Targeted Preventative Support in Hackney

1. Targeted Preventative Support in Hackney Sally Wadsworth and Eve Oldham

2. Commissioning pathway Promoting independence Something for everyone A little extra for some More for those that need it most On going care universal Targeted Preventative Support Reable enable Telecare Culture leisure Libraries Befriending Volunteers Health Wellbeing activities Res care Nursing Care +CHC Parks Community gps Day care & Transport SP Supported Housing Comm/vol Sector activities Home Care SP Floating support

3. What are Targeted Preventative services • Housing related floating support • Health and wellbeing • Healthy eating • Exercise • Arts Culture • Volunteering and befriending

4. Who services are for • People who have needs, perhaps on edge of needing care package or residential care • People who are vulnerable because of e.g.: • Severe social isolation • On verge of crisis • Not able to manage tenancy • Frailty

5. Outcomes • Increasing independence • Maintaining levels of independence • Preventing/reducing use of long term care • Helping people step down from long term care • Helping people after reablement, enablement, recovery • Moving through services towards use of community based services

6. Services elementsfloating support • Redesigned housing related floating support • Neighbourhood based as now • All client groups except specialist MH • Enable people to move to other support services when needs reduce • Contract volumes reduced

7. Housing related floating support outcomes • Ability to manage home • Skills based • Ability to manage finances • Ability to manage self care • Skills based and confidence building • Maintain quality of life

8. Health and WellbeingHealthy Eating for 18years+Service start September 2013 Aiming for: • Three (3) sessions per week based on 4wkly cycle for 48wks in year; 15 participants each session • Aim - total persons benefiting in year = 540 • Each session 2 hours; total in year 288 hours • No charge to users; those with direct payment able to attend • In a range of venues across the borough; in the first year, at least one of the venues must be in a recently refurbished community kitchen, moving to two in the second year

9. Healthy Eating – 2nd slide • Programme to include • Nutritional advice • Hints and practical sessions on sowing/growing herbs or vegetables in window boxes or pots • Identification of range of vegetables now available at markets/supermarkets, where they come from, how to prepare and cook • Menu suggestions for preparation of simple healthy meals for one • Best practice with regards to sell-by dates, using frozen meals, freezing meals and use of micro-waves • Three (3) year contract, yearly review, possible yearly extensions up to 2 years

10. Health and WellbeingExercise for 18years+Service start September 2013 Aiming for: • Five (5) separate weekly sessions, Monday to Friday with a varied programme for a four (4) week cycle • One hr sessions x 5 per week = 5x 4 x 12 = 240hrs per year; • 4wly programme repeated x 12 = 48 weeks • Each session for a minimum of fifteen (15) and maximum of twenty-five (25) depending on nature of exercise

11. Exercise – 2nd slide • Aim is minimum number of persons benefiting per year = 450 persons • Programme – not stipulated – Council welcome proposals to provide at a competitive price • Expectation of bids based on a best value approach • Three (3) year contract, yearly review, possible yearly extensions up to 2 years

12. Health and Wellbeing Arts/Culture/other for 18years+Service start September 2013 Aiming for: • Two (2) sessions daily; Monday to Friday, ie 10 sessions per week; 48 weeks in year • 4wkly programme repeated x 12 = 48 weeks • Each session for a minimum of fifteen (15) and maximum of twenty-five (25) depending on nature of activity • Aiming for minimum number of persons benefiting per year = 900 persons

13. Arts/Culture/other – 2nd slide • Each session one (1) hour; in year 480 hours • Programme – not stipulated – Council welcome proposals to provide at a competitive price • Expectation of bids based on a best value approach • Three (3) year contract, yearly review, possible yearly extensions up to 2 years

14. Volunteering and BefriendingService starts September 2013 Ambitious aims: • Eighty-five (85) volunteers supporting home visits and support to people to remain socially included • Twenty-five (25) volunteers to develop self-help/peer support groups • Twenty (20) volunteers supporting telephone checks and link people to groups • Seventy (70) volunteers giving practical support in peoples’ homes, gardens and community • Total number of volunteers = 200 (assume minimum 2hrs per week from each) • Separate Registers of volunteers and of those requiring support or befriending

15. Volunteering/Befriending – 2nd slide • 20% of the above to be managed through a Timebank by the end of the first year and 30% by the second year • Travel expenses to be paid • Use of new technology a requirement • Shopping service which may be on-line or one-to-one • High quality recruitment, training and supervision of volunteers • Service may be subject to TUPE transfer of existing LBH staff • Number of volunteers to increase by 10% each year

16. Configuration of contractsto be confirmed Options being considered: • Neighbourhood floating support • 4 lots/areas • Health and wellbeing service - one lot • One borough wide service with three separate service types • Could include sub contracting/partnering/SPV • volunteering and befriending - one lot • One borough wide service Providers might bid for 2 lots

17. Timescales Aiming for: • Cabinet procurement committee for permission to tender January 2013 • Pre qualification questionnaire PQQ mid/late Jan • Invitation to tender ITT March - April • Contract start HWB, B&V Sept 2013 • Contract phased start floating support Dec 2013 but transition plan from Sept 2013