Commissioning in a New Landscape

Community Prevention

Mark LobbanDirector Strategic Commissioning

Emma HansonHead of Community Support Unit

• meet and get to know each other a bit more• share KCC’s vision for Transformation and our

restructure • think about what a core offer should include for

everyone in our communities• share some of the things you are doing • be inspired by what others are doing• talk to each other about the move from grants to

contracts and the impact, risks and benefits of that for both commissioner and provider

• decide how to move forward together

The aims of today are to:

The Current Picture• KCC Budget –Adult Social Care Savings £18m• Transformation – better outcomes within our

resources• Restructure in many sectors-including ourselves

and Health• Health and Social Care Integration • Social Care Money from Health to support

prevention• Growing Demand

FSC Adults Budget

90% of services provided via adult social care are outsourced to the independent sector

Internal Provision v External Provision

Transformation Themes

Health and Social Care Integration-

A whole system approach

Existing Client(Avoidable Admission) Unknown to ASC

Hospital

Home Based Enablement

Domiciliary Care

Residential and Nursing Care

IT innovation to Support Integration

Hospital Avoidance

Flex Model

Carer Support

Falls Prevention

Hospital Based Enablement

Care Home Based

Enablement

Provider Identified

Existing Client(Unavoidable Admission)

Assessment

Comm

unity Capacity

Telecare &

Equipment

Independence

Care providers in regular contact with the client are

best placed to identify risks that may lead to a crisis and can recommend avoidance

strategies

A combination of “Patient Knows Best”, Risk

Stratification and Urgent Care Dashboard provides risk alerts of those known

and unknown to ASC

Befriending, Community Chest, Micro-providers fund,

Care Navigators, etc

Short burst of intensive support to return the client

to their current level of independence

Breaks for carers and support to reduce instances of carer breakdown, which is a big contributing factor for

Care Home & Hospital admissions

Various mechanisms to respond to falls risks

including response services

Equipment and Telecare packages used more widely to support independence

and defer the need for larger care packages and Care

Home admission

Romney and East Kent Step down beds providing an

intensive Enablement package for those not ready to return to their own beds

Investing social care/health monies

Investing in a Proactive FrameworkExisting Client

(Avoidable Admission) Unknown to ASC

Hospital

Home Based Enablement

Domiciliary Care

Residential and Nursing Care

IT innovation to support Integration

Hospital Avoidance

Flex Model

Carer Support

Falls Prevention

Hospital Based Enablement

CH Based Enablement

Provider Identified

Existing Client(Unavoidable Admission)

Assessment

Comm

unity Capacity

Telecare &

Equipment

Independence

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Investing in a Proactive FrameworkExisting Client

(Avoidable Admission) Unknown to ASC

Hospital

Home Based Enablement

Domiciliary Care

Residential and Nursing Care

Risk Stratification

Hospital Avoidance

Flex Model

Carer Support

Falls Prevention

Hospital Based Enablement

CH Based Enablement

Provider Identified

Existing Client(Unavoidable Admission)

Assessment

Comm

unity Capacity

Telecare &

Equipment

Independence

Reactive Enablement

Proactive Enablement

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Introducing Strategic Commissioning

Helen JonesHead of Service

Children's Com missioning

Em m a HansonHead of Service

Com m unity Support

Christy HoldenHead of Service

Accom m odation Solutions

M ark Lobban Director Strategic Com m issioning

Andrew IrelandCorporate Director

Families and Social care

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The Strategic Commissioning Unit was formed to support the transformation of adult social care through the strategic commissioning of services in order to achieve the families and social care directorates objective which is to;

Improve the social care outcomes for the people of Kent. Whilst moving the Families and Social Care (Adults) Directorate to a position where, by 2015, it can operate on a reduced budget.

The Strategic Commissioning Unit was formed to support the transformation of adult social care through the strategic commissioning of services in order to achieve the families and social care directorates objective which is to;

Improve the social care outcomes for the people of Kent. Whilst moving the Families and Social Care (Adults) Directorate to a position where, by 2015, it can operate on a reduced budget.

Introducing Strategic Commissioning

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Our vision is:

To support the social care needs of vulnerable adults in Kent, by ensuring that services are available which enable them to live fulfilling and independent lives in their homes and communities.

We will do this by:

• Promoting independence, wellbeing and choice for individuals

• Promoting and supporting resilience and self care

• Providing proactive and responsive support

• Developing a market of services which are high quality and represent value for money

Our vision is:

To support the social care needs of vulnerable adults in Kent, by ensuring that services are available which enable them to live fulfilling and independent lives in their homes and communities.

We will do this by:

• Promoting independence, wellbeing and choice for individuals

• Promoting and supporting resilience and self care

• Providing proactive and responsive support

• Developing a market of services which are high quality and represent value for money

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Our stakeholders have told us they want:

• A system that is easier to understand and navigate

• Comprehensive information, advice and guidance that is accessible

• A proactive rather than reactive system• Integrated services designed to maintain a person’s

lifestyle and engagement with their community.• The same service offer for self-funders and those in

receipt of KCC funding• Integrated health and social care services – single

points of access and less professional involved• Services that are responsive to local need• Targeted interventions that aim to restore a person

back to a preceding state of health and well-being

Our stakeholders have told us they want:

• A system that is easier to understand and navigate

• Comprehensive information, advice and guidance that is accessible

• A proactive rather than reactive system• Integrated services designed to maintain a person’s

lifestyle and engagement with their community.• The same service offer for self-funders and those in

receipt of KCC funding• Integrated health and social care services – single

points of access and less professional involved• Services that are responsive to local need• Targeted interventions that aim to restore a person

back to a preceding state of health and well-being

Emma Hanson

Head of Strategic Commissioning Community Support

Karen Cook

Commissioning Manager

Steve Lusk

Commissioning Officer

Sholeh Soleimanifar

Commissioning Officer

Commissioning Support Assistant

JenniferNewton

Commissioning Support Assistant

Sam Sheppard

Commissioning Manager

Heather Randle

Commissioning Officer

Laura Embery

Commissioning Support Assistant

Sylvia Rolf

Commissioning Officer

Simone Bullen

Commissioning Officer

Guy Offord

Commissioning Officer

Jo Empson

Commissioning Manager

Carina Neeves

Commissioning Officer

Tony Care

Commissioning Officer

Sarah Peacock

Commissioning Officer

Commissioning Support Assistant

Julie Harling

Commissioning Support Assistant

James Lampert

Commissioning Manager

Hazel Price

Commissioning Officer

Navdeep Mandair

Commissioning Officer

Mick Jones

Commissioning Officer

Commissioning Support Assistant

TBC

Paula Parker

Commissioning Manager

David Harris

Commissioning Officer

Commissioning Officer Vacancy

Helen Devlin

Commissioning Officer

(Mat leave until March 2013)

Sarah Challis

Commissioning Officer

(Mat Leave begins Nov 2012)

Information in your packs

Introducing Community Support Unit

Introducing Community Support Unit

Develop Community

CapacitySuport people

remain independent of

social and health care system

Help to stay at home - key strategic partners in

community

Supporting

Rehabilitation

and Recovery

Restoring people

to independence

We are spending £15 Million a year in grants

• We are NOT looking to cut funding, in fact we want to increase spending on preventative services through the Health Money

BUT we want to spend it on the right things:• When every penny counts are we making the best

use of this money to keep people out of the health and social care system?

Grants- a picture of spend

• Grants have grown organically and been locality driven• Different services in different areas- no core offer• You provide other excellent services we don’t fund• Grants not always strategically aligned to Transformation• Cant performance manage a grant• Instability of yearly funding• Unwieldy system and bureaucratic

Questions:

How do we ensure equality of access and provision across Kent?

What should KCC fund and for whom?

What services should we move from grant to contract?

Grants- a picture of services

A Picture of Need

• 25% of service users said they did not have enough social contact.

• 66% of these lived in the community75% of those 65+ who are living in the community said they did not do anything they value or

enjoy with their time

2012: 900 Kent Social Care Users of all ages responded to our annual survey:

19% say information and advice is

difficult to find

NEWS TO SHARE

Welcome Visits

We would like to visit you to

1) Help our new team learn about community based services and understand the range and complexity of what you are doing- it will mean we commission more effectively

2) Help you get to know us and build relationships

We sent everyone a letter- if you didn't get one and would like to offer time for a visit please let us know.

Dementia Friendly Communities

• Successful bid to be a National Pilot• working initially with12 communities across Kent• people will be aware of and understand more

about dementia;• people with dementia and their carers will be

encouraged to seek help and support; • and people with dementia will feel included in their

community, be more independent and have more choice and control over their lives.

Thank you

Mark Lobban - Director Strategic Commissioning

Emma Hanson - Head of Community Support Unit