ACS 09034 Appendix 2 DDRRAAFFTT AAdduulltt ...ITEM...2009/04/15 · people with a physical disability or sensory impairment and their carers who fund their own care or do not meet

MASTER 19th March 2009 1

ACS 09034 Appendix 2

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A&E - Accident & Emergency

ACS – Adult & Community Services

Ass & CM – Assessment & Care Management Teams

BHT – Bromley Hospitals NHS Trust

BME – Black Minority Ethnic

BMT – Bromley Mytime (Leisure Trust)

CYP – Children & Young People

DCLG – Department of Communities & Local Government

ECH – Extra Care Housing

FAC‟s – Fair Access to Care (guidance)

HC – Housing Corporation

HR – Human Resources

LAA – Local Area Agreement

LPSA – Local Public Sector Agreement

LBB – London Borough of Bromley

MH - Mental Health

OT - Occupational Therapy

OPSC – Older People Select Committee

Oxleas – Oxleas NHS Trust

PWLD – People with a Learning Disability

PDSI – Physical Disability & Sensory Impairment

PCT – (Bromley) Primary Care Trust.

PS – Private Sector

RSLs – Registered Social Landlords (Housing Associations)

TSC – Transforming Social Care

VS – Voluntary Sector

Monitoring reports are available from the ACS Performance and Information Team,

contact Angela Buchanan 020 8313 4199 or mailto:[email protected]

mailto:[email protected]


AAdduulltt aanndd CCoommmmuunniittyy PPoorrttffoolliioo PPllaann

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Introduction

The sixth Portfolio Planning conference took place on 18th December 2008 with over seventy attendees from the public and voluntary sectors. The resultant Portfolio Plan brings together the issues of the day and progress made over the previous six years to support the Building a Better Bromley aim of “Promoting Independence”. The main focus of this year‟s plan is the Personalisation agenda. This holistic approach is set out in 'Putting people first: a shared vision and commitment to the transformation of adult social care', the ministerial concordat launched on 10 December 2007. The main aims of Personalisation are to ensure that people are able to live their own lives as they wish; confident that services are of high quality, are safe and promote their own individual needs for independence, well-being, and dignity. This will include a strategic shift towards early intervention, prevention and high quality advice and information for all. Throughout this years portfolio planning day issues around transport and the local environment were raised, although these areas do not relate directly to this portfolio they are impediments to independence. Over the next year I will be talking with other portfolio holders to look at how we work more laterally across the council to address cross-cutting issues with the aim to develop a set of objectives to ensure delivery. The AC Portfolio will continue to work in partnership to deliver the key service improvements set out within the Local Area Agreement recognising the broader health and housing needs and inequalities within the community and linking to the planning priorities of the Local Strategic Partnership. One of the key challenges to our future plans and continuing delivery of our services is the current economic downturn. This will also have an impact on the demand for the services we provide, particularly within the Housing Service. Over the next year the portfolio will be working to ensure that we provide high quality advice on debt management and enable those who require it to access mortgage recovery funds. Key national strategies affecting people with Dementia and Carers were published in 2008/09 and their key aims and objectives have been incorporated into this plan. Overarching themes within the AC 2009/10 Portfolio Plan are to promote independence and provide choice and personalisation of services whilst matching increasing demand within finite resource allocation. The four sections to the plan:

- Improved Health and Quality of Life - Making a Positive Contribution and Economic Wellbeing - More Choice, Control and Equality of Access - Personal Dignity and Respect,

demonstrate how the principles identified at the Portfolio Planning Conference underpin inspectorate outcomes and support the Building a Better Bromley aim of „Promoting Independence‟.

Cllr Graham Arthur, Portfolio Holder for Adult & Community


AAdduulltt aanndd CCoommmmuunniittyy PPoorrttffoolliioo PPllaann 22000099 –– 22001100

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1

Enhancing opportunities for all to have greater access to information and services and the ability to make choices to exercise control over their own lives.

2

Securing Better Health and Quality of Life outcomes for vulnerable people through closer partnership working.

3

Enabling vulnerable people to participate actively in their local communities and provide access to employment opportunities (paid and voluntary).

4

Securing a range of high quality, responsive, modernised services that respect and protect people from risk of abuse and danger.


Outcome 1:

Enhancing opportunities for all to have greater access and

ability to make choices and exercise control over their

own lives.

Issues: Equality of access to services for all who meet the eligibility criteria.

Information available and accessible for all to support decision making and access to care services irrespective of people‟s social circumstances and eligibility for statutory services (source LAC (DH) 2008 1).

Through the Transforming Social Care Programme empower people to shape their own lives and the services they receive. Tailor support to individual choices and preferences in all care services they receive.

Aim 1a

Increase access to person centred planning and self directed support, to enable vulnerable people to remain in their own homes.

What we are doing (Actions) Lead Service

Resources

1. Establish and support a user reference group to advise on the development of Personal Budgets (TSC).

ACS Existing

2. Evaluate the effectiveness and lessons learnt from the existing Support Planning and Brokerage schemes that commission services for older people and people with learning disabilities who fund their own care or do not meet the fair access to care criteria (TSC).

ACS VS

10. Existing

11. 3. Devise and implement arrangements for Support Planning and Care Brokerage for people with a physical disability or sensory impairment and their carers who fund their own care or do not meet the fair access to care criteria (TSC).

ACS VS

12. TSC Grant

13. 4. Develop and implement a Resource Allocation system to support the development of Personal Budget pilots (TSC).

ACS 14. TSC Grant

5. Increase the use and take up of Personal Budgets for people with PDSI, Older

People, Mental Health Issues and Learning Disabilities (young people in transition) introduce a pre-payment cards to deliver these (TSC).

ACS 15. TSC Grant

6. Pilot a re-ablement service to support timely discharges from hospital (TSC) ACS 16. TSC Grant

7. Progress the development of assisted and self-assessment for Service Users and Carers (TSC)

ACS 17. TSC Grant

Aim 1b Information, services and support are available to all sectors of the Community. What we are doing (Actions) Lead

Service Resources

1. Ensure that hard to reach groups and the wider community have good quality information that enables them to access appropriate services.

ACS TSC Grant

2. Seek a suitable business partner to explore the potential for development of an internet based information service. (TSC)

ACS TSC Grant

3. Advice and Information is full, detailed and personalised to all service users and carers.

ACS TSC Grant


Aim 1c Promote equality for all Service Users in every aspect of their life. What we are doing (Actions) Lead

Service Resources

1. All Transforming Social Care projects will have an equalities impact assessment to ensure that the whole community can access services appropriately. (TSC)

ACS Existing resources

2. Ensure that the range of access points has well developed customer care services that help people to work out the best options for their support. (TSC)


3. Provide a range of easy to access services for people who fall outside the FAC‟s criteria ensuring people are signposted to services that match their needs. (TSC)


4. Establish „Experts Through Experience‟ forum to develop service user and carers‟ participation. (See Aim 3b (3)) (TSC)

ACS TSC Grant

5. Develop Carers‟ Community Outreach post to consult with carers from BME and marginalized groups.

ACS Carers‟ Grant

Aim 1d Promoting opportunities to increase accessibility to services. What we are doing (Actions) Lead

Service Resources

1. Review services that will be available on Saturday mornings to ensure convenience for service users.

LADS Existing resources

2. Market extended availability of Old Palace for ceremonies LADS Existing resources

3. Exploration of appropriate advertising opportunities – to include possible installation of a plasma screen into waiting area which will promote our own services as well as those of related service providers

LADS Existing resources

Performance Indicators: 08/09 Target

08/09 Actual

09/10 Target

10/11 Target

11/12 Target

National Indicators

1. Social care clients receiving self directed support (Direct payments and individual budgets). NI 130 (LAA, TSC).

147 TBC 422 1170 ***

2. Percentage of vulnerable people achieving independent living. NI 141.

85% TBC 85% 85% ***

3. Percentage of vulnerable people who are supported to maintain independent living. NI 142.

>98% TBC >98% >98% ***

LAA Indicators

1. Carers who have had a carers‟ assessment. 2000 TBC 2090 *** ***

2. Number of carers receiving carers‟ services to support their caring role.

1400 TBC 1568 *** ***

Local Indicators

1. No of Service Users with a Personal Budget 50 TBC 2639 *** ***

2. No of Self-Assessments completed *** TBC *** *** ***

3. No of people receiving a service from Age Concern Support Planning & Care Brokerage

*** TBC *** *** ***

4. No of people receiving a service from Mencap Support Planning & Care Brokerage

*** TBC *** *** ***

The following plans can provide further information: Supporting People Strategy 2008

LD Active Citizens Strategy 2008

LD Day Opportunities Strategy 2008

***Target to be confirmed.


Outcome 2:

Securing Better Health and Quality of Life outcomes for

vulnerable people through closer partnership working.

Issues: Strategic working with NHS partners to enable people with long term conditions to manage their health and

wellbeing more effectively (source LAC (DH) 2008 1).

Standardised Mortality Rates for the borough demonstrate a significant difference in life expectancy across the wards.

Through the „Valuing People Now‟ agenda support people with Learning Disabilities to maintain their health.

Work with RSLs, private landlords and owner occupiers to improve the condition of housing stock, encourage the reuse of vacant housing and deliver improved energy efficiency in homes.

Aim 2a Provide better access to community support and improve health outcomes through working with NHS Partners and the Voluntary and Independent Sectors.

What we are doing (Actions) Lead Resources 1. Determine best model for providing access to advice, assistance and supply of aids and adaptations for disabled residents in the east of the borough and implement to prevent and reduce hospital admissions. (TSC)

ACS PCT

TSC Grant

2. Implement scheme for supporting people with long term conditions previously piloted in Penge across the borough.

ACS PCT

Existing Resources

3. Reduce the number of emergency hospital attendances and admissions by evaluating and expanding the pilot of the rapid response service to cover Care Homes.

PCT Existing Resources

4. Re-commission jointly specialist Mental Health advocacy and day care services.

ACS PCT

Oxleas

Existing Resources

5. Establish Carers‟ registers at GP surgeries to raise awareness of their needs ACS PCT

Carers Grant

Aim 2b Reduce health inequalities for the most vulnerable within Bromley What we are doing (Actions) Lead

Service Resources

1. Work with Bromley My time and PCT to reduce adult obesity and promote healthy lifestyles for PWLD and Mental Health needs by developing additional/specific weight management schemes.

PCT BMT

Existing Resources

2. Commission/Target specific programmes aimed at people using Learning Disability or Mental Health day programmes around healthy eating and weight loss.

PCT BMT

Existing Resources

3. Support Learning Disabilities Needs Assessment including enabling service users to participate in consultation.

ACS Existing Resources

4. Provide a new development worker for people with Learning Disabilities to support daytime occupation and leisure opportunities. (TSC)

ACS TSC Grant


Aim 2c Develop support services for Older People with Mental Health Needs. What we are doing (Actions) Lead

Service Resources

1. Develop local strategies to deliver outcomes identified in the National Dementia strategy

PCT ACS

Oxleas

Existing Resources

2. Increase training and Voluntary Sector input into existing Extra Care Housing Schemes.

ACS VS

Existing Resources

3. Review and revise training programme for Domiciliary and Day care providers to ensure high quality support to service users and their carers.

PCT ACS

Oxleas

Existing Resources

Aim 2d Develop alternatives to residential care within the borough to promote independence. What we are doing (Actions) Lead

Service Resources

1. Enable people with a learning disability who are living away from Bromley to return to supported living placements within the borough.

ACS Invest to Save

2. Secure the most appropriate outcome for the remaining residents of Learning Disabilities residential provision, maximising the opportunities for residents to move to supported living where possible.

PCT ACS

SHA capital allocation

3. Develop a wider range of housing options for people with mental health needs to ensure that move on opportunities exist and appropriate level of support is provided.

ACS PCT

Oxleas

Existing resources

4. Assist vulnerable people to live independently through the supporting people programme with particular emphasis on Older People in Sheltered Housing.

ACS PS VS

Supporting People Grant plus RSL Finance and HC Grant.

5. Enable an additional 150 people to remain in their own homes through the use of new Tele-care assistive technologies. (TSC)

ACS Preventative Technology Grant

6. Enable an additional 20 people with long term health conditions to remain in their own homes through the use of Tele-health assistive technologies. (TSC)


7. Establish 8 step down flats for testing a range of equipment and to assess needs prior to a person returning home.


8. Enable 20 service users with severe Learning Disabilities to live in the community through the use of assistive technology


9. Support young people in transition to ensure opportunities for supported living and daytime occupation.


Aim 2e Improve energy efficiency in homes and return vacant houses to use. What we are doing (Actions) Lead

Service Resources

1. Offer grants and loans to bring 15 private sector dwellings back into use.

ACS Sub regional housing funding

2. Pursue Empty Dwelling Management Orders where necessary and build on lessons from existing orders.


3. Pilot „Hard to treat Homes‟ solid wall insulation scheme to reduce carbon emissions in 5 households.


4. Work with Utility companies to assist people with low income to address fuel poverty through grants and discounts for insulation.

ACS Community Energy Saving Programme Funding



08/09 Actual

09/10 Target

10/11 Target

11/12 Target

National Indicators

1. All age cause mortality rate (standardised mortality rate per 100,000 population from all causes at all ages). NI 120. NB This indicator is per calendar year not financial year.

M: 584 F: 412

TBC M: 565 F: 401

M: 547 F: 389

***

2. Achieving independence for older people through rehabilitation/intermediate care. NI 125. (LAA).

* TBC * * ***

3. Delayed transfers of care (the average weekly rate of delayed transfers of care from all NHS hospitals, acute and non acute, per 100,000 population aged 18+). NI 131

5 people TBC 5 people 5 people ***

4. Healthy life expectancy at age 65 (self reported health assessment) (NB Old definition). NI 137.

*** TBC *** *** ***

5. Adults with Learning Disabilities in settled accommodation. (% of adults with Learning Disabilities known to the Council in settled accommodation at the time of their assessment or latest review). NI 145.

*** TBC *** *** ***

LAA Indicators

1. Number of people attending a 12 week programme achieving a 5% reduction in their bodyweight maintained after three months.

60 TBC 60 60 ***

2. The percentage of adults aged 16 and over participating in at least 30 minutes of moderate intensity sport and active recreation (including recreational walking) on three or more days of the week as measured by the Active People survey.

24%

TBC

25% *** ***

3. Reduction of frequent attendees to A&E. 8% TBC 11% 11%*** ***

4. Percentage reduction of hospital admissions for pre-existing conditions.

30% TBC 40% *** ***

Local Indicators

1. People with Learning Disabilities in supported living as a percentage of those in supported living and residential placements.

58.5% TBC 63.8% 65% *** 65% ***

2. Number of People with Learning Disabilities in the adult placement scheme.

37 TBC 40 42 42

3. Number of People with Learning Disabilities in long stay NHS provision.

50 TBC 0 0 0

The following plans can provide further information: 2008 – 11 Local Area Agreement

Empty Homes Strategy 2006 – 09

Bromley Health Strategy 2007 – 2009

Older People Strategy 2008 - 2012

LD Active Citizens Strategy 2008

* Baseline not yet available. Will be available by Q2 2008/09. Targets to be established then. ** Baseline not yet available. Targets cannot be set. To be established in 08/09. *** Target to be confirmed.


Outcome 3:

Enabling vulnerable people to participate actively in their

local communities and provide access to employment

opportunities (paid and unpaid)

Issues: Research has shown that involving people and their Carers in the planning of their services has a positive

effect.

Need to manage expectations and prevent homelessness, whilst at the same time raise awareness of the implications of and the alternatives to homelessness.

Current economic down turn is increasing demand and reducing availability of social housing, expectations need to be managed whilst providing high quality financial advice, debt management and mortgage recovery where possible.

Importance of current and future service users need to be engaged both in commenting on today‟s services but also in planning for the future.

Aim 3a

Develop a „promoting independence‟ model that encourages community participation and increases access to services


Resources

1. Ensure that all carers‟ are routinely offered carers‟ assessments, direct payments and carers‟ support services.


2. Use Support Planning and Care Brokerage schemes based with the community to provide advice, information, sign posting and as meeting points for service users with learning disabilities and PDSI and their carers.


Aim 3b

Service users and carers contribute to service planning and delivery of council services/projects; their views are heard and incorporated.


Resources

1. Establish the „Experts Through Experience‟ forum to use the expertise of service

users can to drive quality standards. (TSC) ACS TSC Grant

18. 2. Undertake client surveys of Carers, Home Care and ICES to establish satisfaction with individual services. Present the findings as the annual Customer Feedback Report.

ACS VS

Existing Resources

3. Support service user involvement in strategic forums by actively including them in forums such as the Partnership board structure to ensure their views are incorporated in strategic decision making.


4. Work with other Portfolios to establish more lateral links across the council to prevent impediments to personalisation with particular reference to transport and the built environment.


Aim 3c With partners develop more work based opportunities (paid/unpaid) for people with disabilities or recovering from mental illness.


Resources

1. Increase the number of vulnerable adults (PDSI, MH) who are accessing work (paid/unpaid).

ACS Oxleas

Existing Resources

2. Increase the number of people with learning disabilities in paid work in the borough through social businesses and the contract with Jobmatch.


3. Work with partners to ensure that carers support enables them to remain in or seek employment opportunities

ACS Existing Resources 3


Aim 3c With partners develop more work based opportunities (paid/unpaid) for people with disabilities or recovering from mental illness.


Resources

4. Through the „Improved Access to Psychological Therapies‟ programme within Secondary Mental health services re-configure posts to provide support job retention and enable employment.

ACS PCT

Oxleas

Existing Resources

5. Work with partners to develop Pathways to Employment to support 100 people into employment by March 2010.

ACS LPSA Pump priming

Aim 3d Focus on preventing homelessness by working in partnership to introduce new initiatives, maximise and make the best use of the supply and range of affordable housing.


Resources

1. Reduce the number of people who are supported in temporary accommodation to 571.


2. No 16 & 17 year olds will be housed in Bed & Breakfast accommodation by 2010.


3. Increase the number of people assisted through housing prevention and option schemes by providing practical support to applicants to assist them remaining in their own home) or access private rented sector or otherwise resolve their housing need.

ACS Existing Resources funded by

CLG Grant

4. Maximising access to Mortgage Rescue funds to eligible Bromley residents

ACS Government funding

5. Ensure that a suitable level of financial & debt management advice is available to those in danger of losing their homes.


6. Increase home visiting to improve the robustness of the housing assessment and to assist the aim of reducing homeless presentations and make the best use of properties/options.

ACS Supporting People Grant and CLG Grant

Aim 3e Increase Housing Options available within Bromley What we are doing (Actions) Lead

Service Resources

1. Work with additional Housing Associations to encourage them open up their property registers to Bromley Homeseekers increasing available properties.


2. Work with the Private Rented Sector to encourage them to let their properties through Bromley Home seekers.


3. Continue to work closely with RSL‟s to identify overcrowded households and to address under occupancy.

ACS Rills

Existing Resources CLG Grant for overcrowding

4. Work with RSL‟s and Developers to maintain the required level of affordable and special needs housing (e.g. ECH, LD and Foyer)

ACS Rills

Existing Resources

3



08/09 Actual

09/10 Target

10/11 Target

11/12 Target

National Indicators

1. Self reported experience of Social Care users (NB Old definition) NI 127.

** TBC ** ** ***

2. Timeliness of social care assessments. NI 132 (LAA).

87.5% TBC 85% 87.5% ***

3. Timeliness of social care packages following assessment. NI 133 (LAA).

80% TBC 79% 80% ***

4. Carers receiving needs assessment or review and a specific carer‟s service, or advice and information. NI 135 (LAA).

* TBC * * ***

5. Adults with Learning Disabilities known to the Council in paid employment at the time of their assessment or latest review. (NB Old definition) NI 146.

*** TBC *** *** ***

6. Adults in contact with secondary mental health services in settled accommodation (NB Old definition). NI 149.

* TBC * * ***

7. Adults in contact with secondary mental health services in employment. (NB Old definition) NI 150.

* TBC * * ***

8. Number of households living in temporary accommodation. NI 156 (LAA).

885 Available May 2008

700 536 467

LAA Indicators

1. Number of people supported back into employment.

35 TBC 50 100 ***

Local Indicators

1. Number of people with Learning Disabilities working in social businesses.

90 TBC 90 90 ***

2. New people with a disability in the Council‟s Work Placement and Job Carve Schemes.

*** TBC *** *** ***

3. Homeless households approaching local authority‟s housing advice service(s) for whom housing advice casework intervention resolved their situation. BVPI 213.

10 TBC 10 10 ***

4. Proportion of households accepted as homeless who were previously accepted as homeless. BVPI 214.

3% TBC 2% 1% ***

5. Increase energy efficiency: (Local PI) 2.5% TBC 2.5% 2.5% ***

The following plans can provide further information:

Housing Strategy 2006 – 09

Homelessness Strategy

Temporary Accommodation Reduction Strategy 2006 - 2010

Annual Lettings Plan

SE London Housing Partnership strategy

* Baseline not yet available. Will be available by Q2 2008/09. Targets to be established then. ** Baseline not yet available. Targets cannot be set. To be established in 08/09. *** Target to be confirmed.


Outcome 4:

Securing a range of high quality, responsive, modernised

services that respect and protect people from risk of abuse and

danger

Issues: Work with providers to promote quality care that promotes dignity, is safe, effective and is available when needed

(source: LAC (DH) 2008 1).

Deliver the outcomes set out in the National Dementia Strategy.

Ensuring well trained and suitably skilled staff are available to provide transformed services.

Aim 4a

Services are commissioned that deliver quality and a high standard of care

What we are doing (Actions) Lead Service Resources 19. 1. Commission with RSL‟s and providers a range of high quality Extra Care Housing

schemes and residential services. 20.

ACS Existing resources 21.

22. 2. Continue to work with Bromley Care Homes through the residential provider forum to raise standards in line with the Care Qualities Commission Minimum Standards.

23.

ACS 24. Training Grant

3. Work in partnership with the Residential and Domiciliary Care Providers Forums to continue to improve standards to reduce hospital admissions from care homes and to ensure that all residents are safeguarded from harm.

ACS PS

Training Grant

Aim 4b Our workforce effectively delivers modernised services. What we are doing (Actions) Lead Service Resources 1. Target recruitment activity on key staff groups and minimise the use of agency staff within ACS.


2. Ensure that all staff (ACS & Providers) are trained appropriately around Safeguarding and the National Dementia strategy.

ACS Training Grant

3. Implement training and appropriate response to deprivation of liberty safeguards from 1st April 2009.

ACS Training Grant

4. Build capacity in existing workforce to enable changes for Transforming Social Care to be implemented.


Aim 4c Bromley Safeguarding Adults Board ensures that Vulnerable Adults are protected from harm What we are doing (Actions) Lead Service Resources 1. Target safeguarding training to care homes and other providers of services as part of quality assurance framework.

ACS BSAB Funding

2. Improve recording of the outcomes of safeguarding incidents and use lessons learnt to increase prevention.

ACS

Existing Resources

3. Monitor the balance between „Choice‟ and the risks of personalisation to identify future safeguarding issues.

ACS

Existing Resources

4. Establish a campaign around the prevention of the harassment of vulnerable adults particularly those with learning disabilities.

ACS

Existing Resources

5. Strengthen the links with the Community Safety & Public Protection Portfolio to obtain better outcomes for vulnerable people.

ACS

Existing Resources


Aim 4d Complaints will be dealt with effectively in order to make services more effective, personal and safe.

What we are doing (Actions) Lead Service Resources 1. Develop local strategies to deliver outcomes identified in the new national Complaints procedure.


2. Use lessons learnt from complaints to make services more effective, personal and safe.

ACS

Existing Resources

3. Establish links to new Quality Assurance structure to improve access and response to service users.

ACS

Existing Resources


08/09 Actual

09/10 Target

10/11 Target

11/12 Target

National Indicators

1. User reported measure of respect and dignity in their treatment. (NB Old definition) NI 128 (LAA)

New Indicator

New Indicator

** ** **

Local Indicators

1. Proportion of vacant social services posts. 15%

Available May 2009

15% 15% ***

2. Number of Home Carers who join the NVQ programme.

15 level 2 5 level 3

Available May 2009

10 level 2 2 level 3

*** ***

3. Number of residential and extra care staff who join NVQ programme.

16 level 3 2 level 4/5

Available May 2009

14 level 3 2 level 4/5

*** ***

4. Number of safeguarding alerts received New Indicator

New Indicator

** ** **

5. Proportion of strategy meetings/discussions recorded

New Indicator

New Indicator

** ** **

6. Proportion of strategy meetings/discussions held within 5 days of alert

New Indicator

New Indicator

** ** **

7. Proportion of completed safeguarding referrals New Indicator

New Indicator

** ** **

8. % of stage 1 complaints responded to within 7 days.

65% Available May 2009

65% 65% 65%

9. % of stage 2 complaints investigated within 28 days.

New Indicator

Available May 2009

*** *** ***

10. Number of Social Care/Housing complaints that proceed to Stage 2.

New Indicator

Available May 2009

*** *** ***

The following plans can provide further information:

LBB Recruitment Strategy

LBB Employment Strategy

Training Consortium Training Programme 2009 - 2010

ACS Training Programme 2009 - 2010 ECH Strategy 2008

** Baseline not yet available. Targets cannot be set. *** Target to be confirmed.

ACS 09034 Appendix 2 DDRRAAFFTT AAdduulltt ...ITEM...2009/04/15 · people with a physical disability or sensory impairment and their carers who fund their own care or do not meet

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