Provider workshop Learning Disability January 2016 Purpose - - PowerPoint PPT Presentation

Provider workshop Learning Disability

January 2016

Purpose

• Introductions – Getting to know you
• Honest & open communication and dialogue
• Understanding how we can work in partnership
• Understanding the challenges we are facing
• Identifying opportunities

Agenda

• Introductions
• LD demographics in North Yorkshire
• National and Local context
• Children’s LD Services
• Challenges for Commissioners & Providers
• Workshops – ‘Turn the Curve’
• Next steps

Commissioning and Quality Who are we and what do we do?

Commissioning

• Lead and direct HAS Commissioning function in a

specific locality and with a specific portfolio

• Working in partnership with CCGs, district councils and

providers – joint commissioning/integration

• Developing strategy and implementation plans

Quality

• Quality monitoring/Quality Assurance
• Procurement
• Brokerage

LD within North Yorkshire

• The total number of adults aged 18-85 and over with LD is predicted to be

11,338 in 2015, rising to 11,870 by 2030

• There are 310 people with LD who also have autism. The largest cohort of

162 are age 18 – 34

• 40% of people with LD also have physical and/or sensory impairments
• In 2014-15, NYCC spent approximately £45.6 million on social care

provision for people with LD which represents 30% of the overall Adult Social Care Budget (excludes funding received from the NHS and expenditure relating to supported employment)

• Range of LD Services: Respite, Residential, Supported Living, Shared Lives,

Employment based services, Community services, Personal Budgets, Domiciliary Care

District Council Area Res. Homes Res. Beds % Occ. at 23/11/1 5 Res/ Nurs. Homes Res/ Nurs. Beds Nurs. Homes

• Nurs. Beds

% Occ. at 23/11/15 Dom Care

H’ton 7 204 96.2 8 371 3 130 96.3 10 R’mond 5 175 3 173 1 60 4 S’boro 47 1007 92.8 5 218 8 213 94.1 22 Ryedale 14 265 2 104 11 H’gate 58 1096 96.5 21 1194 90.6 31 Craven 12 234 1 45 8 369 9 Selby 20 348 95.8 5 291 1 35 92.1 10 TOTAL 163 3329 22 1098 44 2105 97

Social Care Provision

National Context

• Putting People First Concordat -

development of personalisation (2008)

• Valuing People Now – Department of Health

(2009)

• Death by Indifference and Getting it Right

Charter (2007/10)

• Winterbourne Concordat 2012
• Valuing Every Voice, Respecting Every Right

(2014)

• Care Act (2014)
• Children and Families Act (2014)
• No Voice Unheard, No Right Ignored – (2015)
• Building the Right Support (2015)

Local Context

• ‘Live Well, Live Longer’ – strategy for people

with LD 2015 -2020

– Increase independence and choice – Improving health and reducing health inequalities – Improving social inclusion – Providing support for families and carers – Supporting young people into adulthood – Reducing the number of out of area and long term accommodation placements

How will we get there – Our Strategy?

Personalisation Prevention Right care, right place Empowerment and Enablement Caring for carers Preparing for adulthood http://www.northyorks.gov.uk/ldstrategy

Disabled Children’s Services

• There are five teams in North Yorkshire which

assess needs and commission packages of care for disabled children, young people and their families.

• Families have a range of support needs: care

in the home, individual support with activities,

• vernight breaks or daytime care in school

holidays.

New - Transitions 14 – 25 years

• From April 2016 Young people will remain

with Disabled Children’s Services during a Transitional period, which may be up to the age of 25 years.

• This is to support young people with Preparing

For Adulthood, as required by the Care Act 2014 and the Children and Families Act 2014.

Preparing for Adulthood

• Young people’s preparation for adulthood will

be flexible, the Council is seeking providers able to deliver services for young people from 14 years, depending on individual needs.

• The Council will be seeking to commission age

appropriate services for young people aged 14 – 25 which maximise their independence and assist with preparing for adult life.

Overnight Short Breaks

• Currently children and young people with

complex needs use 5 residential short breaks units across the County.

• The Council is undertaking a review of this

provision.

• During 2016 the Council will be consulting

families, partner agencies and providers about future ways of meeting this need.

Overnight care 18 +

• There are gaps in provision of overnight short

break care for young people over 18 years with very complex needs.

• Many families need this support until the

young person is ready to move into their own accommodation.

• This can help young people remain in their
• wn community.

New - Personal Budgets for Care

• Personal Budgets for Disabled Children and

Young People will launch in April 2016

• Families will work on their own “Support

Plans” and have choice and control over how they use their Personal Budget.

• Families will want flexible services to meet the

individual needs and circumstances of the young person and their family.

WHAT CHALLENGES ARE WE ALL FACING?

Provider Challenges

• National Living Wage
• Recruitment and Retention of high quality staff
• Sustainability of the market
• Voids and nomination rights
• Communication with commissioners
• Finance
• Sleep overs
• Innovation
• Market confidence
• Family Customer Expectations

Commissioning Challenges

• Provider challenges – mirror commissioning

challenges e.g. recruitment

• Austerity – how do we develop person centred

services in a budget we can afford?

• How do we better understand the market in

North Yorks and develop relationships with providers?

• How do we develop the LD market for younger

people?

• Rurality - How do we help people access services

in their own communities?

Procurement Challenges

• Personalised services with some consistency

in costs and quality

• How best to monitor performance, outcomes

and improvement for individuals?

• No framework for some services e.g.

supported living

• Providers understanding procurement

processes and restrictions

Health Commissioning

Challenges

• 1. Health Inequalities
• 2. Co-existing long term

health conditions

• 3. Transforming Care /

Building the Right Support

• 4. PMLD and ‘Behaviour

that Challenges’

Solutions: not straightforward!

• Annual Health Reviews
• Health Action Plans
• Cancer Screening
• Bespoke Health Promotion
• Investment in Community

services

• Highly individualised long-life

care/support planning

• Small scale supported living

What are we doing to support providers?

• LD Strategy
• Market Position Statement - MPS
• Surveys
• Provider Bulletin
• Service Mapping
• Capturing new ideas

/new business

Workshop 1 – Turn the Curve

• 5 mins STARTING POINT

– Timekeeper – Reporter – Identify issue to work on

• 15 mins – Where are we now

– Focus on issue and consider the story behind this issue – Causes and forces at work? – What makes it an issue?

• 15 mins – What works

– What could we do better? – How can each partner contribute? – No cost/low cost ideas

• 5 mins – Top 3 actions

– Identify your best top 3 actions to share with group – be specific

Workshop 2

• Have we captured all the issues?
• How do we continue to support and build the

relationship with providers of LD services – what are the mechanisms that work for you?

• What should we focus on – future agendas?