Putting people first sw region update feb 2010
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Putting People First – SW region update Feb 2010. Putting People First. Information,advice and brokerage. Re-enablement. Housing. Early intervention. Transport. Joint working with health. Leisure, libraries etc. Self directed support. Neighbourhoods. Volunteers. Personal budgets.

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Putting People First – SW region update Feb 2010

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Putting people first sw region update feb 2010

Putting People First – SW region update Feb 2010


Putting people first

Putting People First

Information,advice and brokerage

Re-enablement

Housing

Early intervention

Transport

Joint working with health

Leisure, libraries etc

Self directed support

Neighbourhoods

Volunteers

Personal budgets

User led groups

Personalised and flexible services


Ppf key components for success

PPF - Key components for success

  • Leadership and good governance

  • Whole system approach with commitment across the council and with key partners

  • Commitment to culture change – empowerment, choice, personalisation

  • Involvement of people who use services

  • Sound programme managementfor transformationwith clear outcomes and targets

  • Willingness to shift resources towards preventative services and more flexible and personalised approaches


Adass milestones

ADASS Milestones

  • In order to support the process of change ADASS and LGA have worked in partnership with DH and other key stakeholders ( including the CQC) to establish a set of milestones against which we can judge progress.

  • March 2010, Oct 2010 March 2011


Adass milestones1

ADASS Milestones

  • Effective partnerships with people using services, carers and other local citizens

  • Self directed support and personal budgets – includes NI 130

  • Prevention and cost effective services

  • Information and advice

  • Local commissioning


Effective partnerships with people using services carers and other local citizens

Effective partnerships with people using services, carers and other local citizens

  • LAs have service users on their Boards or in a reference group

  • Planning is being undertaken with some users ( involving older people is a challenge)

  • Evidence of co-production

  • 7 ULO hubs established across the region to build capacity in ULOs

  • Users acting as ambassadors and trainers in some LAs

  • More work needed on wider engagement with local citizens


Self directed support sds and personal budgets pbs

Self directed support (SDS) and personal budgets(PBs)

  • Self directed support – good practice in some LAs but needs to be mainstreamed to deliver real choice and control to all

  • Wider involvement of families and other agencies in support planning to offer choice

  • Regional work planned in MH services

  • Links with Valuing People Now

  • Delivery of PBs- all LAs working on a resource allocation (RAS). Most LAs will provide PBs to all new users by Oct . Regional support programme


Prevention and cost effective services

Prevention and cost effective services

  • Prevention – most LAs have developed or are developing re-ablement services

  • Some good work on telecare

  • Integrated approaches - more work needed to deliver efficiencies across the health and social care sectors.

  • Most challenging area - DH regional team lead supporting LAs on this .


Information and advice

Information and advice

  • Several LAs already operate a customer service centre.

  • Good examples of community based information – Village Agents

  • Joint regional work on information databases and online market place

  • Need to ensure consistent , quality information across an area

  • More help to navigate the system – especially for self funders

  • Better communication with the wider public needed


Commissioning local services

Commissioning local services

  • Many LAs working well with providers but more flexible services required

  • Mapping and shaping the market to take account of choice is a challenging area

  • Evidence of co-production with users and carers

  • DPs increasing so need to shift balance of investment

  • Social capital – more work needed to develop community networks


Underpinning requirements

Underpinning requirements

  • Workforce – regional support programme has started to develop workforce strategies

  • Sustainability – working regionally to develop models for forecasting budget impacts of PPF

  • Support to LAs to develop and evaluate their operating model for PPF


Key issues

Key Issues

The 5 Cs

  • Capacity

  • Confidence

  • Costs

  • Culture

  • Communication


Challenges in the sw

Challenges in the SW

  • Higher proportion of people over 65 than any other region in the country ( 21.8%)

  • The SW region has a higher proportion of its pop. in rural areas than any other region

  • LAs in SW are spending a higher % on residential and nursing care than other regions

  • SW has a relatively affluent population with large numbers of homeowners and self funders but with significant pockets of deprivation

  • Budget deficits and cost pressures


Sources of support to las

Sources of Support to LAs

  • Social Care Reform Grant

  • Joint Improvement Partnership ( JIP) programmes and co-ordinator

  • DH Regional Team

  • Nat PPF programme , SCIE, IDeA

  • In Control

    Focus of JIP Programme for forthcoming year

  • Support to achieve Milestones particularly -

    PBs, Prevention, Commissioning

  • Sustainability / efficiencies

  • Workforce


Contacts

Contacts

Pam Richards

[email protected]

SW PPF webpage

http://www.dhcarenetworks.org.uk/Personalisation/Regions/SouthWest/


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