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City Health Care Partnership CIC: Domiciliary Care

“Thanks for all your and your team’s help; the market research and the intel and the work on finance has really helped us. It is a complex business area to embark on” – Christy Francis, Deputy Chief Operating Officer, CHCP CIC.

The client and their challenge

City Health Care Partnership CIC (CHCP) CIC is an independent, social enterprise health services provider. They are an employee co-owned ‘for better profit’ organisation, investing profits into services, colleagues and the communities they work in. They provide over 50 diverse services in community settings, from health visiting to palliative care, school nursing to stroke services in Hull, the East Riding of Yorkshire, Knowsley, Wigan and St Helens.

In recognition of the challenges faced by its Local Authority commissioners in securing high quality, strength-based and holistic domiciliary care, CHCP asked Baxendale to support it achieve its ambition to scope, design and implement a domiciliary care business to cover both self-pay and commissioned markets in Hull and East Riding.

The solution and outcome

Initially, we performed in-depth market analysis for the Hull, East Riding and national domiciliary markets to determine the need, demand and market for the service. We analysed market trends and dynamics, assessed levels of competition, commissioning landscape and possible barriers and opportunities to enter the market. This indicated the most attractive options for CHCP to take the first step in developing the new service as well as identify what CHCP could achieve in terms of revenue, as well as highlighting the pitfalls of entering this challenging market with significant pressures both on provider financial sustainability, and recruitment and retention.

We then worked with service teams to create an overarching service model designed to meet the needs of both commissioners and service users. The model aims to maintain and improve quality of life, and the wellbeing and independence of service users in their own home through a tailored, strength-based approach.

Building on this, we developed the granular operating model detail required to build a multi-segment financial model. This illustrated the financial impact of launching the service and allowed CHCP to effectively de-risk launch of the service through detailed understanding of risk exposure by:

Once the preferred route to market was established, we worked with the service manager and wider team to develop an operating framework which established SOPs for referral, assessment, care delivery and discharge whilst ensuring effective integration of the newly procured rostering, scheduling and care planning platform.

The service is now live across Hull and East Riding, delivering care packages and support to those who need it.

If you are seeking support on developing your strategy and approach to commercial activity, please contact Robin Naudi – Head of Commercial and Digital, here: contact us.


Mohammedkazim Kanji

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