the shifting carpet the policy context and challenges facing adult social care
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The Shifting Carpet The policy context and challenges facing Adult Social Care. James Bullion & Jennifer Holland Assistant Directors, Community Services, Norfolk County Council . Positives. Longer life, wealthier, well informed Good technology More satisfaction Holistic services

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the shifting carpet the policy context and challenges facing adult social care

The Shifting CarpetThe policy context and challenges facing Adult Social Care

James Bullion & Jennifer Holland

Assistant Directors, Community Services,

Norfolk County Council

positives
Positives
  • Longer life, wealthier, well informed
  • Good technology
  • More satisfaction
  • Holistic services
  • Prevention and integration
more positives
More positives…..
  • Increased government investment
  • Growth in spending on older people
  • Growth in spending on disabilities
  • Direct accounts now 5% of spending
challenges lots
Challenges - lots
  • Efficiency savings
  • Better, simpler, faster
  • ‘Community’ and ‘health’ integrations ..
  • Localism & Place
  • Shared back and front offices
  • Enabling communities to do more
  • People in control
  • Quality and Value
  • Service failures
  • Changing population
  • Diminishing resources
  • Rising expectations
  • ‘irrational, confusing & unjust’
  • Earlier prevention
  • People in control
  • Account holders
  • Carers paid for care
  • Shaping markets
  • Holistic and micro commissioning
care in 10 years
Care in 10 years
  • 25% plus under the ‘care’ system
  • 2-3% GDP
  • NHS – simplify
  • Online, digital, 24/7
  • Increased migratory work patterns
  • Strains on infrastructure
care in 10 years continued
Care in 10 years continued…
  • Planning for care & prevention
  • More ‘account holder’ than eligible?
  • Understanding of availabilities
  • Advice, brokerage & care arranging
  • People more targeted for interventions
also in 10 years
Also in 10 years
  • Increased isolation
  • Increased disability support needed
  • Increased dementia
  • More ethnically diverse population
need versus resource
Need versus resource

People with learning disabilities: demand will increase dramatically over the next 5-10 years

coalition policy context for health care
Coalition policy context for health care
  • Breaking down barriers
  • Establishing a commission on long-term care
  • Extend roll out of personal budgets
  • Improve access to respite care through community based provision
  • Primary Care Trusts accountable to elected councillors
  • Separation of commissioning from provision
  • New emphasis on public health issues
working with culture and sport
Working with Culture and Sport
  • Supporting prevention
  • Helping people live independently
  • Access to services through personal budgets
  • Delivering the Five Steps to Happiness – connect, be active, be curious, learn and give
how do we engage with one another
How do we engage with one another?
  • How do culture and sport ensure their contribution is understood and is included in commissioning opportunities?
  • How do care services get to know what culture and sport can offer and include them in commissioning opportunities?
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"Instead of seeing the rug being pulled from under us, we can learn to dance on a shifting carpet." Thomas Crum
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