What the future Holds .  Our health, our care, our say, and  Implications for Social Care

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What the future Holds . Our health, our care, our say, and Implications for Social Care

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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 Affordability 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 Assuring quality Ensuring dignity for all – including end of life care. Equalities and human rights Championing change

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 Self-directed support - 13 individual budget pilots Direct Payments - expansion Risk and empowerment framework Common assessment framework Carer’s offer Prevention – POPPS Commissioning guidance Social enterprise

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? Whatever; 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

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