What do we mean by
1. “What the future Holds”. Our health, our care, our say, and Implications for Social Care
2. What do we mean by “Social Care”? “Social care” is much wider than “social services”
Housing, leisure, education, transport all contribute
Always think in terms of health and social care
Focus on people and maximising their health and independence – not on services
3. Policy context of changing market White Paper “Our Health, Our Care, Our Say”
“Securing Good Social Care for Older people – taking a Long Term view” 2006 Derek Wanless.
“Comprehensive Spending Review
A new “Ambition for Old Age”, 2006, Prof Ian Philp Department of Health
Systems reform of NHS and Social Care
New Joint Commissioning Framework – December?
Local Government- White paper
4. Environmental Context Rising expectations and demography
New technologies – tele-care/tele-medicine
New models of care
30% self-funders and growing
Over 75% providers independent
5. New direction arising from Our Health, Our Care, Our Say: Change the way services are offered in the community around 3 themes.
Putting people more in control of their own health and social care
Enabling and supporting health, independence and well-being
Rapid and convenient access to high-quality cost-effective care
6. Wanless and beyond raises some fundamental questions
7. Strengthen activities in the following areas: Nutrition and the physical environment in care
Skills, competence and leadership in the workforce
Ensuring dignity for all – including end of life care.
Equalities and human rights
8. “Personalised care and more self-care in an integrated way…more services in local communities that are closer to people’s homes and more emphasis on prevention”
Lord Warner, June 2006
9. “Three Key principles that underpin the White Paper, integration, empowerment and prevention…integration and partnership are not sideshows. They are the most likely way of achieving our objectives.”
10. Note Just 5% of inpatients, many with a long term condition, account for 42% of all acute bed days.
11. The four goals of the White Paper better prevention & earlier intervention for improved health and well-being
more choice, control & a stronger voice
improve access to community services & tackle inequalities - shift care
better support for people with longer term needs – integrate services
12. A new direction – overview
13. Key Actions
- 13 individual budget pilots
Direct Payments - expansion
Risk and empowerment framework
Common assessment framework
Prevention – POPPS
14. So Will there be a fixed price for social care as a means of ending post code lottery ?
How will care be funded in future?
the focus will be outcomes for people
their dignity at the end of life as well as through out life,
their wellbeing and independence
skills and competence of the workforce supporting them,
15. Some questions for providers? Have people who use your services a major say in shaping your service or can they take only what is offered?
How flexible is the shape of your service?
What will individual purchasers on Direct Payments and Individual Budgets want to buy?
Are the outcomes people wanted being delivered?
16. More questions for providers?
Is your service promoting health independence and well-being?
Are you looking upstream towards prevention?
Is your information system going to be able to give the supporting evidence?
How easy is it to access your services?
17. Implications and opportunities Policy applies to all citizens – how will your service support this?
Future commissioning for outcomes not services?
What % of your business could you invest in developing prevention?
Opportunities in more social enterprise coming in?
Will more direct purchasing by users shape a new micro market ?
Opportunities for co-location and private/public partnerships?
Will a renewed focus on dignity present new challenges?
How will you maximise your future portfolio of investments?
18. Recap- New Models of Care Person centred – emphasis on prevention.
Across health and social care
Partnerships across sectors
Social enterprise models
Community hospitals – no national prescription
Shift from acute to community
19. What can CSIP do? Improve commissioning and decommissioning
Facilitate and support mixed economy
Promote Joint Improvement Partnership regionally
Provide tool-kits, ICN, good practice models etc
Engage locally and regionally and shape the agenda
Consider representation on commissioning networks
20. 3 Final Questions Do people have more control?
Are people finding access easier?
Are people getting the outcomes they said they wanted?
21. Seamus Breen National Programme Manager for White Paper Support Social Team Care Services Improvement Partnership Tel : 020 797 24375 (PA Jasmine Chadha) e-mail: [email protected] www.socialcare.csip.org.uk