Post on 12-Nov-2018
Purpose
> Background to the AFC programme
> Its role in health and social care
integration
> Objectives of the programme
> The Technology Enabled Care
programme
Purpose
> The five sites
> Governance and evaluation
> Adaptations network
> Issues and focus
> Questions??????
Adapting for change
> The Adaptations Working Group 2012 and
Scottish Government’s response
> Dementia Strategy commitment 5
> Health and social care Integration outcome 2
> Scottish Government sponsored programme of
Adapting for Change demonstration sites
supported by the Joint Improvement Team
Dementia Strategy – Commitment 5
> We will take further action to support safe
and supportive home environments and
the importance of the use adaptations
and assistive technology, in maintaining
the independence and quality of life of
people living with dementia and their
carers.
Health and Social Care Outcomes –
outcome 2
> People ,including those with
disabilities, long term conditions, or
who are frail, are able to live , as far
as reasonably practicable,
independently and at home or in a
homely setting in their community
Aim & objectives Overall aim
To develop and test key aspects of the approach recommended by the
Adaptations Working Group to inform a revision of the national policy
framework for housing adaptations, and to provide learning to improve
practice
Specific objectives
Test approaches in relation to key issues around current services and
supports
Identify approaches, consistent with recommended principles, which deliver
better outcomes
Capture the learning on a continuing basis over the test period and share
this across Scotland
Inform the review and revision of the national policy and funding framework
for housing adaptations
6 Key features of recommended approach
1. Strategic leadership from the local housing authority,
working in partnership with health and social care, and a
clear local strategy;
2. A strategy for housing adaptations, which is ‘tenure neutral’
with a single funding pot;
3. Arrangements enabling people to have control and choice
through personalisation and self-directed support;
4. A single point of access with a lead agency – ‘one-stop
shop’ – with clear communication and a single point of
contact for service users throughout the process;
5. A broader outcomes-focused service with early
consideration of overall housing options; and
6. Streamlined local partnership working and governance.
Technology Enabled Care
> Programme to increase the use and
awareness of technology enabled
care
> £10m to support the programme in
2015/16
> 22 sites have been selected
>
AFC TEC Programme
> TEC integral part of adaptations
> Streamlined pathways
> Active case finding
> Asset management
> Test and provide illustrations of
housing’s role
AFC TEC approach
> Assessment tool
> Asset management
> Streamlined processs
> Housing options/housing health
check
AFC TEC approach
> One stop shop
> Case finding
• Dementia – post diagnostic support
• GP referrals
• Hospital discharge
• Community initiatives
Aberdeen Demo- site
> Bon Accord Care lead
> Very broad coalition of partners
> Focussing on -
Person-centred approach
Consistent streamlined pathways across all tenures
Faster service delivery timescales
> Currently –
Canvassing previous customers’ views/feedback
Mapping current pathways in all RSLs
Targeting delayed discharge
Aligning local & demo-site TEC bids
Borders Demo- site
> Care & Repair lead
> Project was already in flight, Change Fund input
> Focussing on –
A one stop shop approach
Tenure neutral assessment, provision and access
Self referral/advice only included in approach
OT based within C & R
Outcomes for service - users
> Currently –
Nearly 6 months into implementation
About to carry out 6 month review of improvements
Lochaber Demonstration Site
> Care & Repair Lead
> One stop shop- all adaptations
Handyperson & telecare services
> Tenure neutral, single pot
> OT alignment
> Learning processes
> Removing duplication
Fife
> Fife Council Housing & Neighbourhood
Lead
> Integrate ,Streamline ,improve efficiency
> Faster end to end process
> Personalisation
> Link to equipment & minor adaps
Falkirk Demo site > Social Work and Housing lead, with NHS
> Project had been initiated previously with Change
Fund input
> Focussing on –
-Tenure neutral seamless pathways, widening -
assessment across health, housing and social care;
-Governance and Partnership Agreement;
-Outcomes and performance framework;
-Training programme.
> Currently – pending testing of draft Assessment &
specifications tool, Adaptations definitions, and new Pathways
proposal.
Issues and focus Self-directed support approach in housing adaptations
Single funding pot, with tenure neutral access/eligibility
Prevention and early intervention
Adaptations for people with dementia
Design aspects
Adaptations as one response in an integrated menu of options to
secure suitable/fit for purpose housing
Partnership governance - which includes people using services –
and integrates with health and social care
Improved data collection on impact and effectiveness, including
added value
Helping people to help themselves, offering services other than
associated with funding
Integrating the use of technology solutions
Governance & Evaluation
> Co-ordinated as a Programme
> Consistent elements of Reporting
> Focus on base-lining & measuring improvements
> Building a robust evidence base
> Developing 2 consistent outcome measures
> Evaluation supported by research staff
> Executive Sponsor at appropriate level
> Regular ‘flash reports’
> Series of webinars/learning sessions & feeding in to national
events where possible
> Sharing learning with Adaptations network & wider
Adaptations Network
To share learning across Scotland
From demonstration sites, other initiatives in
Scotland & elsewhere
Focus on practice improvement, in line with
AWG recommendations
Part of a developing wider Housing Learning
Network
Demonstration
Site 1
Demonstration
Site 2
Demonstration
Site 3
Demonstration
Site 4
Demonstration
Site 5
Supported by JIT
SG led Project
Team
Adaptations
Network
Housing
Learning
Network
Adapting for
Change
Advisory Group
Scottish
Government
Ministers (and
Policy Teams)