Adult Social Care (ASC) Prevention Offer Updated following - - PowerPoint PPT Presentation

Adult Social Care (ASC) Prevention Offer

Updated following consultation

Martha Warrener and Ania Kostrzycka Adult Transformation and Commissioning November 2018

www.cornwall.gov.uk

Commissioning ASC Prevention Services

Plan What should support look like? Do What do we need to do to put support in place? Review Is the support meeting need? Analyse What have we got and what do we need?

What do we mean by prevention? Care Act and NHS Five Year Forward View. Prevent, reduce and delay the need for health and social care. Develop approaches that promote wellbeing and independence. Helping people to help themselves. What do we mean by commissioning?

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 Contract LTSA ASC Prevention Contract Wellbeing ASC Prevention Contract Complex Needs ASC Prevention Contract 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+
• ASC receives around 22,000 requests for help and advice each year
• ASC supports approximately 7,000 people with eligible social care needs
• ASC also supports approximately 1,800 people through prevention services
• Take more responsibility for their wellbeing and wellness
• Be as independent as possible and be part of their local community

‘‘Being treated with dignity and respect - as a ‘normal person’ should - and being accepted… enabled me to

• rganise 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

• access better information and advice
• feel like they belong in the place where they live

Empower Independence

• access appropriate accommodation
• manage their own health and wellbeing
• be as independent as possible

Deliver Preventative Care

• improve support for family carers
• make sure care and support services are helping people to be as

independent as possible

1) INCLUSION 3) INDEPENDENCE 2) HOUSING

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
• ffered 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
• 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
• 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
• 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

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
• 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

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
• Encourage consideration of support from friends/family/local community
• Creative solutions – embed technology and equipment into support pathway

www.cornwall.gov.uk

• 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

impairments, dementia, HIV and other health and wellbeing needs

• Community outreach (non-accommodation based support) – medium/low level

support - 250 people

• Five locality based contracts –mental health (MH) and substance

misuse (SM)

• Supported Accommodation MH/SM - total 170 beds
• Supported Accommodation MH only - total 50 beds
• Community Outreach - total 280 people

Empowering Independence Services

www.cornwall.gov.uk

Empowering Independence Services – Mental Health and Substance Misuse

West

• 30 beds (MH/SM)
• 10 beds (MH)
• 50 people (CO)

Mid

• 40 beds (MH/SM)
• 10 beds (MH)
• 60 people (CO)

Mid to East

• 40 beds (MH/SM)
• 10 beds (MH)
• 60 people (CO)

North and East

• 20 beds (MH/SM)
• 10 beds (MH )
• 50 people (CO)

MH/SM = Supported Accommodation for Mental Health and Substance Misuse MH =Supported Accommodation for Mental Health only CO = Mental Health and Substance Misuse Community Outreach (including MH only)

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