The Next Step

The future of Adult Social Care and how it affects YOU:

Key Objectives

• Better Understanding of Adult Social Care Past and Future

• Personalisation of Budgets

• Engage with Leicestershire County Council

4 Areas for Discussion

• Effect on Voluntary Services

• Public Involvement

• Support with Personal Budgets

• Information and Communication

Subsequent Events

• Legislation on Personal Care at Home Bill – Didn’t happen

• New Coalition Government Announced “No” to Provision Free Care at Home

• New Government Set Up Independent Commission to Consider Sustainable Funding for Long Term Care and Report Within 1 Year

• White paper on Social Care this autumn

Programme

• Adults and Communities 3 year Strategic Plan

• An update on Personalisation

• How the Leicestershire LINk works

• Closing Review

The Next Step

The future of Adult Social Care and how it affects YOU:

Adults and Communities

Three Year Strategic Plan

2010 -2013

Vision

People lead fulfilling and purposeful lives, in welcoming and flourishing communities.

Changes to social care

National programme of social care change.

“The Personal Budget has enabled me to look at what’s important to me.” SP

Making fundamental changesto Social care:• the way it is organised and • the way services are

provided.

Changes to the NHS

• The Government upholds the values and principles of the NHS: of a comprehensive service, available to all, free at the point of use and based on clinical need, not the ability to pay.

• Putting patients and public first • Improving healthcare outcomes • Increased choice and control• Cutting bureaucracy and improving efficiency

Local Authorities’ New Functions

Joining up the commissioning of local NHS services,social care and health improvement. Local authoritieswill therefore be responsible for:

• Promoting integration and partnership working between the NHS, social care, public health and other local services and strategies;

• Leading joint strategic needs assessments, and promoting collaboration on local commissioning plans, including by supporting joint commissioning arrangements.

• Building partnership for service changes and priorities.

• Local Involvement Networks (LINks) will become the local HealthWatch

New Department

We provide services and support for adults, to enable them to remain independent and contribute to their communities e.g.

• Community opportunities

• Equipment and adaptations

• Keeping people safe

We also provide community services - activities and opportunities for the whole community, children, young people, adults and families e.g.

• Libraries Service

• Heritage and Arts Service

Economic climate

• Economic recession

• There has been a nationwide reduction in Adult Social Care budgets, local authorities have to re-prioritise and re-focus the funds currently available

• Every public sector organisation facing budget restrictions

Five key aims

1. Understanding the needs and aspirations of the people of Leicestershire

2. Developing strong, inclusive, supportive and independent communities

3. Promoting the health and wellbeing of individuals and communities

4. Increasing peoples choice and control

5. Continually improving the way we work with people

Key Principles

1. Put people at the centre of everything we do

2. Focus on outcomes and making a difference to people’s lives

3. Meet people’s needs in an effective, equitable and sustainable way

How will we realise our vision?The detail of how we will deliver the strategy can be found in the Adults and Communities Departmental Service Plan 2010-2011.

We will work in partnership with people who receive services, with our communities, with the NHS and other partners .

We will explore new ways of delivering services with partners. We will ensure we are as efficient as possible, making the best use of the resources we have.

www.leics.gov.uk/sc_service_plan

Thank you for listening

Are there any questions?

The Next Step

The future of Adult Social Care and how it affects YOU:

Personalisation in Leicestershire

Tony Dailide Assistant Director, Promoting Independence

Personalisation in Leicestershire

Putting PeopleFirst

Self-DirectedSupport

How are we approaching it?

• Involving users and carers• Partnerships with health, district

councils and VCS• Staff as a key resource to

deliver new approach• Project management and

robust governance• Performance driven• Learning from others

Customer Pathway

Advice &Information

Prevention& Early

Intervention

CustomerServiceCentre

Re-ablement

RAS

SupportPlan

PersonalBudget

Review

Community Adult Social Care Service

Su

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Liv

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life

.

Outcomes met

Progress so far…• Governance and projects established• Involvement of users in design and

governance• Raising awareness among staff,

stakeholders, users and carers and the public

• E-marketplace procurement underway

• System replacement procurement underway

Progress so far…

• Strategy development: Prevention, Information and Advice, Telecare, Advocacy, Falls, Strokes.

• Workforce restructuring• Efficiency targets met• New pathway design, with

reablement at the front of the process

• Testing pilot

Prevention & Early Intervention

• Information and advice

• Rapid response

• Reablement

• Telecare

• Locally based support

• More information and advice available in the community

• Easier to find out what services are available, and easier to access them

• Advice on how to stay healthy and active, and maintain independence

Advice & Information

• Contact us in the best way for you (i.e. phone, e-mail, face-to-face, letter)

• Respond to emergency situations

• Deliver a number of quick and simple services

• ‘Signpost’ customers to further information from other organisations

• Refer to specialists within Adult Social Care

• One number, One point of contact

Customer Service Centre

• Getting people back on their feet

• Supporting people to do things for themselves to maintain their independence

• Re-skill e.g. cooking, dressing

Re-ablement

• RAS (Resource Allocation System) – A set of questions to work out the person’s needs and allocation of money

• Support plan – Lays out what the person wants to achieve with their life, and what support needs to be in place to do this

• Personal Budget – Money is allocated to the person to buy the support in their plan

Support Plan

Types of Personal Budget• Cash Payment. This is where money is paid directly to

the person or a representative to enable them to buy the support and services they need

• ‘Managed Budget’. This is when people decide that they want the Adult Social Care Department to manage their budget

• Individual Service Fund. This is where a service provider helps them to arrange and manage their budget and support.

• A Trust Fund. This is where the money is paid to a group of people who legally manage the money and buy the support on behalf of the person who is not able to do it themselves.

• Leicestershire County Council need to authorise your plan

• Decide who will manage your Personal Budget – You, family, organisations, the Council etc.

• Brokerage – help to find the best services for you

• Advocacy and support – people who can help you

Live your life

• The support plan is reviewed regularly, the person and their worker can agree when.

• If the person is not getting what they need the plan can be changed

Review

The Pilot• Started February

• Lasts for 6 months

• North West Leicestershire area

• For new customers only

• It does not include:– Residential Care– Safeguarding referrals– Equipment and adaptations only– Urgent / crisis

• Programme end March 2011

• New approach becomes mainstream business

• Continual refinement and improvement

• More people receiving personal budgets

• Growing confidence and creativity over time

What next?

2010 - 2013

The next three years will be challenging, however we move forward from a strong position.

We have a long history of providing excellent services and we are making progress in transforming the way services are provided.

We remain committed to this and to improving continually the way we work.

The Next Step

The future of Adult Social Care and how it affects YOU:

Leicestershire LINk:How it works

Gill Wollerton, Project Manager Beverly Gillman, Member

Leicestershire LINk

Local Involvement NetworkImprove your Health and Social Care Services

The Next Step

The future of Adult Social Care and how it affects YOU: