Update on the Public Value Review of services for people with learning disabilities

Presented to Surrey Care Association 12 May 2011

Andrew Price and Simon Laker

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Update – Workstream One

Individualised Accommodation options

Residential homes review (see following slides) Review of services funded by Supporting People (ongoing) Review of in house residential services (ongoing) Analysis of residential placements by SCC out of county (ongoing) Analysis of supported living placements by SCC out of county (to start June) Better understanding of supported living market within Surrey (to start May) Provider workshops 26 May and 2 June

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Introduction – review of residential homes in Surrey

ScopeWe wrote to every residential home in Surrey registered with CQC to accept people

with learning disabilities and asked: What is the registered capacity of the home How many people with learning disabilities resident in the home does Surrey County

Council fund? How many people with learning disabilities resident in the home do other local authorities

fund? Please name the local authorities that are funding. How many vacancies are there currently in the home?

Data caveats: This is an indicative view based on responses from care home managers and is a

snapshot in time (March 2011). Three homes did not provide the information requested. Data will be further verified with the main commissioners during planned meetings.

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Residential homes - Surrey

Key findings

The review identified 1,800 residential places for people with learning disabilities in 223 properties, run by 96 providers.

District or Borough Number of properties Capacity

Reigate and Banstead 63 446

Tandridge 33 361

Waverley 15 210

Runnymede 19 127

Woking 13 119

Elmbridge 14 113

Mole Valley 16 112

Epsom and Ewell 18 105

Guildford 16 99

Surrey Heath 11 80

Spelthorne 5 28

TOTALS 223 1,800

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Residential homes - Surrey

Key findings

Of the 1,800 places available

53% (944) available beds commissioned by Surrey County Council

31% (543) available beds commissioned by 70 other local authorities

11% (182) available beds vacant

1% available beds respite (13), self funded (7), and NHS (13)

4% (98) available beds funding unconfirmed

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Residential homes - Surrey

Key findings

Of the 543 people funded by the 70 local authorities the largest numbers of placements are from:

: Croydon 57 Hampshire 44 West Sussex 37 Sutton 36 Wandsworth 28 Kent 27 Kingston 17 Merton 16 Richmond 14 Lambeth 13

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Residential homes - Surrey

Key findings

Of the 543 people funded by the 70 local authorities the numbers of people placed across Surrey are as follows:

Tandridge 188 Reigate and Banstead 125 Waverley 59 Mole Valley 40 Woking 30 Elmbridge 26 Epsom and Ewell 24 Surrey Heath 19 Guildford 18 Runnymede 9 Spelthorne 4

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Residential homes - Surrey

Comparisons

While there are 543 people placed by other local authorities in Surrey, Surrey County Council support 614 people placed out of county in 65 local authority areas. The main locations are:

West Sussex 92 Hampshire 86 Kent 58 East Sussex 57 Croydon 45 Sutton 41 Devon 21

Next stage of work will be to analyse the types of placements these individuals are in and the reasons for these placements

We will meet and discuss mutual areas of concern ie ordinary residence transfer with commissioners from neighbouring areas

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Update – Workstream Two

Better planning for people with complex needs

Work ongoing to analyse the costs of services for people labelled as ‘complex needs’ and the types of services people receive to see if there is a correlation between costs and conditions

Workshop with providers planned to explore the level of ‘niche’ and ‘specialist’ provision in the market, and where they need to be located

Date of workshop to be confirmed

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Update – Workstream Three

SCC day services

Social Enterprises to be piloted

Identification of specialist in house services and whether they add value

Identification of reliance on transport and agree transport purchasing arrangements

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Update – Workstream Four

Short term breaks and respite options

Analysis undertaken of current allocations of respite, indications that SCC offers some individuals considerably more respite than the national average, to establish if this is based on historic allocations

Work required to establish level of unmet needs

Work to be carried out looking at other models of providing and funding services

Reviewing current supplier base and costs

Pilot services if possible to test different forms of respite, particularly outreach and shared lives

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Update – Workstream Five

Review current RAS arrangements

Current low level of individuals in receipt of IB following RAS process

Work will be undertaken to analyse experiences of staff, individuals and providers in this process

Review will look at details provided in the SSAQ to see if they accurately capture needs of individuals and will look at time taken to complete the process

Further work required to look at the agreement of packages over the threshold level

Establishing how well people with learning disabilities are able to manage their own budgets

Review to detail the services people are purchasing with their IB

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Update – Workstream Six

Strategic supplier base review

Negotiations continuing with providers who were part of first phase of negotiations with procurement

Further negotiations to continue with suppliers

Working with strategic providers to pilot services during the PVR

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Update – Workstream Seven

Integrated services with health, D&Bs and voluntary sector

Working to understand the full range of PLD related spend on grants and contracts with D&B councils and voluntary sector

Mapping services provided by health ongoing

Mapping services available from district and borough councils ongoing

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Update – Workstream Eight

Joint Commissioning Strategy

To be a market position statement, to show current level of demand and detail of the market, to detail services required in each of the 11 districts and boroughs

Data being collated now as part of the PVR

Easy read version to be completed first

Planned workshop with providers in August / September to discuss the emerging trends and detail from the review

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Update – Workstream Nine

Finance

Monitoring progress towards the MTFP targets

Preparing for allocation process 2013/14 to ensure level of services in Surrey are recognised and funded, as funding not certain from this financial year

Reviewing value of contracts taken over from NHS as part of transfer of commissioning

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Update – Workstream Ten

Transition

Working with colleges, childrens service and personal care and support providers to limit the likelihood of out of county placements

Ensuring there is adult social care input to year 9 meetings

Updating data pack of people in transition

Reviewing services currently provided for 9 people aged 90+

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Update – Workstream Eleven

Consultation, engagement and participation

Information and materials available on the Partnership Board website www.surreypb.org

3,000 individuals sent information about the PVR

SCA workshops planned; open ‘drop in’ events planned for July and September

Partnership Board and local Valuing People groups and Surrey Coalition updated

Dedicated telephone line 01483 517953

Dedicated e-mail address for feedback and comment pldreview@surreycc.gov.uk