Meeting documents
Cabinet
Tuesday, 18 December 2007
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x@ @ + à 8@ @ À à 0@ @ À à x@ @ + à * x@ @ + à * x @ + à 8@ @ À à 4@ @ À à 0 @ À à p@ @ + à 0@ À “ €ÿ“ €ÿ“ €ÿ“ €ÿ“ € ÿ“ €ÿ` … 7O Sheet1… àg Sheet2… m Sheet3Œ , ® ; ÿ Á Á `i ü u r Costs Priority for investment Cash releasing efficiency+ impact (links to national and local policy) Impact on Perfomance Service proposals 2) No " B e t t e r C P A S c o r e
" B e t t e r e v i d e n c e o f g o o d O u t c o m e s f o r s e r v i c e u s e r s / c a r e r s i m p a c t o n C S C I p e r f o r m a n c e a s s e s s m e n t .
" B e t t e r V a l u e f o r M o n e y
" I n c r e a s e d r a n g e o f c h o i c e
" I n c r e a s e d w o r k f o r c e c a p a c i t y
" S t r o n g e r l o c a l c o m m u n i t i e s
" I m p r o v e d e q u i t y a n d t r a n s p a r e n c y o f a l l o c a t i o n o f r e s o u r c e s
" P r o v i d e s p o t e n t i a l a d d i t i o n a l c a p a c i t y t o d e a l w i t h d e m o g r a p h i c p r e s s u r e s
" I m p r o v e d m a r k e t p l a c e f o r s e l f - f u n d e r s
" I n c r e a s e d p a r t i c i p a t i o n f r o m p a r t n e r p r o v i d e r s a n d i n c r e a s e d f u n d i n g o p p o r t u n i t i e s
" M o r e p e o p l e i n r e c e i p t o f D i r e c t p a y m e n t s
* Support family carers in their caring role 4) 5) 6) C28, C32 7) 8) 9) 10) 1) lead Officer Sandra Stapley and Tine Rees! Alan Sinclair and Martin Bradshaw: Improved performance for D 41 (delayed transfers of care) New Performance Framework RefF Improved performance for NI 131 and DH DSO (delayed transfers of care)u NI 135 Carers receiving needs assessments or erview and a specific carer's service, or advice and information. DH DSO NI 141 Number of vulnerable people achieving independent living GLG DSO N142 Number of vulnerable people who are supported to maintain independent living PSA 17û NI 141 Number of vulnerable people achieving independent living GLG DSO N142 Number of vulnerable people who are supported to maintain independent living PSA 17 NI 136 People supported to live at independently through social services (all ages) PSA 181 NI 6 Participation in regular volunteering CO DSO4 NI 67 Environment for a thriving third sector CO DSO NI 179 Value for money CLG DSO 2008/2009 2009/2010 Nil. ongoing requirement/Exit strategy 2010 onwards 3) No ongoing requirementsF Estimated payback of £1.6M over 10 years starting in year 4 2011/2012.M" I n c r e a s e n u m b e r s o f c a r e r s i d e n t i f i e d a n d s i g n p o s t e d t o s u p p o r t a n d p r e v e n t a t i v e s e r v i c e s t o f a c i l i t a t e e a r l y i n t e r v e n t i o n b e f o r e a c r i s i s o c c u r .
" I n c r e a s e n u m b e r s o f c a r e r s a s s e s s m e n t s a n d i m p r o v e P I
" I n c r e a s e p u b l i c a n d p r o f e s s i o n a l a w a r e n e s s o f c a r e r s .
" I m p r o v e c a r e r c o n s u l t a t i o n a n d p a r t i c i p a t i o n b y g e t t i n g r e g u l a r c a r e r f e e d b a c k t o i m p r o v e s e r v i c e s
" I n c r e a s e u s e o f A c c e s s t e a m a n d t h e C a r e r s i n O x f o r d s h i r e w e b s i t e t o e m p o w e r t h r o u g h i n f o r m a t i o n , w h i c h i n t u r n w i l l h e l p f a c i l i t a t e s e l f d i r e c t e d c a r e
" E n a b l e c a r e r s t o t a k e u p o p p o r t u n i t i e s f o r l e i s u r e , l e a r n i n g , t r a i n i n g a n d e m p l o y m e n t
" I m p r o v e s o c i a l i n c l u s i o n , h e a l t h a n d w e l l b e i n g , e c o n o m i c w e l l b e i n g a s c a r e r s e n a b l e d t o h a v e a l i f e o u t s i d e c a r i n g
" S u p p o r t t h e P r e v e n t i o n a g e n d a b y u s i n g u n i v e r s a l s e r v i c e s
" F a c i l i t a t e s t r o n g e r w o r k f o r c e f o r O x f o r d s h i r e a n d i m p r o v e d e m p l o y a b i l i t y o f c a r e r s w h o w i s h t o r e t u r n t o w o r k .
" I m p r o v e s u p p o r t f r o m B u s i n e s s f o r w o r k i n g c a r e r s w i t h l o w e r s t a f f t u r n o v e r , r e d u c e d r e c r u i t m e n t a n d t r a i n i n g c o s t s , l o w e r a b s e n t e e i s m , i m p r o v e d r e c r u i t m e n t , e t c . , w h i c h w i l l h e l p s t r e n g t h e n t h e e c o n o m y .
¦ PAS 17 NI 139 people over the age of 65 who say that they receive the information, assistance and support needed to exercise choice and control to live independently.
Sara Livadeas’ " B e t t e r u s e r i n v o l v e m e n t .
" S t r a t e g i e s a n d s e r v i c e s t a i l o r e d t o m e e t a c t u a l n e e d s a n d a s p i r a t i o n s o f l o c a l p o p u l a t i o n .
" B e t t e r r e l a t i o n s h i p s
ª A d d i t i o n a l t r a i n i n g o p p o r t u n i t i e s t o s u p p o r t P r o v i d e r s
M o r e s m a l l ( m i c r o ) p r o v i d e r s o f s p e c i a l i s e d s e r v i c e s a t a l o c a l i t y l e v e l t o g i v e i n c r e a s e d c h o i c e t o c u s t o m e r s
¿ " H i g h e r s k i l l l e v e l s o f s o c i a l c a r e s t a f f
" I m p r o v e d a n d m o r e c o n s i s t e n t q u a l i t y o f s e r v i c e d e l i v e r y
" M o r e c h o i c e f o r c u s t o m e r s
" R e d u c e d d e l a y e d t r a n s f e r s o f c a r e , d u e t o i n c r e a s e d s u p p l y
Martin Bradshaw6 Project will provide options and ongoing requirements.v SLA with one voluntary organisation to act as an umberella organisation to recruit, support, train, CRB check volunteers, by acting as a single point of contact for volunteering opportunities. Existing services and agreements to be rationalised and incorporated into this overall framework. This will be achieved through close working with the corporate partnership team. TOTAL One off payment TBA£ ·Strategic priority for our partner PCT to improve care pathway for older people.
Older people get the opportunity to settle and gain confidence.
We can increase the opportunity for more people to benefit from Intermediate care
We can move people on at an appropriate level of care to the most appropriate provider, or Direct Payments.
SPARC time re directed to improve DTOC and care placement officer time released
More effective involvement of people with physical disabilities and older people in Partnership Boards (eg Health and Well Being Partnership Board, Extra Care Housing Programme Board) and on strategies such as the Physical Disability Strategy and Acquired Brain Injury Strategy.p Increased choice and control for people using services. Give them the ability to arrange and buy their own care.P A dedicated home support team of 30 staff to work with people who are ready to be discharged from hospital. This team will support people at home and identify the next stage of their care pathway e.g. stay at home with a reduced package of care, further rehab or residential care.This team will work alongside Intermediate care team. í The cost of this service will be absorbed by the home support budget as new user requiring low level support will be picked up by lower cost external providers. This will allow internal home support to focus on higher need service users. Ongoing requirement r Project will be charged to recommend the most cost effective way to keep the information updated and distributed. ¶ Prevention and cost avoidance. Promoting independence for longer leaflets and information production will be funded through income generation from advertising/ no cost to the council„" I m p r o v e d C P A a n d C S C I s c o r e s
" B e t t e r o u t c o m e s f o r c a r e r s a n d u s < e r s w h o w i l l b e b e t t e r i n f o r m e d t o m a k e c h o i c e s a n d t a k e c o n t r o l o f t h e i r l i v e s
" M o r e m o d e r n m e c h a n i s m s t o d i s s e m i n a t e i n f o r m a t i o n i . e . b e t t e r u s e o f t e c h n o l o g y a n d d e v e l o p m e n t o f i n f r a s t r u c t u r e t o b e m o r e e f f i c i e n t w a y s t o d e l i v e r e . g . m o v e f r o m p r i n t t o u s e o f o n l i n e
" I n c r e a s e d s t a f f i n g r e s o u r c e t o d e l i v e r i n f o r m a t i o n u t i l i s e L i b r a r y s t a f f r e s o u r c e s t o d e l i v e r i n f o r m a t i o n a c r o s s t h e d i r e c t o r a t e
" I m p r o v e d a s s e s s m e n t p e r f o r m a n c e a s t h e r e w i l l b e i n c r e a s e d a c c e s s a n d s u p p o r t f o r s e l f a s s e s s m e n t .
" I m p r o v e o u r a b i l i t y t o d e l i v e r t o t h e w h o l e p o p u l a t i o n o f O x f o r d s h i r e
Œ Increase number in receipt of Direct payments. D51. Meet national priority set out in the white paper 'our care, our health, our say 2006' NI 135l NI 130 Social Care clients receiving Self Directed Support (Direct Payments & Individualised budgets) DH DSOb Support people to stay healthy and independent through the provision of telecare and safety checks" A range of services that will promote independence will be developed e.g. additional telecare for people with more complex needs , employment opportunities for adults with a profound disabilty, provision of computer and associated support to enable users to be maintained in the community,x There is research and evidence to suggest that preventative strategy take a longer period to demonstrate efficiencies. e Develop and implement extra care housing strategy to enable people to receive care in their own homesX project team to develop implementation plan including finance, property, project supportG Cost of extra care average 250.00 per week less than residentail care, ó" I m p r o v e d p e r f o r m a n c e o n D o H i n d i c a t o r s ( h e l p t o l i v e a t h o m e )
" B e t t e r o u t c o m e s f o r o l d e r p e o p l e m o r e c h o i c e a n d i n d e p e n d e n c e . S o m e p e o p l e w i l l b e a b l e t o k e e p t h e i r a s s e t s b y b u y i n g i n t o E C H s c h e m e .
" C o s t s a v i n g t o S C S - T h e c o s t t o S & C S o f f u n d i n g a n a v e r a g e 1 0 w o r k c a r e p a c k a g e s i s £ 2 5 0 p . w e e k , a s a v i n g o f b e t w e e n £ 1 5 0 t o o £ 3 0 0 c o m p a r e d t o c a r e h o m e p u r c h a s i n g A s s u m i n g a n a v e r a g e s a v i n g o f £ 2 5 5 p e r w e e k a n d 8 5 7 n o n - r e s i d e n t i a l c a r e p l a c e m e n t s , e v e n t u a l s a v i n g s c o u l d r e a c h £ 1 0 M p . a
W Increase workforce skills through training. Develop micro providers to increase choice7 Will be incorporated in the self directed support work b Increase capacity in local communities to include all people who need support through volunteering Service delivery to meet lower levels of needs through effective use of volunteers is one of the most cost effective ways to meet our future demography pressures. This will assist us to meet unmet demand and will avoid costs for more expensive care due to early intervention. w Greater efficiencies as we will come together with Corporate
Greater flexibility in use of volunteer resource to achieve outcomes for users. Partnership working both internal and external agree rationalisation of volunteer resource
have the structure in place to deliver health and well being
Foundations in place to meet the development of locality services infrastructure
p System replacement cost is estimated at £1.9M. However fesability in year 1 will provide more concrete estimate.Ñ Provide better information to inform outcomes for service users. Time saving. Reduced staff stress. Better for operational requirements. Reduced need for bespoke work. Easier to extract performance informationw Easier recording leading to better quality information for performance reporting and a reduced need for closer scrutiny Caroline Parker and Amanda Joyce& Varsha Raja (supported by Jane Dixon) Varsha Raja & Sara Livadeas9 Varsha Raja(Supported by Caroline Taylor & Sara Livadeas) 11)Å The funding will be used to purchase rehabilitation beds for people with mental health problems. It is anticipated that rehab therapy will result in enabling users to live a more independant life. Eddie Mclaughlin. Implement Adult Social care information system? Varsha Raja(supported by Caroline Taylor and Lorraine Cheshire)q Providing services through Direct payments are approximately £4.00 per hour cheaper leading to cost efficiency. 12)- Roll out of Biecester model resource centres L Bicester resource centres has been highlighted as an area of good practice. This service model provides opportunities ranging from volunteering, exercises and alternative therapies for mental well being, socialising opportunities, rehabilitation and access to intermediate care right up to meeting assessed needs frail older people.f cost avoidance, sustain carers in their caring role, reducing demand for longer term care ongoing care| Improved performance on DoH indicators (help to live at home ). Improved health and well being of the communities we serve.% Older people helped to live at home. H Note:These are estaimated costs awaiting the outcome of day services FSR I Establish First Response team to facilitate speedy hospital discharge
E C This will result in reduced pacakges of care for a number of users.… 200,000 funding for provsion of Direct Payments will not be required to due to release of funding from contracted services. Funding for the direct payments infrastructure (100,000) will be consolidated within the Self Directed Support (165,000) infrastructure. Year two will clarify if any further project costs will be required. If not money will be released for other service changesI Develop project plan and infrastructure to increase the numbers of Direct payments ; and to implement a new system of self directed support for all user groups. A 200K funding request is built into the proposal to ensure that there is flexibility to continue providing Direct Payments to release funding from existing contractsª A range of services in place to support carers including employment, access self assessment, breaks to enable carers to participate in learning and leisure opportunitiesW Cost avoidance, sustain carers in their caring role, reducing demand for long term careŒ To help people take control of their lives and promote indepence, heath and well being through provision of improved information and adviceL Rationalise and modernise existing information to ensure it meets the requirements for various sections of the community that we serve as well as ensuring that it is trageted. Develop 4 stages of timely information: 1) sign posting to other agencies 2) make availbale information that people can access themselves 3)Better use of existing information points e.g. libraraies and adult learning 4) expert professional asdvice to manage long term conditions . All information will be made available electronically to ensure the most cost effective way of keeping the information updated. … This will be an ongoing requirement. Prevention will be a key area of development to enable us to manage future demography pressures.l Improve strategic planning and have better public services through appropriate involvement of service users : Purchase 4 additional rehabilitation beds in Mental Health* Funding is being sought for one year only ? There will a reduced need for ongoing care in the longer term.< „H Increased rehabilitation support for people with Mental Health problems.Á Initial investigation, feasibilty study and an option appraisal for adult social care systems for year 1 planning. In addition preparation of the data and the system for future sustainability. 2010/11 and on-going Social & Community Services No.7 Annex 2(c) - Investment Proposals - 2008/09 and onwardsÿ z Ù z
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