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Adult Social Care in 2014 A brief summary of what’s happening CAS Health and Social Care Forum 29 January 2014. Current context. Council’s fairer future vision includes a specific commitment to choice, control and independence for older and disabled people.
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Adult Social Care in 2014A brief summary of what’s happeningCAS Health and Social Care Forum29 January 2014
Current context • Council’s fairer future vision includes a specific commitment to choice, control and independence for older and disabled people. • 2014/15 budget setting underway – informed by an extensive public consultation. Remains a tough financial climate – Southwark will see overall reduction of £25.4m. • In adult social care, we remain committed to our vision of people living independent and fulfilling lives, based on choices that are important to them. • National reforms with big impact on broader care and support system also on horizon. • Council elections in May.
Universal offer Social capital Info & advice Community Self-help support Peer support Re-ablement Targeted prevention Personal budgets, personalised services and self-directed support ASC system – summary Key Open access to all Initial offer for those entering the ASC system and at review where appropriate For those with identified eligible social care need
Where are our key action areas? Local focus Quality approach – implementing our care home quality strategy and ‘My Home Life’ Carers’ strategy – agreeing final strategy and implementation Centre of excellence for older people – next phase Winterbourne View review implementation to support people with behaviour that challenges services Developing an approach to co-production – working with people at all stages of change Adults’ Innovation Fund
Where are our key action areas? National / legislative changes • Implementing SEND reforms for children and young people with disabilities (0-25) • Planning for the Care Bill Other partnership working • Integration with health and the Southwark Lambeth Integrated Care (SLIC) programme • Health and Wellbeing Board (HWB) – engaging with local people • Implementation of personal health budgets (continuing health care mental health)
National changes – SEND reforms From Children and Families’ Bill – Special Educational Needs and Disability. About providing greater choice, control and independence for children and young people with disabilities (0-25). This includes offering young people a personal budget and creating a clear and transparent local offer of what is available. Also developing a more streamlined and co-ordinated assessment process across education, health and care. Market development to support all this also a major strand of work. In Southwark, will also include development of a health and social care strategy specifically for adults with autism, and outlining a pathway for young people (under 25) with autism spectrum disorders.
National changes – Care Bill Reforming the law on care and support, making it a single statute built around people’s needs and what they want to achieve in life. Currently going through Parliament – if it becomes law, implementation will be from 2015. Part of the Bill about confirming things we already do. However, are number of new developments. These include: care and support funding reform, including a cap on care costs and creation of care accounts treating carers as equal to the person they care for and putting them on the same legal footing national eligibility criteria for care and support guarantees and reassurances for people needing care and support if they move between areas in England promoting integration with other local services, particularly health, so people can achieve better outcomes.
Partnership working – integration Integration in Southwark Developing a vision for integrated working with health partners. Supporting the goal of people in Southwark feeling in control of their lives and care, and for services to be co-ordinated and planned with them as individuals. In future, will be specific funding identified to support joint working and outcomes through national Better Care Fund. SLIC programme Partnership across Southwark & Lambeth involving GPs, hospitals, adult social care and NHS clinical commissioning groups, with local people. Independently funded. Focus to date has been on integrated care to support older people and moving into long-term conditions more broadly. Has set up multi-disciplinary teams to support people more holistically and starting to develop wider range of work. Number of workstreams that look at areas including hospital discharge, falls, nutrition, as well as wider issues such as IT.
Partnership working – HWB What? • Looking to inform a refresh of the Joint Health and Wellbeing Strategy. • Key strand is community and stakeholder engagement work using a 1,000 lives, person-centred approach/methodology. • Involves collecting people's health and wellbeing experiences, stories or journeys. How? • Working group set up led by Healthwatch. With council (incl. public health), NHS partners, CAS, SLIC (integration) and police. When? • Now and through February. Initial findings to Board 24 March. Please get involved! Can we work with your group to have your stories heard? Contact HealthStory@southwark.gov.uk
Role of the VCS Key stakeholder for many of the areas of work described - number of the projects highlighted have specific VCS partner engagement already. Conduit to a wide range of views from people who actually access services and are vital to shaping what they should be like in the future. Number of the reforms are likely to also have a challenge for the VCS in terms of thinking about how they support people locally and how they might need to think about themselves and what they do differently in a changing system.
