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 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 • 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 • 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 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 • 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 – 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 – 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 • 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 • 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 • 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 The 5 Cs • Capacity • Confidence • Costs • Culture • Communication
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 • 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 Pam Richards email@example.com SW PPF webpage http://www.dhcarenetworks.org.uk/Personalisation/Regions/SouthWest/