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Putting People First: 2 nd Year Progress

Putting People First: 2 nd Year Progress. ADASS Spring Seminar April 2010 Jeff Jerome National Director Social Care Transformation. Overview. Drawn from… Milestones Self-Assessment (Oct - Dec 09) : Soft data from 150 councils PPF Facts and Figures Survey 2010 :

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Putting People First: 2 nd Year Progress

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  1. Putting People First: 2nd Year Progress ADASS Spring Seminar April 2010 Jeff Jerome National Director Social Care Transformation

  2. Overview Drawn from… Milestones Self-Assessment (Oct - Dec 09) : Soft data from 150 councils • PPF Facts and Figures Survey 2010 : Hard data from 149 councils • My observations

  3. Headlines (end of 2nd year) • Confident re milestones ( ???) • PPF principles have significant purchase, and ‘story’ better understood • Progress nationally is steady and less uneven, but still worrying group of stragglers re PBs • PB 30% target is challenging re NI130, but achievable re eligible users

  4. Headlines - Personal Budgets At end March 2010: • 140,000 PBs - half go to OP (30,000 more if one-offs included) - predicted 205,000 • 1 in 6 of eligible users; half of these get £100+pw • £900+m expenditure, £670m via DPs (£680m 2009) • 8 in 10 councils give majority of PB spend via DPs • 40 commit 20%+ of community budget in PBs

  5. Headlines - Personal Budgets • Predicted to rise to 376,000 by March 2011 • 41% of people supported in community but ..…….. • Last year’s predictions optimistic: - predicted 120% increase, delivered 50-80% (205,000) (140 – 170,000) And…. • NI130 30% target would require 500,000 PBs (376,000 is only 22% of NI130)

  6. SELF-ASSESSMENT

  7. Milestone 1: Effective partnerships (users, carers, citizens) 77% say very, 20% fairly likely to meet March target Support requested: • Assistance with developing ULOs • Sharing good practice examples • Improving communication and awareness National Delivery Plan: • Practice guidance showing how councils are effectively co-producing PPF - June 2010 • Practice guidance with focus on co-production of PBs and SDS - Sept 2010 • Comms Strategy ?......... Observation • Milestone not well articulated re ULOs • ‘Story’ still developing

  8. 2. SDS and Personal Budgets 63% very, 33% fairly likely to meet 2011 PB target (PB Survey: Only 12 councils predict to have less than 30%; but only 41% of councils have mainstreamed PBs Support requested: • Regional collaboration and learning networks • Sharing best practice • Helping with streamlining processes National Delivery Plan: • Specialist PB support to councils - Ongoing • Finance / IT Systems Principles and Requirements April 2010 • Review of NI 130 • Common RAS learning sets • Finance and I.T work Observations • Most have SDS incorporated in core operating model; numbers will increase faster • Too much time spent on RAS, and too much process • ‘Managed services’ guidance well received

  9. 3. Prevention & cost effective services 29% very, 54% fairly likely to meet target by March 69% have a strategy/and or investment programme for prevention and early intervention Support requested: • Regional groups and best practice examples • Help with evidence and benchmarking • Equalising priorities between health and social care National Delivery Plan • ‘Building Community Capacity’ - practice examples and framework for development of local strategies to be published • CSED working on several efficiency initiatives Observations • Re/enablement core, but size variable; often not well joined with NHS • Community dev/outreach approaches (not often alongside reablement) • Telecare sporadic

  10. 4. Information and advice • 67% very, 27% fairly likely to achieve milestone • Only 53% have a strategy for universal access to information, support and guidance Support requested: • Best practice and regional groups • Guidance on how to measure success National Delivery Plan • Work ongoing re ‘national spine’ • Further work agreed to identify self-funder position; exploring financial advice • National Care Service expectations (pending) Observations • Community immersion v Call centres; ‘badging’ • Interactive aproaches/I.T. • Enthusiasm from Council leads (needs structural support)

  11. Local Commissioning 44% very, 49% fairly likely to achieve milestone by March 87%: good SC transformation/NHS commissioning link; 98% working well with local providers Support Requested: • Regional groups & practice examples of providers having successfully changed • Clarification of relevant legal and procurement regulations. • Clearer guidance on ‘good commissioning’ strategies, practice examples National Delivery Plan • Working together for change: provider development programme • National Market Development Forum • Commissioning Work: Andrew Webster Observations • TCS; IC/reablement; joint investement • Procurement/contracting/dialogue with suppliers • Costs/contributions policy/subsidy/incentives • Understanding community need; JSNA; market position statement • Balance of local investment

  12. More on PBs ………. • Personal budget numbers are forecast to rise to 236,500 by September 2010 • … then to over 376,000 by March 2011 • This equates to approximately 27% and 41% of people respectively receiving ongoing community based services

  13. Numbers: Proportions of users with PBs • … of OP with services: - 31 LAs have 5% or less - 74 have 10 - 20% (17 had 10%+ last year) - 24 with 20% plus, highest 72% • …of ‘other adults’ with services - 19 LAs have 10% or less - 67 LAs 20% or more, highest 59% (21 last year) • 26 LAs gave info on care home residents who have been allocated PBs: • 18 have allocated less than 100 PBs • 7 between 100 - 500 • 1 over 500.

  14. PB Spend • As proportion of total social care gross budget: - 88 LAs commit 5% or less via PBs - 15 LAs 10% or more, the highest at 37% • As proportion of community services gross budget: - 48 LAs commit 10% or less via PBs - 42 LAs commit 20% or more, highest 79% (20 last year) • Of money allocated in PBs: 74% are DPs; 26% are ‘managed’ accounts - 17% of the ‘managed budgets’ are via third parties • 52% of all PB recipients had £5k or above p yr (just less than half last yr)

  15. (TOP) 4 Comparisons

  16. Issues Arising • N1 130 • PB improvement work; RAS; I.T. • Market Shaping/development • Budget management/balance of investment • Wider thinking (whole community, transformation) • Workforce design; culture • CQC, performance assessment • Keeping PPF at forefront in the financial climate

  17. Reminder of some key goals…… • Getting the money to individuals • Ensuring everyone helped to identify need and potential solutions • Ensuring better choice, control, experience through broadening market offer (inc Q.A) • Helping people be as active and independent as poss • Making best overall use of resource (inc workforce) • Helping people to stay safe

  18. END

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