Local Area Co-ordination Presentation to Adult Social Care Scrutiny - - PowerPoint PPT Presentation

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

• ptimum use of existing resources
• development of new, community lead responses to local

need

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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

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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

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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

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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

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• 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

Individuals working with LAC

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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

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.

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Deborah’s story

• Lone parent of four children, fleeing domestic abuse.

Subject to harassment from neighbours and in

• vercrowded 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

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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

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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

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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

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