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Transforming Community Equipment Programme Keynote speech. Lynne Horn National Implementation Manager NAEP Conference 25 th – 26 th June 2008 Blackpool. Where are we now. Agenda. Policy context Who are we working with Fears and Concerns Moving forward . Policy Context.
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Transforming Community EquipmentProgrammeKeynote speech Lynne Horn National Implementation Manager NAEP Conference 25th – 26th June 2008 Blackpool
Agenda Policy context Who are we working with Fears and Concerns Moving forward
Policy Context enabling people to live as independently as possible, enabling people to exercise choice and control over the support they receive, the promotion of high quality safe services; and Supporting equality, human rights and social inclusion Ministers have committed themselves to personalised social care and health services, giving power and control to people to shape the services they need, working with commissioners, providers and regulators of services to implement policy, improving the status of services and of the workforce in health and social care, developing and sustaining a vibrant and innovative third sector; and ensuring value for money The new model is aimed at the total population, not just those who are supported by the state
Model designed to deliver policy The new model has included all the policy requirements above
Lead Partners Live Micro Sites Current Micro Site Macro Sites Who have we been working within the North West?
Early feedback from Practitioners In house service Assessment process CE Stores Early messages from Oct – Dec 2006 showed positive view of policy – but not in my back yard!
Concerns • Older people do not want choice • Frail and vulnerable people prefer professionals to select items for them • Older people are incapable of understanding what to do with a prescription. Our clients are housebound and can’t visit a retailer • Practitioners would have to spend more time on assessments because of the need to revisit the user • Unscrupulous retailers will sell vulnerable users equipment they don’t need • The model is wasteful as it does not encourage recycling
Evidence Older people do not want choice: 75% - 90% of Users believed in the importance of having a choice of aids they receive and retailers to go to for their aids
Evidence Frail and vulnerable people prefer professionals to select items for them: An overwhelming majority of Users (90%) valued the ability to ‘top up’
Evidence Older people are incapable of understanding what to do with a prescription. Our clients are housebound and can’t visit a retailer: All Users surveyed had redeemed their prescription with over 80% redeeming it for themselves
Evidence Practitioners would have to spend more time on assessments because of the need to revisit the user: Lead Partners: • Experienced a reduction in the average number of days from referral to assessment from 18 to 9 days (a reduction of 50%) and from assessment to case closure from 45.5 to 27.5 days
Evidence Unscrupulous retailers will sell vulnerable users equipment they don’t need: Over 90% of Users were satisfied with the service received from retailers and as many as 73% would speak highly of them
Evidence Unscrupulous retailers will sell vulnerable users equipment they don’t need: Reassuringly, although Users had limited awareness of their option to ‘top up’, there was no attempt by retailers to exploit this concept
Evidence The model is wasteful as it does not encourage recycling: • Case Study available • Template that you can complete yourself to understand true cost of refurbishing simple aids to daily living
We are working with 70 organisations across England x6 - Retail model active x30 - Phase 1 implementation – Business Case prep x34 - Key Decision Makers Meetings
The Minister’s decision – to implement the model across England • He is considering writing, jointly with David Nicholson, NHS Chief Executive, to all LA/NHS partnerships to encourage implementation He has asked me to • Recruit national implementation team • Support local authorities and their health partners to implement • Continue to evaluate more effective options for complex aids to daily living The implementation plan has been completed and is under review
Pulse 5 Pulse 4 Pulse 9 Pulse 3 Pulse 2 Start up readiness assessment packs Partnership agreement Project management toolkit Local business case template Refurbishment case study and template Pulse 7 Pulse 8 Back Office Initial Contact PROJECT PLANNING SPONSORHIP Local Financial Model (Impact on budgets: Loan store overheads, equipment and back office budgets) 1 4 Retail Model 3 2 Demand Mgmt PROJECT RESOURCING PROJECT MANAGEMENT Prescription Issue Needs Assessment 9 x pulses (how to transition packs) Pulse 1 Pulse 6 We will support LA/NHS partnerships to implement These tools and techniques are available and being used now