Update – Workstream One

1. Update on the Public Value Review of services for people with learning disabilitiesPresented to Surrey Care Association 12 May 2011Andrew Price and Simon Laker

2. Update – Workstream One Individualised Accommodation options • Residential homes review (see following slides) • Review of services funded by Supporting People (ongoing) • Review of in house residential services (ongoing) • Analysis of residential placements by SCC out of county (ongoing) • Analysis of supported living placements by SCC out of county (to start June) • Better understanding of supported living market within Surrey (to start May) • Provider workshops 26 May and 2 June

3. Introduction – review of residential homes in Surrey Scope We wrote to every residential home in Surrey registered with CQC to accept people with learning disabilities and asked: • What is the registered capacity of the home • How many people with learning disabilities resident in the home does Surrey County Council fund? • How many people with learning disabilities resident in the home do other local authorities fund? • Please name the local authorities that are funding. • How many vacancies are there currently in the home? Data caveats: • This is an indicative view based on responses from care home managers and is a snapshot in time (March 2011). • Three homes did not provide the information requested. • Data will be further verified with the main commissioners during planned meetings.

4. Residential homes - Surrey Key findings • The review identified 1,800 residential places for people with learning disabilities in 223 properties, run by 96 providers.

5. Residential homes - Surrey Key findings • Of the 1,800 places available • 53% (944) available beds commissioned by Surrey County Council • 31% (543) available beds commissioned by 70 other local authorities • 11% (182) available beds vacant • 1% available beds respite (13), self funded (7), and NHS (13) • 4% (98) available beds funding unconfirmed

6. Residential homes - Surrey Key findings • Of the 543 people funded by the 70 local authorities the largest numbers of placements are from: : • Croydon 57 • Hampshire 44 • West Sussex 37 • Sutton 36 • Wandsworth 28 • Kent 27 • Kingston 17 • Merton 16 • Richmond 14 • Lambeth 13

7. Residential homes - Surrey Key findings • Of the 543 people funded by the 70 local authorities the numbers of people placed across Surrey are as follows: • Tandridge 188 • Reigate and Banstead 125 • Waverley 59 • Mole Valley 40 • Woking 30 • Elmbridge 26 • Epsom and Ewell 24 • Surrey Heath 19 • Guildford 18 • Runnymede 9 • Spelthorne 4

8. Residential homes - Surrey Comparisons • While there are 543 people placed by other local authorities in Surrey, Surrey County Council support 614 people placed out of county in 65 local authority areas. The main locations are: • West Sussex 92 • Hampshire 86 • Kent 58 • East Sussex 57 • Croydon 45 • Sutton 41 • Devon 21 • Next stage of work will be to analyse the types of placements these individuals are in and the reasons for these placements • We will meet and discuss mutual areas of concern ie ordinary residence transfer with commissioners from neighbouring areas

9. Update – Workstream Two Better planning for people with complex needs • Work ongoing to analyse the costs of services for people labelled as ‘complex needs’ and the types of services people receive to see if there is a correlation between costs and conditions • Workshop with providers planned to explore the level of ‘niche’ and ‘specialist’ provision in the market, and where they need to be located • Date of workshop to be confirmed

10. Update – Workstream Three SCC day services • Social Enterprises to be piloted • Identification of specialist in house services and whether they add value • Identification of reliance on transport and agree transport purchasing arrangements

11. Update – Workstream Four Short term breaks and respite options • Analysis undertaken of current allocations of respite, indications that SCC offers some individuals considerably more respite than the national average, to establish if this is based on historic allocations • Work required to establish level of unmet needs • Work to be carried out looking at other models of providing and funding services • Reviewing current supplier base and costs • Pilot services if possible to test different forms of respite, particularly outreach and shared lives

12. Update – Workstream Five Review current RAS arrangements • Current low level of individuals in receipt of IB following RAS process • Work will be undertaken to analyse experiences of staff, individuals and providers in this process • Review will look at details provided in the SSAQ to see if they accurately capture needs of individuals and will look at time taken to complete the process • Further work required to look at the agreement of packages over the threshold level • Establishing how well people with learning disabilities are able to manage their own budgets • Review to detail the services people are purchasing with their IB

13. Update – Workstream Six Strategic supplier base review • Negotiations continuing with providers who were part of first phase of negotiations with procurement • Further negotiations to continue with suppliers • Working with strategic providers to pilot services during the PVR

14. Update – Workstream Seven Integrated services with health, D&Bs and voluntary sector • Working to understand the full range of PLD related spend on grants and contracts with D&B councils and voluntary sector • Mapping services provided by health ongoing • Mapping services available from district and borough councils ongoing

15. Update – Workstream Eight Joint Commissioning Strategy • To be a market position statement, to show current level of demand and detail of the market, to detail services required in each of the 11 districts and boroughs • Data being collated now as part of the PVR • Easy read version to be completed first • Planned workshop with providers in August / September to discuss the emerging trends and detail from the review

16. Update – Workstream Nine Finance • Monitoring progress towards the MTFP targets • Preparing for allocation process 2013/14 to ensure level of services in Surrey are recognised and funded, as funding not certain from this financial year • Reviewing value of contracts taken over from NHS as part of transfer of commissioning

17. Update – Workstream Ten Transition • Working with colleges, childrens service and personal care and support providers to limit the likelihood of out of county placements • Ensuring there is adult social care input to year 9 meetings • Updating data pack of people in transition • Reviewing services currently provided for 9 people aged 90+

18. Update – Workstream Eleven Consultation, engagement and participation • Information and materials available on the Partnership Board website www.surreypb.org • 3,000 individuals sent information about the PVR • SCA workshops planned; open ‘drop in’ events planned for July and September • Partnership Board and local Valuing People groups and Surrey Coalition updated • Dedicated telephone line 01483 517953 • Dedicated e-mail address for feedback and comment pldreview@surreycc.gov.uk