East Midlands Efficiencies East Midlands Efficiencies Project Project £260K invested in consultancy £260K invested in consultancy 200 days delivered 200 days delivered Required to deliver 500K in Required to deliver 500K in year 1 year 1 90k Forfeiture agreed by DAAS 90k Forfeiture agreed by DAAS Significant gains anticipated Significant gains anticipated in years 2 - 4 in years 2 - 4
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East Midlands Efficiencies Project £260K invested in consultancy £260K invested in consultancy 200 days delivered 200 days delivered Required to deliver.
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East Midlands Efficiencies ProjectEast Midlands Efficiencies Project
£260K invested in consultancy£260K invested in consultancy 200 days delivered200 days delivered Required to deliver 500K in year 1Required to deliver 500K in year 1 90k Forfeiture agreed by DAAS90k Forfeiture agreed by DAAS Significant gains anticipated in years Significant gains anticipated in years
2 - 42 - 4
WorkstreamsWorkstreams
ReablementReablement Assessment and Care ManagementAssessment and Care Management Business process mappingBusiness process mapping Design and implementationDesign and implementation Quantifying cashable gainsQuantifying cashable gains
SavingsSavings
£1.9m in year 1£1.9m in year 1 £14.7m years 2 - 5 £14.7m years 2 - 5
ReablementReablement Crisis InterventionCrisis Intervention Extra Care / Supported HousingExtra Care / Supported Housing Tele-care Tele-care
Regional PrioritiesRegional Priorities
High use of residential careHigh use of residential care High cost of care managementHigh cost of care management High cost of LD placementsHigh cost of LD placements High Cost of in-house servicesHigh Cost of in-house services
Next StepsNext Steps
Ensuring re-ablement services are as Ensuring re-ablement services are as effective as possible (working alongside effective as possible (working alongside Jan Clark)Jan Clark)
Assistive technology (developing regional Assistive technology (developing regional work initialised by CSED)work initialised by CSED)
Tools to assist accurate costings of Tools to assist accurate costings of services to inform commissioning services to inform commissioning decisions and strategiesdecisions and strategies
How is the money spent in the East MidlandsHow is the money spent in the East Midlands
56%23%
10%6% 5%
Over 65 Learning Disability Physical Disability
Mental Health Other
Services for Older PeopleServices for Older People
54%35%
11%
Res and NH Domiciliary and Day Care
Care Management
Physical DisabilityPhysical Disability
19%
67%
14%
Res and NH Domiciliary and Day Care
Care Management
Learning DisabilityLearning Disability
52%41%
7%
Res and NH Domiciliary and Day Care
Care Management
Mental HealthMental Health
36%
31%
33%
Res and NH Domiciliary and Day Care
Care Management
Cost per AssessorCost per AssessorPSSEX1 2008/9 - Assessment & Care Management Costs / Number of Assessor Staff
(WTE)
0
10
20
30
40
50
60
70
80
90
510-
Rut
land
UA
**
506-
Der
bysh
ire
504-
Nor
tham
pton
shire
503-
Linc
olns
hire
512-
Not
tingh
am U
A
509-
Leic
este
r U
A
SfC
Eas
t Mid
land
sG
roup
508-
Leic
este
rshi
re
TO
TA
L E
ngla
nd
507-
Der
by U
A
511-
Not
tingh
amsh
ire
£'00
0
Assessment & Care Management Costs / Number of Assessor Staff (WTE) Average
Output per AssessorOutput per AssessorAssessments Per WTE Assessor Per Week
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
Leic
este
r
Not
tingh
am
Der
by
SfC
Eas
t Mid
land
s G
roup
Linc
olns
hire
Not
tingh
amsh
ire
Der
bysh
ire
Leic
este
rshi
re
Nor
tham
pton
shire
Assessments Per WTE Assessor Per Week Average
Trends in Home CareTrends in Home Care
Households Receiving Intensive Home Care (10 hours or more, 6 or more visits per week) for People Aged 65 and Over
Trends in Care Home PlacementTrends in Care Home Placement
Older People Aged 65 or Over Admitted to Permanent Residential and Nursing Care During the Year, and Financially Supported by the Council, Projected to 2025