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SUFFOLK’S CHARTER. Big Messages - Suffolk’s Charter for people with learning disabilities and their family carers 2009 – 2013. What we did in Suffolk. Consultation - “Opportunity Choice and Support”
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SUFFOLK’S CHARTER Big Messages - Suffolk’s Charter for people with learning disabilities and their family carers 2009 – 2013
What we did in Suffolk Consultation - “Opportunity Choice and Support” Valuing People Now:A new three –year strategy for people with learning disabilities“Making it happen for everyone” Partnership Board discussions Workshops Partnership Board – “sign off” Information events Care Health and IndependenceDelivery Partnership SUFFOLK’S CHARTER
“Making it Happen” Being clear about what we are going to do in Suffolk Information How we are going to measure progress Open about the progress we are making Involving people New a Partnership Board structure Reporting upwards to the Regional Programme Board To the SHA Care Health and IndependenceDelivery Partnership SUFFOLK’S CHARTER
SUFFOLK’S CHARTER The charter is about services for people with learning disabilities, their carers and families. The services are provided by Suffolk County Council, the health service and others. Some services such as seeing a doctor, are available for everyone and some services are only available for people who need a lot of support.
IMPROVING MY HEALTH We will help people with learning disabilities to improve their health. It will be easier to see GPs, dentists and other health staff, including hospital staff. We will support family carers to stay healthy and help them to access services. We will set targets and monitor progress.
MAKING A HOME We will help people with learning disabilities to own their own home or live in good rented accommodation. Residential care will only be for those who really need it.
ENJOYING MY JOB In Suffolk we will make sure that more people with learning disabilities have real work, including those with complex needs. We will help people who want to work to learn new skills, or to get training, while working as a volunteer.
GETTING A JOB “A Good Job for All”
MAKING CHOICES In Suffolk people with learning disabilities and their family carers will decide for themselves about their services. We will make sure that people have help and information. We will make sure, where possible, that people can have what they want and that this is affordable.
DOING WHAT I WANT DURING THE DAY In Suffolk we will make sure that more people with learning disabilities are able to do the things they want to during the day and at evenings and weekends. This includes people with complex needs. We will help people to know what is available.
BECOMING AN ADULT In Suffolk we will support young people with disabilities and their families as they become adults. We will make sure that they know what’s available and that they make their own decisions. We will ensure that changes are planned properly.
BEING HEARD In Suffolk we will provide information, advice and advocacy so that people can choose about services, and what they want to do. We will support those self advocates and family carers on the Learning Disability Partnership Board.
BEING HEARD • Self Advocacy / Citizen Advocacy (from Learning Disability Pooled Fund) • People are supported to participate in - people first groups, locality forums, the Partnership Boards and to contribute their own personal views or represent a wider group • Targeted Advocacy and Befriending Scheme • 1:1 transition advocacy for people moving accommodation through Reprovisioning / Moving On • Statutory IMCA –– estimated 40% of referrals • Independent advocacy for parents with learning disabilities involved in child protection processes
SUPPORT TO FAMILIES In Suffolk we will listen to family carers and provide advocacy and information for them. We will carry out carer assessments, and help family carers to have their own lives and to be healthy. We will deliver the new plan for family carers.
TAKING A BREAK In Suffolk there will be a choice of good day-time respite and short-term breaks. We will support families if help is needed in an emergency.
INCLUDING EVERYONE • In Suffolk we will especially look out for: • People with complex needs; • People from black and minority ethnic groups; • People who have recently come to Suffolk; • Older people and carers; • We will do our best to make sure that everyone is treated the same, and that our plans • help with this.
MAKING SURE THINGS HAPPEN In Suffolk we will give the Learning Disability Partnership Board all the information they need to make sure that our plans are happening. Where we set targets, the Learning Disability Partnership Board will check on progress.
Suffolk Learning Disability Partnership Board Commissioning & Performance Board Transitions Better Health Housing Personal- isation Work, Learning & Daytime Opport’ties. Including Everyone Locality Panel Bury Locality Panel Sudbury Locality Panel West Suffolk Borders Locality Panel Stowmarket Locality Panel Felixstowe Locality Panel Ipswich Locality Panel Saxmund-ham Care Health and IndependenceDelivery Partnership Workforce Short Breaks / Respite and Families Self Advocate InvolvementProject Youth Parliament Family Carer Involvement Project
Care Health and IndependenceDelivery Partnership Monitoring progress towards the Local Area Agreement Targets Monitoring progress towards National Indicators that link to care, health and independent living issues Working towards a ‘shared agenda’ for care, health and independence across Suffolk – ensuring that priorities and cross cutting areas of work are related back to the work of individual organisations. Share new and emerging areas of work that other partners should know about/could help contribute to To ensure that the views of service users and family carers and the wider community are taken into account in the work of the partnership.
Care Health and IndependenceDelivery Partnership • Housing - PSA 16 – Housing delivery plan • Proportion of adults with moderate to severe learning disabilities in settled accommodation • Employment • Health –healthy lifestyles / access to services • Involvement, communities, social capital • Accessibility of all services • Raise awareness / training
Care Health andIndependence Delivery Partnership Total Budget 2009/10 - NHS and SCC
Care Health and IndependenceDelivery Partnership Those authorities spending less per head
Care Health and IndependenceDelivery Partnership Where does the money come from
Care Health and IndependenceDelivery Partnership How much on the main categories in 2008/09?
Care Health and IndependenceDelivery Partnership Residential Care Trends
Care Health and IndependenceDelivery Partnership 2013/14 Current trend 2013/14 Radical model 2008/09 2013/14 Proposed model
Care Health and IndependenceDelivery Partnership How the trends might change
Care Health and IndependenceDelivery Partnership Make up of the Pooled Fund, 2009/10
Care Health and IndependenceDelivery Partnership Total Budget 2009/10 - SCC
Care Health and IndependenceDelivery Partnership Total Budget, 2009/10 - NHS
Care Health and IndependenceDelivery Partnership • The Task • Against the demand forecast: • Produce options to save £~800k in 2010 / 2011 • Produce options to save £6.0m by 2013/14
We have put a lot of new money into the Pooled Fund in the last few years More people will continue to need more services BUT: In the future we there will not be the same amount of new money to add in We therefore need to do things differently: Reduce expensive residential care Better access to universal services Help people to be and remain as independent as possible Short term interventions – re-ablement Build on the capacity of local communities - social capital Work effectively together Get the best value out of all our contracts Look for new and better ways of doing things Care Health and IndependenceDelivery Partnership Key messages from the “Big Messages”
Care Health and IndependenceDelivery Partnership Summary of unit costs for 2008/09
Care Health and IndependenceDelivery Partnership • The next steps – immediate; • Produce options appraisal for current ideas. (More welcome!) • Set reduced budgets on an area basis • Apply RAS so as to allocate spending at a lower level • The next steps – following; • Look closely at authorities with lower spend per head of population • Look closely at authorities with lower unit costs • Model costs going forward based on learning from elsewhere
