Integrating Community Equipment Services

1. Integrating Community Equipment Services Background

2. Significance of Community Equipment to Community Care “Community Equipment provides good outcomes at a reduced cost. If a medicine was discovered with a similar cost profile, it would be hailed as the wonder drug of the age” (Audit Commission Report, Fully Equipped 2000). (Thanks to Neil Abraham)

3. Timely and effective provision of community equipment provides benefits to: Service users Carers Staff Health and social care providers

4. Benefits to Service Users Independence Choice Control safety

5. Benefits to carers Reduces risks Reduces the amount of care needed Makes caring possible

6. Benefits to Health and Social Care Reduces risk to staff Facilitates hospital discharge Reduces demand on residential and nursing placements Reduces demand for home care Savings on other budgets

7. The costs of not providing equipment To individuals & Carers To staff To organisations What would community care look like without community equipment?

8. Background Audit Commission Reports WAG Letter ICES Initiative England Workshops in Wales – Ian Salt Capital Grant Workshops – Health Act Flexibilities Workshops – Trusted Assessor Conference

9. Background Project Management Money Regular meetings of co-ordinators Secondment of Brian Donnelly http://www.ssiacymru.org.uk/index.cfm?articleid=3059 Pooled funds – seminars plus advice notes Guidelines – PIs Access to Funds via other grants. Section 33 agreements signed – some exceptions

10. Future Milestone Plans – January, April, July and January, April 2010 deadline for capital expenditure. Commissioning Framework – Value Wales – Routine High Volume Equipment Complex Equipment – funding for feasibility exercise – all Wales approach – questionnaires to local partnerships, stock-take beyond stores, research around specific equipment – communication equipment. Social Enterprises Cross Border Protocol – Minister Residential Care Protocol Protocol for assessment – E.g. home circumstances

11. Future Assumption CES already delivered safely – high risk service under pressure? CES part of Regulatory Regime? – Minimum Standards – effective self evaluation. Minimum Standards to be developed by June 2010 or sooner.