Who We Are

Care and Health Solutions offers strategic support, service redesign and transformation services
f
or Councils and commercial organisations working within the social care and health sectors.

This has included advising and designing different models of service delivery such as trading companies, social enterprises, and mutuals. Our list of clients demonstrates the appeal of CHS and our impressive track record. Amongst other things we have developed a niche specialism in the appraisal for and development of alternative service delivery models. CHS are strategic partners with Ernst & Young, one of the Country’s largest Corporate consultant agencies, providing subject matter expertise on alternative service delivery models and Mott Macdonald and Trowers and Hamlins Llp on general social care matters. CHS have a carefully selected team of Associates to support and implement change projects.


Russell Thompson

Director


Background

• As an external consultant Russell has modelled the full financial business cases for 9 LATC projects, completed 23 Options Appraisals including high level BCs and implemented 6 LATCs involving 8 LAs.

• Helped design and implement the first jointly owned LATC in adult social care – Tricuro Ltd.

• FD of the first Adult Social Care LATC for its first 6 months trading, and has been interim FD of later LATC s for up to 3 months.

• With over 25 Years experience as a Finance Director in the Commercial Sector, and 11 years as a consultant in the Public Sector, Russell is uniquely qualified to manage the externalisation of LA Services into new models.

• In his career Russell has managed the start up or relocation of 5 companies from a £3m Secondary Distribution Co to an £11m Corporate Uniform supplier.

Skills

• Options Appraisals and Business Case development.

• Implementation of new vehicle including financial management and reporting structures.

• Project management of 8 -10 workstreams over 9-12 months.

• Establishing all financial management controls, systems, reporting and governance mechanisms.

• Integration of senior management into a team that understands and embraces financial acumen.

• Managing IT transfers and Data Protection requirements.

• Business Planning and preparation of business plans and financial modelling for new businesses.

• Able to manage £30m+ cost budgets and develop the commercial understanding of staff.

Experience

• Dorset CC, Bournemouth BC and Borough of Poole – Options Appraisals, Detailed Business Cases and successful Implementation for the jointly owned LATC (Tricuro Ltd) – This implementation involved over 2,000 staff and T/O of £40+m, Tricuro Ltdwent live 1st July 1st 2015 with over 50 locations and services.

Scottish Borders Council – Options Appraisal to Implementation (SB Cares) – Russell worked with SBC developing and presenting the Options Appraisal and Business Case and led the implementation of the transfer of their in-house social care services to their own LLP with a T/O of £18m and 700 staff.

• Buckinghamshire County Council – Options Appraisal, Business Case, Implementation and Interim FD (Buckinghamshire Cares) – Russell developed the OA wrote the Business Plan and financial forecast and managed the financial aspects of the transfer and implementation of the LATC in BCC and was Interim Finance Director of the new Company for 3 months.

Northamptonshire County Council – Options Appraisal, Business Case development and implementation of an LATC – Russell developed the financial aspects of the Business Case for Olympus Care Services Ltd (out of Northamptonshire CC) and then implemented the business plan for the LATC, with a £30m budget and 1100 staff. The company has been trading since April 2012 and has a two company structure that
mitigates virtually all negative VAT impacts.

Aberdeen City Council – Full Business Case, implementation and Interim FD of adult social care LATC – This has included implementation of all financial aspects of the company, acting as interim Finance Director, Options Appraisal and Business Plan development, IT development and transfer and stakeholder engagement.

• Essex County Council – Adult Social care LATC Implementation and Interim FD – Russell developed and implemented the Business Case for the first Adult Social care externalisation in the UK – Essex Cares Ltd, and was interim Financial Director for the first 6 months of trading.

• Community Equipment Board – Chair – Continues as the Chair of a twelve-agency Community Equipment Board in Essex managing a budget of £18m pa.

Clive Dove-Dixon

Associate Director


Background

• Clive has extensive experience of setting up and runningcommercial services in the public sector. He was Director of the Commercial Group at the University of Warwick for 12 years and he then used his public sector and commercial skills in setting-up Optalis with CHS.

• More recently Clive has been working with CHS on the set-up and implementation of Buckinghamshire Care, the Business Case and Implementation of SB Cares, and the Implementation of Tricuro.

Skills

• Strategic Thinking: Strategic vision, ideas development, forward planning, research, analysis and evaluation, problem solving and resolution, integrated management, business objectives focused.

• Programme and Project Management: Leadership of complex programmes, project management.

• Business Development: Change management, business turnaround, creating new opportunities, understanding business drivers.

• People Management: Communications at all levels, motivating, encouraging, coaching, training and development, influencing, recruitment, conflict management, identifying individuals’ strengths, facilitator and builds trust.

• Customer Relationship Building: Negotiation, persuasion, client needs identification, business benefits, focused targeting, customer analysis, improve customer satisfaction.

• Financial Planning: Forecasting, full P&L responsibility, budgetary control and profit improvement.

• Market Positioning: Strong market awareness, new channel identification and market analysis.

Experience

• Dorset CC, Bournemouth BC and Borough of Poole – Options Appraisals to Implementation for all 3 authorities – (Tricuro) – Leading on Bournemouth implementation of the three Council LATC in Dorset. Tricuro went live July 1st 2015.

• Scottish Borders Council – Business Case and Implementation Programme – (SBCares) – Clive worked with Scottish Borders Council in preparing the Business Case then transferring their in-house social care provider services to a wholly owned company. He was then retained to assist the new company post go-live.

• Buckinghamshire County Council – Setting up of Reablement service – Cliveoutsourced the Homecare service and set up a new County-Wide Reablement Service.

• Buckinghamshire County Council – Consultant for Buckinghamshire Care post set – up (Buckinghamshire Cares) – Following the set-up of Buckinghamshire Care by CHS, Clive was retained to assist in the new company developing systems and focusing on new commercial developments. A key development was the business case for taking on Buckinghamshire’s Telecare service as a new revenue stream for the company.

• Wokingham Borough Council – led the development and launch of a £9m social care Local Authority Trading Company (Optalis) – As well as producing the business case with Mike Walsh, Clive programme managed the implementation for WBC. A wholly owned subsidiary of the Council, Optalis was one of the first such companies to be set up by a council. It runs the adult and learning disability care services as a commercial operation, with a public sector caring ethos.

• University of Warwick – Commercial Director – Clive was Director of the Commercial Group at the University of Warwick, a group of services and businesses that turned over £67m pa and with over 1,000 employees. The group not only provided core services for the University, but also brought in significant revenue to help finance the University’s core business – education. Clive built a £67m pa business operation. He created an entrepreneurial culture, developed a model to assess opportunities, built and led a large team to grow businesses. His responsibilities grew from £4m pa t/o £400k profit, to £67m pa t/o £4.3m profit, in ten years.

Jon Manzoni

Associate Director


Background

• Jon is an experienced senior manager with over 15 years experience in local authority, social housing and the third sector.

• He is a founding director and subsequent interim Managing Director of Essex Cares Limited, the first Local Authority Trading Company in the UK specializing in the provision of social care.

• Jon has undertaken key roles as lead Service Manager for Essex County Council Personal Budgets programme, Senior Manager for an Essex based Housing Association and before that the Director of a regional Mind Association.

• His passion and expertise is in the design, re-design and delivery of progressive outcome-focused services, most notably in Residential care , Reablement, Community Equipment and Community Inclusion services.

Skills

• Jon combines extensive experience with a strong skills set including leadership, strategic planning, change management and project management.

• Jon provides interim management and national consultancy in relation to social care development, transformation and strategic direction.

• He is adept at offering robust service delivery solutions to public sector, non-profit and private sector organisations. Most recently providing social care sector market analysis to Scottish Borders Council. He provides specialist health and social care consultancy on integrated pathways of care, most recently with Hackney Council and Homerton NHS Foundation Trust.

• Jon’s skills also include the ability to prepare winning bids for public sector tenders most recently on behalf of Avante Partnership Trust and Essex Cares.

Experience

• Dorset CC, Bournemouth BC and Borough of Poole – Options Appraisals, Detailed Business Cases and successful Implementation for all 3 authorities’ LATC (Tricuro Ltd) – This implementation involved over 2,000 staff and T/O of £40+m, Tricuro Ltd went live 1st July 1st 2015 with over 50 locations and services.

Metropolitan Housing Trust– Lead Project Consultant on the implementation of prevention and recovery service models for mental health in partnership with Essex County Council and two NHS Foundation Trusts. The objective of this was to successfully deliver a range of specialist accommodation based services across Essex as alternatives to residential care provision.

• Leonard Cheshire Disability – Interim Head of Business Development delivering a 10 year social care development strategy including option appraisals of a range of service offerings both regionally and UK wide. These included residential, domiciliary and day services employing up to 8000 staff and generating an annual turnover of £155million.

• Hackney Council and Homerton Foundation Trust – Consultant instrumental in the re-design of an integrated pathway and single point of referral bringing together NHS and Council reablement, intermediate care and crisis response services.

• Barnet Local Authority – Consultant conducting extensive market research and analysis to facilitate the successful operating and trading of a recently established local authority trading company. This includes competitor profiling, market segmentation and positioning.

• Buckinghamshire County Council – Consultant enabling the local authority to make informed decisions about new employee terms and conditions its Local Authority Trading Company would offer staff in order to successfully trade in the open market.

• Essex Cares Limited – Interim Managing Director of the first local authority trading company with core responsibilities for 900 staff, a £35m turnover and the delivery of person centred services to over 115000 service users per annum. In that time Jon also led the delivery of two successful community support service tenders with an annual contract value of £5.5 million.

Mark Wagstaffe

Consultant


Background

• Chartered Accountant (FCA) with 18 years of experience.

• Experience of a number of different sectors and industries.

• Senior member of finance team, leading, managing and implementing new initiatives.

• Commercial experience of setting up new commercial businesses.

Skills

• Options Appraisals and Business Case development.

• Implementation of new vehicle including financial management and reporting structures.

• Establishing all financial management controls, systems, reporting and governance mechanisms.

• Integration of senior management into a team that understands and embraces financial acumen.

• Business Planning and preparation of business plans and financial modelling for new businesses.

Experience

• Dorset CC, Bournemouth BC and Borough of Poole – Options Appraisals to implementation for all 3 authorities. Leading on the financials for the Bournemouth implementation of the three Council LATC in Dorset, due to go live in July 2015.

Teaching Schools – Working with a group of schools setting up an alliance to provide a teaching school. Implementation of business planning and budgeting. Set-up of financial controls and promoting financial and commercial understanding.

• Set up of Quality Practice – Set-up of new business in Primary care Sector. Including writing business plan, financial modelling and raising finance for new business. Focussing on General Practice and CCGs, promoting collaboration and sharing best practice.

• Modelling Primary Care opportunities – Review linking Primary Care initiatives with Local Authorities to improve opportunities to allow self-care of patients.

• Establishment of Community Hospital – Finance Director of Braintree Community Hospital a new hospital, setting up all financials controls and systems to operate the hospital.

• Transfer of Contract – responsible for implementation of new delivery contact including TUPE transfer of 280 staff.