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Shaun O’Leary Executive Head of Adults & Safeguarding

Shaun O’Leary Executive Head of Adults & Safeguarding . COMMISSIONING FOR LIFE NOT CRISIS. “LOGIC WILL GET YOU FROM A TO B. IMAGINATION WILL GET YOU EVERYWHERE” Albert Einstein.

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Shaun O’Leary Executive Head of Adults & Safeguarding

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  1. Shaun O’LearyExecutive Head of Adults & Safeguarding COMMISSIONING FOR LIFE NOT CRISIS “LOGIC WILL GET YOU FROM A TO B. IMAGINATION WILL GET YOU EVERYWHERE” Albert Einstein

  2. Managed11 x Day Centres2 x Residential Care Homes2 x Adult Placement Schemes(35)x 15 + Social Worker Teams1 x LD NHS Hospital1 x Clinical Health Service (PCT) In the last 11 years In Learning Disabilities

  3. Closed 10 managed LD day centres(decommissioned more)Over 300 citizens moved from institutional care into Supported LivingClosed (and decommissioned) last LD NHS hospital In the last 11 years In Learning Disabilities

  4. Business value £70+ M (Gross) + shrinkingNumber of staff 150 + shrinkingManagement team 7 (shrunk)Budget reduction £11M (£44M net – shrinking)Focus on the future requirements – deliver better life outcomes, better safety, better value for moneyBusiness future - outsourcing, user self determination, greater market plurality, drive up quality - drive down costs, strengthen social capital and build relationships Business model

  5. Traditional care model - registered care/ day centres/ large in house provision - limited domiciliary care services for anyone under 75Assessed needs matched to services availableChoice limited by available services‘Case for Change’ - irrefutable Sutton - 2006 “The only mistake in life is the lesson not learned” Albert Einstein

  6. Sutton 2011 • 9 social care providers • Market plurality • Creativity • Choice + control • Community identity

  7. Commissioning strategy for Learning Disabilities 2007:The ‘2020’ VisionOutcome based commissioningIdentify individual needsSet outcomes required Providers co-design with user creative person centred servicesRaising quality, increasing plurality in the marketIntegrated commissioning (Social care/Health care) The ‘2020’ vision

  8. The ‘2020’ VisionLearning Disabilities 2006 2011 2020

  9. The ‘2020’ VisionLearning Disabilities2006 - 2011

  10. The ‘2020’ VisionLearning Disabilities2006 - 2020

  11. The ‘2020’ VisionLearning Disabilities2006 - 2011

  12. The 2020 VisionLearning Disabilities2006 - 2020

  13. 2007 – residential care £2,500 per week2011 – residential care £2,500 per week 2011 – private NHS hospital care £3,500 + per week(e.g Winterbourne)2011 - community supported Living £1,900 per weekPotential average saving of £600 - £1,600 per week, per person(London prices) Orchard Hill Hospital and NHS Campus Homes

  14. Strategic commissioner • Individual need – driving provision • Shaping the market • Shaping communities • Tackling exclusion

  15. Personal Budgets Each individual will have a: Personal budget Direct payment Role of a Social Worker: Assessor Risk enabler Advocate Not a Care Manager

  16. Accommodation • Are individuals with Learning disabilities • attractive tenants for Landlords? • ‘Guaranteed’ income for rent • Support from the Council • Professional carers, commissioned by personal budgets • Extended families • High quality home environment • Tenants - access to benefit entitlement

  17. Not the right time for a life long change Lifelong sustainability Admission into social care Crisis and breakdown

  18. Future business • Many Individuals with Learning disabilities • or could be property owners • Ageing population – growing • Individuals with learning disabilities are inheriting property • Care needs can be built around them • Support can be put in place to maximise their independence • Shared Ownership • Tenants in common • Communal responsibility • Rent/ become a Landlord

  19. Distinction between community support services and domiciliary care Future Business

  20. Future Business • Sutton’s ‘Golden Principles’ • No financial relationship between Accommodation Provider • and Care Provider • A tenant can change their care provider without • fear of losing their tenancy Care Provider Accommodation Provider

  21. Future High quality supported living accommodation (Individual and clusters) That promote people’s independence Individuals with Learning disabilities have a right to live independently Individual living - a choice

  22. Orchard Hill Hospital and NHS Campus Homes99 patients in Orchard Hill Hospital 42 – Sutton residents106 residents in NHS Campus Homes 59 – Sutton residents Supported living

  23. Orchard Hill Hospital and NHS Campus Homes60 in total in supported living now85 in total in Supported Living by September 20115 in specialised residential care (dementia)5 in bespoke residential care+ other Local Authority placementsEvaluation of the resettlement from Orchard Hill Hospital to Supported Community Living – May 201139 Sutton residents opted to take part in the researchQuality of Life Audit tool created based on 7 domains

  24. Glynis Admitted to Orchard Hill as a child – over 40 years agoAssessed by NHS as needing mental health hospital care for life Vocabulary range of 40/50 words Diagnosed compulsive behaviour disorderSocial Work assessed supported livingMoved into new flat October 2008 Glynisis one of the fantastic individuals I would like to introduce to you in the video

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