that will be linked to payment mechanisms Providers plan for services to also be offered ondates and locations chosen by the client andfamilies, while continuing to fulfill their obligations where important call hours are needed. Providers can playmuch larger role inorganization of care plans, as well as in the evaluation process. In such model, provider feedback will lead to changes in care packages that favor the customer while
also allowing the Council to save money in circumstances where requirements have improved. A reablement-focused servicesdelivery model in which providers reable persons to reduce their care packages after a time of structured (and cost-free) reablement. This will mean thatprovider hasresources to satisfy new servicesrequest demand, as well as proactively includingprovider in thedemand management. It'll also promoteuse of equipment and support devices, as well as ensure that public asset initiatives are considered as portion of the overall package. Risinghourly rate charged to suppliers to match that ofChartered Institute of Public Financesand Accountancy (CIPFA) community neighbor local councilsmeaning that costs are affordable over the original contract period and throughoutfinancial envelope. Providers' care workers will be adequately compensated thanks to an updated hourly rate stated incontract papers. The costsof this would be offset by appropriately designing care packages thereby avoiding dependence from increasing (Maniadakis and et.al., 2018).
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REFERENCES Books and Journals: Choudhary, A.K., Harding, J.A., Tiwari, M.K. and Shankar, R., 2019. Knowledge management basedcollaborationmoderatorservicestosupportSMEsinvirtual organizations.Production Planning & Control,30(10-12), pp.951-970. Harding, L., Brunfaut, T. and Unger, J.W., 2020. Language testing in the ‘hostile environment’: The discursive construction of ‘secure English language testing’in the UK.Applied Linguistics,41(5), pp.662-687. Holma, A.M., Vesalainen, J., Söderman, A. and Sammalmaa, J., 2020. Service specification in pre-tenderphaseofpublicprocurement-Atriadicmodelofmeaningful involvement.Journal of Purchasing and Supply Management,26(1), p.100580. Sutaria, S., Roderick, P. and Pollock, A.M., 2017. Are radical changes to health and social care paving the way for fewer services and new user charges?.Bmj,358. Talamo, C. and Atta, N., 2018.Invitations to tender for facility management services: process mapping, service specifications and innovative scenarios. Springer. Hewison, A., Zafar, S. and Efstathiou, N., 2020. Bereavement support in the UK–a rapid evidence assessment.Bereavement Care,39(2), pp.69-78. Loeffler, E. and Bovaird, T., 2019. Co-commissioning of public services and outcomes in the UK: Bringing co-production into the strategic commissioning cycle.Public Money & Management,39(4), pp.241-252. Braulio-Gonzalo, M. and Bovea, M.D., 2020. Criteria analysis of green public procurement in the Spanish furniture sector.Journal of Cleaner Production,258, p.120704. Malouf, R., Henderson, J. and Alderdice, F., 2019. Expectations and experiences of hospital postnatalcareintheUK:asystematicreviewofquantitativeandqualitative studies.BMJ open,9(7), p.e022212. ENTERPRISE, M.O.A.I., 2019. TENDER DOCUMENT FOR. Glenngård,A.H.,2019.Pursuingtheobjectivesofsupporttoprovidersandexternal accountability through enabling controls-a study of governance models in Swedish primary care.BMC health services research,19(1), pp.1-14. Maniadakis,N.,andet.al.,2018.Shapingpharmaceuticaltendersforeffectivenessand sustainabilityincountrieswithexpandinghealthcarecoverage.Appliedhealth economics and health policy,16(5), pp.591-607.