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Scrutiny Accommodation for vulnerable adults and older people. Gary Heathcote Head of Accommodation Solutions. Accommodation Solutions. “ responsible for the development and delivery of the Accommodation Strategy which covers all vulnerable adults and older people”. Why?.
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ScrutinyAccommodation for vulnerable adults and older people Gary Heathcote Head of Accommodation Solutions
Accommodation Solutions “ responsible for the development and delivery of the Accommodation Strategy which covers all vulnerable adults and older people”
Why? • We need a range of accommodation options for all client groups that will deliver the right outcomes for them • Good design • Good facilities • Good location
Why? • Achieve VFM • Additional cost for Older People services in 14/15 (from 11/12) is £9.3m • Additional cost for Learning disability services in 14/15 (from 11/12) is £16.8m • Additional cost for Physical disability services in 14/15 (from 11/12) is £2.3m • Additional cost of Mental Health services in 14/15 (from 11/12) is £1m
Where are we now? • Older People • Residential 2369 ( 978D) • Nursing 904 (250D) • Flexicare 849 (27D) • Total 4008 (1255D) Nov 2011 • Total beds in County = 4867 Residential & 1808 Nursing
Where we are now? • Learning Disabilities 18-64 1543 (Units= 695R 34N 1050SL) • Physical Disabilities 18-64 161 (79 R, 82N) • Mental Health 18-64 157 (145 R, 12N)
Whats going to happen next? • Population growth – particularly 85+ • 17% increase in the age group we primarily deal with • A third of residential placements could be getting ICS or flexi • 3% inc in LD population, JCT LD Strategy predictions & current void capacity
What we want in 5 years • Residential 1994 • Nursing 1144 • Flexicare 1627 • Total 4765 • Learning Disabilities 18-64 1679 (320R 53N 1306SL) • Physical Disabilities 18-64 228 (118R, 110N) • Mental Health 18-64 157 (145R, 12N) • Of the cohort in accommodation shift from 63% in residential care homes to 41% otherwise 2991 residential places needed • Flexicare and other community support from 13% to 34% • LD Shift from 49% residential to 18% • Increase In Supported living to 78% % movements based on actual April 11 figures
What are we doing? • Programme of works with Quantum care • Flexicare opps/ review sheltered housing • Learning Disabilities Workplan • Physical Disabilities Workplan • Work with Joint Commissioning Team on Mental Health accommodation • Work with District Councils
Local Accommodation Boards • Linked to double districts • Each Board meets quarterly and has a lead within AST • Membership • District heads of housing and planners, • HCC Planners • Health • Local community groups • HCS teams • Housing associations
The future • Strategies that are flexible • Take advantage of opportunities that arise • Listen to community groups, clients and providers • Innovation