Work & Priorities of Hampshire County Council Adult Services Department

1. Work & Priorities of Hampshire County Council Adult Services Department H&WB Partnership Board - East Hampshire Mark Surtees 12th April 2010

2. Presentation structure • Context – - Joint work NHS and Adult Services Department - Finance & Performance climate - Hampshire model as a framework - Local delivery issues within that - Opportunities for improving H&WB together

3. Hampshire big ticket items for NHS & Adult Services Department • Older Peoples Mental Health • Long term conditions • Prevention • Carers • End Of Life care • Stroke • Child and Adolescent Mental Health

4. Adult Services priorities2010/11 • Budget and efficiencies • Delivery of a balanced budget and achievement of efficiency targets. Establish and begin to implement plans to make the major savings required to achieve financial balance in future years.

5. Adult Services priorities 2010/11 • Performance improvement • To achieve improvement in Care Quality Commission performance ratings and delivery of the departmental contribution to corporate improvement plan with a clear focus on front line delivery and service user outcomes. Aim to achieve at least 3 more ‘excellent’ ratings from the seven outcomes

6. Adult Services priorities2010/11 • Safeguarding and quality outcomes • To ensure we have a continuous focus on safeguarding with a focus on service user outcomes and quality of service delivery.

7. Adult Services priorities2010/11 • Developing the Workforce • Ensuring we have a workforce that have the skills and expertise to support the transformation of social care including day to day service delivery and high quality outcomes.

8. Adult Services priorities2010/11 • Engaging and empowering service users and carers • Continue to inform the delivery and transformation of services by engaging with service users, carers and hard to reach groups who may be excluded.

9. Hampshire Model Universal Offer Customer access and information Free Crisis Care Safeguarding, prevention and crisis response/re-ablement SDS Self-directed Support Planning and Brokerage User-Led Initiatives SUCI Standards Expert User Group Carers Carers Strategy LD Transformation Campus Re-provision LD Integration LD Transfer Market Ensuring appropriate in-house and external services are available Process and Efficiency Ensuring processes are efficient and supporting policies are developed

10. The Hampshire Model

11. Finance • East Hampshire • 08/09 Budget £8,688 • 08/09 Outturn £8,579 • 09/10 Budget £9,300k – 09/10 Outturn £9,763k – current prediction based on Period 11.

12. Service User numbers by care type • Nursing Home = 203 • Residential Care = 213 • Domiciliary Care = 508 • Day Care = 148 • Direct Payment = 63

13. Staff Teams • East Hampshire (North) 11.65 FTE • East Hampshire (South) 9.40 FTE • North & East Community Hospitals 7.15 FTE • North & East Safeguarding Coordinators 2.1FTE • North & East Occupational Therapy 4.5 FTE

14. Hospital discharge & admission avoidance • North & East Hampshire Community Hospital Team • Petersfield, Chase - Bordon, Alton, (Fleet, Odiham) • New Team established in 2007 of 5.15 FTE & expanded to 7.15 to respond to the demand.

15. Hospital discharge & admission avoidance • Rapid Response Team • Joint Adult Services & NHS Team

16. Hospital discharge & admission avoidance • Community Response Team • Up to 6 weeks service • 50% of cases require no further care post-reablement • 16% readmission to hospital • 3 team leaders - 19.75 Community Reablement Assistants • Active caseload 36 cases • Referrals per month = 30

17. Hospital discharge & admission avoidance • Welcome Home Service • Short-term personal care service at home following discharge • Planned start June 2010 • Home from Hospital Service • A non-personal care service to facilitate return home from hospital

18. Reablement – Time to Think Beds • Up to 6 weeks uncharged service • 22 beds in North & East Hampshire • Occupancy over 80% • Investment £150.6k (East Hampshire) • Increased OT input to care planning • 5.6% predicted to return to community at hospital discharge • 50% returned to community following reablement • 96.8% predicted to require long-term institutional care at hospital discharge • 38.7% required long-term institutional care following reablement

19. The Universal Offer It is about ensuring that Hampshire is a good place to live: • Improving access to information, advice & advocacy, especially for those who fund their own care • Ensure everyone is aware of their entitlements • Access to community support – ‘that little bit of help’ • Access to services that help with everyday life Making sure everyone gets something

20. Carers • Carers Assessment and Services • Investment with Princess Royal Carers Trust to support carers in contingency planning

21. Community Innovations Team • Prevention & independence maintenance work • East Hampshire (South): 0.5 SW; 0.5 OT; 0.5 Community Support Worker; 0.2 Community Development Worker – (employed by CFEH, funded by HCC) (0.4 Nurse – employed by HCHC)

22. Payments to other organisations • Support for voluntary sector – (Community First – East Hampshire, East Hampshire Advocacy Service, Princess Royal Trust for Carers, Meals on Wheels, Age Concern, WRVS, Lunch Clubs Community Transport, Incontinence Laundry Service - etc)