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  • Introduction
    • 🥳Welcome to the playbook
    • 📒Project background
    • What is co-operative care?
    • 🛠️How to use the playbook
    • A word from...
      • Equal Care
      • Clapton Care Commons
  • Start and Grow
    • 🚠Overview
    • 🌍Foundation
      • Founders
      • Find the others
      • Feasibility
      • Formation
    • Have a go
    • Find (more) money
    • Share the power
    • 🎋Grow
      • Recruit workers
      • Start teams
    • Sustain
  • Technology
    • Equal Care's Platform
    • Equal Care's technology journey
    • Choosing technologies
      • Social Care Platform Vendors
  • Fundraising
    • Fundraising options
    • Community Share Offers
      • Financial Conduct Authority (FCA)
    • Commons Contribution
    • Restrictions on investment
  • Equal Care's Model
    • Our Purpose
    • How we work
    • Sociocracy
    • Circles
      • Long term decisions
      • Everyday decisions
      • Circle records
      • Consent
      • Proposals
    • Teams
      • Why we use the Teams model
      • Who's in?
      • Team Starting
        • The role of a Team Starter
        • 1. Starting a Team: The First Contact
        • 2. Beginning the Relationship
        • 3. Finding the Right Match
        • 4. Supportive Conversation & Trust Assessment
          • 4a. Example of a Supportive Conversation
          • 4b. Example of a Trust Assessment
        • 5. Profiles and promises
          • 5a. The Getting Support Promise
          • 5b. The Getting Support Profile
          • 5c. Worker and team member profiles
        • 6. Building a team
          • 6a. Finding and welcoming new members
          • 6b. Trialling new team members
        • 7. Getting Organised: Roles and Hats
        • 8. Stepping Back: Team Independence
      • Dealing with conflict and change
        • Conflict support
        • How to leave a team well
    • Hats
      • Team Hats
      • Circle Hats - Process
      • Circle Hats - Operational
        • Care Commons Organiser
        • Peer supervisor
    • Platform
    • Co-production
      • Implementing co-production
      • Context of co-production in social care
      • Governance for co-production
      • Ownership for co-production
    • Care Commons
    • Radical Candour
  • Evaluation framework
    • Introduction
    • Commons-based Care: the Context
    • Scope
      • Three Domains of Care Outcomes: Process, Change, and Maintenance.
      • Three Domains of Outcomes in Equal Care
      • Mapping Equal Care Outputs to Outcomes Domains
      • Social Climate as a Key Evaluative Lens
    • Evaluation Challenges
    • Methods
      • Social Climate Survey
      • Community Mapping
      • Interviews and workshops
      • Group activities
      • Community needs assessment
        • Locality analysis
    • Data Analysis
      • Interviews Outcome Domains
        • Growth Outcomes
        • Well-being, Relationships & Belonging Outcomes
        • Systems Maintenaince & Co-production Outcomes
      • Community Network Map: Analysis & Overview
        • Who’s in the Network?
        • Bridging the Gap Between Formal and Informal Care
        • Mapping Care Wealth
        • What We Learned from the Teams
        • The Role of Teams in the Community Care Network
        • Reflections and Future Directions
      • Reflections from the Ground: Insights from Key Circle Leads
        • Circle Outputs: Experiences & Learnings from the Clapton Circle.
        • Teams Outputs: Experiences & Learnings from the Clapton Circle.
        • Platform Outputs: Experiences & Learnings from the Clapton Circle.
        • Commons Outputs: Experiences & Learnings from the Clapton Circle.
          • Care Commons Organiser Role Description
    • The Toolbox
      • Theory of Change
        • What is a Theory of Change?
          • Using a Theory of Change
        • Co-producing our Theory of Change
        • Observations about ToC Outcomes
        • How to use our interactive ToC
          • Orientation to ToC Tool: The Kumu Platform
            • Using the focus function in Kumu
            • Using Basic Control Functions
            • Toggling Between views
          • 1. Outputs Dimensions and Outcome Domains
          • 2. Coop Output Dimensions - a deeper dive.
          • 3. Coop Outcomes Domains. A deeper dive.
        • Using ToC tool to understand our model of care: Key Outputs.
        • Using ToC tool to understand our model of care: Key Outcomes
        • Using ToC tool to see how we measure outcomes
        • Using ToC tool to understand the impact of specific features of the coop
          • Circle ToC
          • Platform ToC
          • Teams ToC
          • Commons ToC
        • Using this tool for Strategy and Planning
      • Equal Care Coop's Social Climate Survey
        • About Equal Care's Social Climate
          • Why Measure Social Climate?
        • Interpreting Growth Measures
          • Low Score Interpretation
          • Medium Score Interpretation
          • High Score Interpretation
        • Interpreting Systems Maintenance and Co-production Measures
          • Low Score Interpretation
          • Medium Score Interpretation
          • High Score Interpretation
        • Interpreting Well-being, Relationships & Belonging Measures
          • Low Score Interpretation
          • Medium Score Interpretation
          • High Score Interpretation
        • Using the Social Climate Survey: Resources and Challenges.
        • List of Survey Items for all Stake Holders
      • Community Care Mapping Tool
      • Interview Templates
      • Atlas Care Maps
      • Co-Production Capacity Assessment Tool
        • 10 capacities for co-production
        • Using the tool
  • Service Specification
    • Care as a common pool resource
    • Service Spec
    • Service Map
  • Cost Model
    • Introduction
    • Resources
    • Fair wages
    • Cost Models in Social Care
  • Resources
    • Co-op operations
      • Communications
        • Roles
        • Tone of Voice
        • Digital Inclusion
        • Social Media
      • Learning
        • What you need to know
        • Peer to peer learning
    • Documentation
    • Care and Support Rates
    • Co-op rules & bylaws
    • Care Mapping with Atlas of Care
      • Care Mapping for Relationship-Centred Care
      • Care Mapping for new Teams
      • Care Mapping for Evaluation
    • Glossary
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  1. Cost Model

Introduction

Cost models are used to design the care service at the financial level, allowing providers who are thinking about or already working on co-operative care models to ensure they understand how costs could affect the organisation by deveopling finacial scenarios, particularly those that ensure equitable pay for workers and fair pricing for those receiving care.

They are not designed to manage finances; that should be done using a combination of cash flow, profit and loss, and balance sheet. Instead, costs models are a tool for planning: inputting various cost scenarios that provide those with financial responsibility within the co-operative with the information to make sound economic decisions.

In general, a cost model is essential for several reasons, each linked to ensuring effective, efficient, and sustainable care delivery - below are the primary uses of a cost model to a social care co-operative:

Resource Allocation
  • Budget Planning: A cost model is used to plan budgets effectively, ensuring that resources are allocated appropriately to meet service users' needs.

  • Funding Justification: It provides a detailed breakdown of costs, which can be used to justify funding requests from investors, central and local government or other funding bodies.

Financial Sustainability

  • Cost Control: By understanding the various cost components, care providers can implement measures to control and reduce unnecessary expenditures, contributing to the financial sustainability of care services.

  • Long-Term Planning: A cost model allows for long-term financial planning, helping to anticipate future costs associated with demographic changes, policy shifts, and inflation.

  • Service viability: Providers can use a cost model to assess if their proposed service is viable considering their expected funding, revenue and costs compared to local supply and demand pressures.

Service Quality and Efficiency
  • Quality Improvement: It identifies the costs associated with maintaining and improving the quality of care, ensuring that standards are met without compromising financial viability.

  • Efficiency Gains: By analysing cost data, care providers can identify areas where efficiency can be improved, such as through better workforce management, technology adoption, or process optimisation.

Decision Making and Evaluation
  • Informed Decision-Making: the co-operative can use cost models to make informed decisions about policies, use of funds, staff and service priorities.

  • Impact Assessment: It enables the evaluation of the financial impact of existing and proposed policies and processes, helping to assess their feasibility and effectiveness.

Accountability and Transparency
  • Stakeholder Confidence: A transparent cost model enhances accountability, providing stakeholders, including members (investor or otherwise), with a clear understanding of how funds are being used.

  • Regulatory Compliance: It helps ensure compliance with financial regulations and standards set by oversight bodies, such as the Care Quality Commission (CQC).

Service Commissioning
  • Contract Negotiation: Commissioners can use the cost model to negotiate contracts with service providers, ensuring that agreed-upon services are delivered at a fair and sustainable cost.

  • Performance Monitoring: It provides a basis for monitoring the financial performance of commissioned services, ensuring that they deliver value for money.

Equity and Access
  • Fair Pricing: A cost model helps ensure that care services are priced fairly, making them accessible to those in need without imposing undue financial burden.

  • Fair pay: The cost model allows the service provider to ensure they are paying fair wages to workers.

  • Needs-Based Allocation: It supports the equitable distribution of resources based on the specific needs of different populations and geographic areas that the care co-operative may serve.

Risk Management
  • Identifying Financial Risks: By mapping out all cost components, potential financial risks can be identified and mitigated. This includes risks associated with unexpected cost increases or funding shortfalls.

  • Contingency Planning: It allows for the development of contingency plans to manage financial crises or sudden changes in demand for services.

Innovation and Improvement
  • Cost-Benefit Analysis: A cost model facilitates the analysis of the financial viability of innovative care solutions and new service delivery models.

  • Continuous Improvement: It supports continuous improvement initiatives by providing a financial framework to evaluate the cost-effectiveness of different strategies and interventions.

Benchmarking and Comparison
  • Performance Benchmarking: Care providers can benchmark their costs against industry standards and best practices, identifying areas for improvement.

  • Comparative Analysis: It allows for comparison between different care providers or regions, fostering competition and encouraging the adoption of cost-effective practices.

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Last updated 8 months ago

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