Download
1 / 20
200 likes | 205 Views
A new way of delivering adult social care. Tandra Forster. The headlines. Challenges. Austerity Ageing population Burden of disease Integration Care Act. Key drivers of change. Pressures!. ‘Fiscal austerity’ is now expected to extend to at least 2018.
E N D
A new way of delivering adult social care Tandra Forster
Challenges • Austerity • Ageing population • Burden of disease • Integration • Care Act
Pressures! ‘Fiscal austerity’ is now expected to extend to at least 2018
‘If I had asked people what they wanted, they would have said a faster horse’ Henry Ford
Two Choices: • Centralisation, making it harder, savings targets. • or • Stop assessing people for services, focus on what they really want, focus on strengths not deficits, carers, social work as investment advisors.
One Model: Safeguarding Right Skills, Right People
Golden Rules • Always offer tiers 1 and 2 before offering tier 3. • Never plan long term with people in crisis – stick to people like glue. Always think hard about what will help carers continue caring. • In tier three – we’re not experts, but ‘investment advisors.’ • 100% of people and families plan their own support. • Learn as we go using data we trust. • Benchmark – is the response good enough if it was you, or someone you love?
Bubbles • Co-produce a precise set of rules about doing things differently. Let the world carry on. • Be really clear about what you are going to do – and for how long. • Go with the grain – where there is the greatest likelihood of success. • Know how you are going to collect data – everyday – from day one. • Make everything transparent and visible. • Learn as you go – weekly meetings. • Work to a plan – stop – reflect and learn. • Go again.
First Phase • Two innovation bubbles • 5th January start, reviewing initial results but so far very positive • First Contact – focus on people new to the Council • Ongoing needs – people already in receipt of services • All 3 conversations • Stick to people like glue • No hand offs until the right time • Second phase – scaling up • Second evaluation – August 15
You know what I want! I know what I want! Does it matter who pays for it? Joint Care Provider – Tier 2 conversation
The task: To simplify the route to independence • Develop a shared understanding with every ‘Sam’, and do it quickly! • Challenge our own bureaucracy • Target the right experts • Pool resources
Who wins? • ‘Sam’ gets home and gets on with his life. • Hospital beds freed more quickly. • Costs for long term care do not escalate through the disorienting and de-skilling effects of excessive stays in hospital. • Less duplication = improved capacity
What makes the change hard? • Comfort of current working methods. • Conversion of managers into Change Managers. • Pressure to maintain high performance levels during change.
How we are achieving change: • Step changes closely monitored to allow adjustment and refinement learning from the effects of first steps. • Testing new route on Hospital Discharge patients first, and then extending to all. • Seeking ‘licence’ from the Partner organisations to test new permissions.
Development Framework for: • 7 Day working – testing all pathway steps for ability to match ‘Sam’s needs, and to respond to and match other system activity. • Trusted assessors – allowing partner staff to commission across organisations. • Generic Care Worker – developing/testing role with BHFT Therapy assistants and WBC Care Workers.
