How to make the best use of reducing resources; a whole system approach

1. How to make the best use of reducing resources; a whole system approach Sarah Pickup, Director, Hertfordshire Amanda Lloyd, Social Care, iESE Simon Williams, Director, Merton April 14th 2011 Name: Sarah Pickup, Director, Hertfordshire & Amanda Lloyd, Social Care, iESE Date: 14th April 2011

2. Background Adult social care one of 6 work-streams under Local Government Group’s work on efficiency and productivity Group overseeing this includes chief executives, elected members, LGG, DH, SCIE, ADASS ADASS asked to make a contribution, task group met twice in September 2010 and has continued to give input Concept of “customer journey” and “value propositions” for customer and taxpayer agreed by task group and then more widely endorsed within ADASS Product in 3 layers: the 6 value proposals, the components for each proposal, and evidence of what is working First draft of product shared at LGG conference and then put up on ADASS website in early December Ongoing work to populate evidence base and turn into working tool Reminder of the 6 proposals follows

3. A way of looking at use of resources in social care Prevention Recovery Long term support The customer journey: getting first two right contains spend in third area Process Partnership Contribution Our processes need to avoid waste, look at total system, and be inclusive of all contributions

4. Investment ModelA whole system approach, offering value to the customer & Tax payer Prevention Recovery Long Term Support I am not forced into using health a & social care earlier than I need to. I am enabled to live an active life as a citizen for as long as possible and I am supported to manage risks. When I initially need health or social care, I am enabled to achieve as full a recovery as possible and any crises are managed in a way which maximises my changes of saying at home. If I still need continued support, I am able to choose how this is done. I can choose from a range of services which offer value for money. The resources made available to me are kept under review. Process Partnership Contributions I and others who support me are expected and enabled to make a fair contribution to this support. These contributions may be financial according to my means, informal care and support from those close to me or from volunteers, or from me playing my own part in achieving these outcomes The processes to deliver these three outcomes are designed to minimise waste, which is anything that does not add value to what I need. The organisations that support me work together to achieve these outcomes. These organisations include health and social care, other functions in statutory bodies such as councils or government, and the independent sector.

5. Scenario One: Base Year (2010-11) Prevention £9.385m Recovery £3.346m Long Term Support £46.576m Process £7.186m Partnership £2.080m Contributions -£18.252m Estimated Budget: £50,322m

6. The ADASS framework is being web-based

7. Evidence base Working with Scie and DH (CSED) to collate evidence base Submissions received to date from the RIEPs and individual authorities will be included on the web-version on launch Some additions re. carers & employment to the framework No updates to the print version is planned, as timeframe to web launch relatively quick Will be a function for authorities / consultants / universities to upload information Evidence checking is externalised: all submissions verified against standard criteria DASS’s agree final inclusion of evidence Issues: everyone starts from a different point

11. Proposal Overarching info. website • Includes information, tools and ADASS Framework Estimated timeline Need to sign up pilot LA’s for testing period