a strategic overview james cawley / pat palmer use of resources
TRANSCRIPT
A Strategic OverviewJames Cawley / Pat Palmer
Use of Resources
Integrated ApproachHousing LINHousing Support UnitUse of Resources Project
The Challenges More People, Less Money!!
Q. How big is the problem we face?
Global Warming ! An ageing population!
Regionally we must think differently about how we support the growing needs of an ageing population
The ChallengesMore People, Less Money!!
Rising aspirationsGreater expectationsPersonalisationMajority of older
people home ownersChoice and controlIncreased, complex
needsEarly intervention
and prevention
The Biggest Challenge of All
Not the ageing populationNot the financial climateIt is the CULTURE CHANGE! Strong leadership, which enables staff to embrace and
understand change. Commitment to listening and responding to the voice of the customer. Agreeing a vision, identifying a strategic direction and implementing.
Where are we? Where do we need to be? How do we get there?
The key is to win hearts and minds along the way
Breaking the MouldThe Need to Change
Are you a Dinosaur?
or are you a butterfly?
It is essential that agencies work collaboratively in order to develop better and more integrated health, social care and accommodation strategies
The Use of Resources Programme
Four work-streams:Re-ablementVoice of the customerFinancial modelling tool / websiteAccommodation work-stream
Plan to meet the future demographic changesMeet the financial expectations of the DOH use
of resources paper, through changing the balance of accommodation support options
Generate cashable savings over the next 10 years
What do Older People WantCustomer views need to be incorporated
into any redesign Customers place high importance on: Control over what they want, where they
live and who they live with Transportation / accessibility Reliable and affordable services Keeping in touch with family and friends
and being safe
Use of Resources – Improvement Opportunities Summary
For Customer Focus with Cornwall, North Somerset and Gloucestershire Transformational efficiency savings of between 10% and 30% are achievable for each local authority in the South West. For an average size social care organisation of 350 FTEs this equates to potential ongoing savings of between £1.2m and £3.7m per annum
Use of Resources – Improvement Opportunities SummaryFor Reablement with Dorset, Wiltshire, Bristol, Bournemouth & Cornwall Potential ongoing savings between £180,000 and £230,000 per annum, even within a well-run Reablement team. Potential to save an average of £250,000 on overall care costs in year one by fully implementing Reablement across your authority, rising to £1.4m in year two and beyond.
Use of Resources – Improvement Opportunities SummaryFor Accommodation, with Gloucestershire, North Somerset, Somerset, Devon and Torbay Annualised ongoing saving opportunities ranging from £1m to £10m per annum. By changing the balance of accommodation support, consolidation of the provider base, integration of adult social care and supporting functions and the reduction of waste in the delivery of care packages.
Development of a South West
Housing Support Unit (HSU)Provides practical support and assistance to
authorities developing an informed plan for achieving better housing options for older, vulnerable people
Will respond to the TASC and efficiency agendas by providing capacity to examine strategies to:Reduce the use of residential care by developing
new ECH or other housing schemesRe-model or make better use of existing sheltered
housingDevelop core and cluster provision and new
models of housing care and support services
The Aims of the HSUFor every local authority to have an informed
plan for older person’s servicesTo offer support to ensure implementation of
agreed actions and effective use of resourcesTo advise, share good practice/solutions, and
identify innovative models that fitA definition of an informed plan is the
reconfiguration of housing, care and support services to older people over the period, April 2011 – March 2013, to achieve more effective personalised and cost efficient services
Implementation PhaseBuilding on the work so
farThis will involve working with South West
local authorities to:Develop proposals with local/national
housing associations/developers to deliver new extra care housing
Support authorities to shift from what is described as ‘care land’ to ‘community land’
To support authorities to make better use of both their and housing association’s housing stock
Implementation PhaseBuilding on the work so
far
To support authorities to develop alternative forms of care, support and accommodation rather than traditional institutionalised care
To support authorities to take forward the work of the UoR accommodation programme
Work with authorities to identify schemes for older people that could be included in the proposed 4 year Homes and Communities Agency ( HCA) programme for 2011-15
Care Land Community LandWarning! Older people
Community and peer group support
Supporting ToolkitsIntegrating care & support plus model
contract specification.A financial model for Extra Care.Making best use of sheltered housing, an
independent living service model.From care land to community land. The Use
of Resources accommodation work stream.A model of extra care integrating health
and social care funding.A private sector model of development
Contact DetailsJames Cawley -
[email protected] -01225713921
Pat Palmer - [email protected] - 07894226401