Putting People First – SW region update Feb 2010.

Putting People First – SW Putting People First – SW region update Feb 2010region update Feb 2010

Putting People FirstPutting People First

Re-enablement

Early intervention

Joint working with health

Self directed support

Personal budgets

Neighbourhoods

Volunteers

User led groups

Housing

Leisure, libraries etc

Transport

Information,advice and brokerage

Personalised and flexible services

PPF - Key components for PPF - Key components for successsuccess

• 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 management for

transformation with clear outcomes and targets • Willingness to shift resources towards

preventative services and more flexible and personalised approaches

ADASS MilestonesADASS 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 MilestonesADASS Milestones

1.1. Effective partnerships with people Effective partnerships with people using services, carers and other local using services, carers and other local citizenscitizens

2.2. Self directed support and personal Self directed support and personal budgets – includes NI 130budgets – includes NI 130

3.3. Prevention and cost effective servicesPrevention and cost effective services

4.4. Information and adviceInformation and advice

5.5. Local commissioningLocal 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 IssuesKey Issues

The 5 Cs • Capacity• Confidence • Costs • Culture • Communication

Challenges in the SWChallenges 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 LAsSources 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

ContactsContacts

Pam Richards [email protected]

SW PPF webpage http://www.dhcarenetworks.org.uk/

Personalisation/Regions/SouthWest/