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Adult Social Care in 2014A brief summary of what’s happeningCAS Health and Social Care Forum29 January 2014

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Current context• Council’s fairer future vision includes a specific

commitment to choice, control and independence for older and disabled people.

• 2014/15 budget setting underway – informed by an extensive public consultation. Remains a tough financial climate – Southwark will see overall reduction of £25.4m.

• In adult social care, we remain committed to our vision of people living independent and fulfilling lives, based on choices that are important to them.

• National reforms with big impact on broader care and support system also on horizon.

• Council elections in May.

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ASC system – summary

Universal offer Social capitalInfo & advice

Community Self-help support

Peer support

Re-ablement

Targeted prevention

Personal budgets, personalised services and self-directed support

Key

Open access to all

Initial offer for those entering the ASC system and at review where appropriate

For those with identified eligible social care need

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Where are our key action areas?Local focus• Quality approach – implementing our care home quality

strategy and ‘My Home Life’• Carers’ strategy – agreeing final strategy and

implementation• Centre of excellence for older people – next phase• Winterbourne View review implementation to support

people with behaviour that challenges services• Developing an approach to co-production – working with

people at all stages of change• Adults’ Innovation Fund

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Where are our key action areas?National / legislative changes• Implementing SEND reforms for children and young people

with disabilities (0-25)• Planning for the Care Bill

Other partnership working• Integration with health and the Southwark Lambeth

Integrated Care (SLIC) programme• Health and Wellbeing Board (HWB) – engaging with local

people• Implementation of personal health budgets (continuing

health care mental health)

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National changes – SEND reforms• From Children and Families’ Bill – Special Educational Needs and

Disability. About providing greater choice, control and independence for children and young people with disabilities (0-25).

• This includes offering young people a personal budget and creating a clear and transparent local offer of what is available. Also developing a more streamlined and co-ordinated assessment process across education, health and care.

• Market development to support all this also a major strand of work.

• In Southwark, will also include development of a health and social care strategy specifically for adults with autism, and outlining a pathway for young people (under 25) with autism spectrum disorders.

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National changes – Care Bill• Reforming the law on care and support, making it a single statute

built around people’s needs and what they want to achieve in life. Currently going through Parliament – if it becomes law, implementation will be from 2015.

• Part of the Bill about confirming things we already do. However, are number of new developments. These include:– care and support funding reform, including a cap on care costs and

creation of care accounts

– treating carers as equal to the person they care for and putting them on the same legal footing

– national eligibility criteria for care and support

– guarantees and reassurances for people needing care and support if they move between areas in England

– promoting integration with other local services, particularly health, so people can achieve better outcomes.

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Partnership working – integration Integration in Southwark

• Developing a vision for integrated working with health partners.

• Supporting the goal of people in Southwark feeling in control of their lives and care, and for services to be co-ordinated and planned with them as individuals.

• In future, will be specific funding identified to support joint working and outcomes through national Better Care Fund.

SLIC programme

• Partnership across Southwark & Lambeth involving GPs, hospitals, adult social care and NHS clinical commissioning groups, with local people.

• Independently funded. Focus to date has been on integrated care to support older people and moving into long-term conditions more broadly.

• Has set up multi-disciplinary teams to support people more holistically and starting to develop wider range of work.

• Number of workstreams that look at areas including hospital discharge, falls, nutrition, as well as wider issues such as IT.

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Partnership working – HWBWhat?

• Looking to inform a refresh of the Joint Health and Wellbeing Strategy.

• Key strand is community and stakeholder engagement work using a 1,000 lives, person-centred approach/methodology.

• Involves collecting people's health and wellbeing experiences, stories or journeys.

How?

• Working group set up led by Healthwatch. With council (incl. public health), NHS partners, CAS, SLIC (integration) and police.

When?

• Now and through February. Initial findings to Board 24 March.

Please get involved! Can we work with your group to have your stories

heard?

Contact HealthStory@southwark.gov.uk

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Role of the VCS

• Key stakeholder for many of the areas of work described - number of the projects highlighted have specific VCS partner engagement already.

• Conduit to a wide range of views from people who actually access services and are vital to shaping what they should be like in the future.

• Number of the reforms are likely to also have a challenge for the VCS in terms of thinking about how they support people locally and how they might need to think about themselves and what they do differently in a changing system.

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Questions and discussion