Local Area Co-ordination Presentation to Adult Social Care Scrutiny Committee 28 February 2018
Local area co-ordination: • support to (re)connect people with their local communities • builds resilience • person centred • embedded in local area • builds links with local people, community organisations, business and statutory partners • optimum use of existing resources • development of new, community lead responses to local need 2
Aims and outcomes • Support individuals to realise their vision of a good life • Reduced need for higher level interventions – More appropriate use of services, e.g. primary care, not A&E • Reduced isolation – greater connection • Reduced service dependence • Better health and housing outcomes • Identify and build community solutions 3
LAC is established: • Nationally: Derby City, Derbyshire, Isle of Wight, Kirklees, Leicestershire, Neath Port Talbot, Solihull, Suffolk, Swansea, Thurrock, York • Waltham Forest: first London borough to introduce LAC (followed by Haringey) • South East regional team: Waltham Forest, Thurrock, Suffolk and Haringey – share best practice and feed into national agenda 4
LAC in Waltham Forest • February 2017 – Invest to Save pilot • Four wards: Cathall, Grove Green, Larkswood and Wood Street • Community recruitment • Leadership group: Housing, CCG, Early Help, Insight, Finance, Transformation • Sponsored by AD Housing Management, managed by Independent Living Services Manager • External evaluation completed February 2018 5
Successes so far • 275 individuals have walked alongside their local area co-ordinator to achieve their vision of a better life • Clearly aligned with Think Family and Creating Futures strategies • Well established in four wards • Positive reputation in its communities • Faithful to LAC model: flexible person centred support drawing on the community • Flexible response to local needs 6
Individuals working with LAC • Older people: largest group is 70-79 and 80-89 years old • ‘Under the radar’ • 48% mental health needs • 38% with a physical disability • Broad range of support needs: managing accommodation, mental health, accessing primary care, dementia, lone parents, isolation 7
Introductions Demonstrate that LAC is highly visible in its communities: • 38% introduce themselves to LAC • 24% introduced by other active citizens • 22% introduced via community groups • 16% introduced by health professionals 8
Donna’s story • Isolated older woman, not engaged with services or managing her accommodation. Introduced to LAC by concerned housing officer: hoarding, mice infestation, falls, risk of infection. • Wanted to stay in her home, LAC supported her to achieve this safely. • Engaged with GP and Memory Clinic. • Rebuilt positive relationship with neighbours. • Deteriorating health lead to end of life care. Relationship with LAC made this possible. • LAC intervened to prevent Donna’s burial next to her abusive husband. 9
Deborah’s story • Lone parent of four children, fleeing domestic abuse. Subject to harassment from neighbours and in overcrowded accommodation. Financial difficulties and mental health issues. • Introduced herself to LAC at community drop in • Tenancy transfer, more managed use of services, planned reduction in service input with brief interventions from Early Help, focus on building Deborah’s self esteem, volunteering opportunities 10
Community initiatives • Broad range: responding to local need • Co-produced with community, often by those who have approached LAC for support • LAC supports implementation then steps back • Groups supporting well being on individual level • Community organisations coming together to address local issues 11
Groups include: • Curl Up & Purl: knitting group • Upbeat: mental health support • Intergenerational groups: toddler play sessions at residential care homes • Sunshine Group: drop in for isolated people • Asian Feast • Women’s Focus Group • Walk & Talks • Leyton Orient Over 50’s Network 12
Next steps • Local Area Co-ordination is a success and we want to develop it • iBCF has committed to two further posts for 12 months, subject to initial pilot receiving additional LA funding • Defining and measuring the impact and outcomes of LAC • Using data to demonstrate LAC’s accessibility to vulnerable and disconnected citizens • Embedding LAC learning and practice across Families & Homes – part of Creating Futures 13
Recommend
More recommend
