Adult Social Care (ASC) Prevention Offer Updated following consultation Martha Warrener and Ania Kostrzycka Adult Transformation and Commissioning November 2018
Commissioning ASC Prevention Services What do we mean by What do we mean by commissioning? prevention? Care Act and NHS Five Year Forward View. Analyse Plan Prevent, reduce and delay What have we What should the need for health and got and what support look social care. do we need? like? Develop approaches that Do promote wellbeing and Review What do we independence . Is the support need to do to meeting need? put support in place? Helping people to help themselves . www.cornwall.gov.uk
Analyse – what have we got? • The current ASC prevention services fall into four groups: 1. Wellbeing services (for all client groups) that offer links to volunteers and volunteering opportunities 2. Long term supported accommodation (LTSA) for people with learning disabilities, autism and/or mental health needs 3. Homeless with complex needs street and community outreach, and crisis and supported accommodation 4. HIV/AIDS community outreach support • Contracts are being extended to 30 September 2019 ASC Prevention ASC Prevention ASC Prevention ASC Prevention Contract Contract Contract Contract Wellbeing LTSA Complex Needs HIV www.cornwall.gov.uk
Analyse – What do we need? • Engagement September 2016 to October 2018 – questionnaires, events/meetings, focus groups and ‘crowdsourcing’ event • Reviewed national and local data, research and strategies The population of Cornwall is approximately 555,000 - 25% aged 65+ o ASC receives around 22,000 requests for help and advice each year o ASC supports approximately 7,000 people with eligible social care needs o ASC also supports approximately 1,800 people through prevention services o Take more responsibility for their wellbeing and wellness o Be as independent as possible and be part of their local community o ‘‘Being treated with dignity and respect - as a ‘normal person’ should - and being accepted… enabled me to organise and save financially and think about the future’’ Service User, 2016 www.cornwall.gov.uk
Plan – what should support look like? This has resulted in the development of an Evidence Base and Commissioning Intentions for ASC Prevention Services, which can be found on the website: www.cornwall.gov.uk/preventionservices Promote Wellbeing 1) INCLUSION • access better information and advice • feel like they belong in the place where they live Empower Independence 2) HOUSING • access appropriate accommodation • manage their own health and wellbeing • be as independent as possible 3) INDEPENDENCE Deliver Preventative Care • improve support for family carers • make sure care and support services are helping people to be as independent as possible www.cornwall.gov.uk
INCLUSION – a sense of belonging • Advertise for a lead partner to work with ASC to improve the links between the voluntary sector and the social care pathway Lead partner to work with voluntary sector to arrange for inclusion links to be o offered to people who approach ASC experiencing a risk to their wellbeing Information and advice on local community resources -1,000 people Help to develop an ‘ inclusion plan ’ to make links to local resources and to improve wellbeing – 1,000 people Access to volunteer support , including people in the community & people leaving hospital, with funding to coordinate volunteers – 1,200 people Help to identify and access volunteering opportunities – 120 people Work with providers of care services to improve links to the voluntary sector o • Administer Social Inclusion funding to local community led projects www.cornwall.gov.uk
HOUSING – a place called home • Commission support for rough sleepers and improve the housing pathway for people with support needs One countywide Rough Sleeper Outreach contract o Street outreach service - 200 people Support for people at risk of rough sleeping – 36 people Support for rough sleepers moving into Housing First properties – 14 people Contract in place for Crisis Accommodation service for rough sleepers o One countywide service - direct access provision Currently 12 bed scheme in Camborne New 18 bed scheme being developed in Pool to open next year Improve the pathway for people to ensure access to housing in partnership o with Strategic Housing and Cornwall Housing www.cornwall.gov.uk
INDEPENDENCE – managing daily life • Commission a series of block contracts for Empowering Independence services to help people with daily life Support for people who do not need personal care o Daily living support - linking people to existing resources and offering practical support e.g. form filling, planning meals, budgeting Self-management support - to help people to learn techniques to self- manage their health and wellbeing e.g. preventing falls, improving wellbeing People will be supported to self-advocate as much as possible, but providers will offer non-statutory advocacy support when required Referrals will be accepted from any source – people do not need an ASC o assessment to access the services, but referrals from ASC will be prioritised www.cornwall.gov.uk
Empowering Independence Services Service Delivery Model • Services to offer short term support to people (up to two years) • A ‘ core and flexi ’ approach – with core support and a flexi budget to be used to meet needs within a personalised plan • Support may be offered on a one to one or group basis • Providers to take a strengths based approach: Build strength, skills and confidence of people accessing services o Encourage consideration of support from friends/family/local community o Creative solutions – embed technology and equipment into support pathway o www.cornwall.gov.uk
Empowering Independence Services • Contracts for 3 years with options to extend for a further 2 years • One countywide contract – physical health and disabilities Learning disabilities, autism, physical disabilities, mobility issues, sensory o impairments, dementia, HIV and other health and wellbeing needs Community outreach (non-accommodation based support) – medium/low level o support - 250 people • Five locality based contracts – mental health (MH) and substance misuse (SM) Supported Accommodation MH/SM - total 170 beds o Supported Accommodation MH only - total 50 beds o Community Outreach - total 280 people o www.cornwall.gov.uk
Empowering Independence Services – Mental Health and Substance Misuse MH/SM = Supported Accommodation for Mental Health and Substance Misuse North and East MH =Supported Accommodation for Mental 20 beds (MH/SM) • Health only 10 beds (MH ) • 50 people (CO) CO = Mental Health and Substance Misuse • Community Outreach (including MH only) Mid 40 beds (MH/SM) • 10 beds (MH) • 60 people (CO) • Mid to East 40 beds (MH/SM) • 10 beds (MH) • 60 people (CO) • West 30 beds (MH/SM) • 10 beds (MH) • 50 people (CO) • West to Mid 40 beds (MH/SM) • 10 beds (MH) • 60 people (CO) • www.cornwall.gov.uk
Discussion For each of the areas: 1. Inclusion 2. Housing 3. Independence • What do you think of the proposal? • What are the issues/risks? • What could we do differently? www.cornwall.gov.uk
Cornwall Council County Hall Truro TR1 3AY Tel: 0300 1234 100 www.cornwall.gov.uk www.cornwall.gov.uk
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