Future Lives Pathways to Independence Key Messages

1. Future Lives Pathways to Independence Key Messages February/March 2014

2. Future Lives outcomes • Promote health and independence • Reduce the need for adult social care • Allow greater choice and control for service users • Maximise the quality and productivity of services • Achieve the required savings • Make sure that we comply with our legal duties, especially those new duties under the Care Bill

3. Savings • Now confirmed in Council budget • Overall £30M 2014/15 and then £25M per year • DASH £32M by 2016/17 • Will maintain funding for adult social care at 42% of Council’s budget in the face of demand and cost pressures from an ageing demographic and inflation.

4. Care Bill • Expected to receive Royal Assent in the next few weeks • Will require reform of all aspects of adult social care • Likely to generate additional cost pressures for local authorities, which government Ministers have indicated will be met in part from the Better Care Fund • We have completed a review of Future Lives against the requirements of the Care Bill to identify which clauses need to be considered by the four projects

5. Well Connected • Future Lives will contribute to delivery of the Well Connected Programme to integrate health and adult social care • Well Connected has recently signed off a 2020 Vision: • Support people to take control of their health and wellbeing  so that they are living as healthy lives as possible • All people over 65  and those with long term conditions or complex needs will have their own personalised ‘joined up’ care plans • If a person needs specialist care, their GP will share responsibility for their care with their named consultant and, with help from integrated community support, will facilitate their return home as soon as possible.

6. Better Care Fund • Future Lives will consider opportunities to draw on the Better Care Fund and will contribute to achieving associated targets • £37M in Worcestershire by 2016/17 • To be jointly agreed across local authority and NHS with sign off by Health and Well-being Boards • Associated targets: • Reducing admission to residential and nursing care homes • Increasing older people at home 91 days after hospital discharge • Reducing delayed transfers of care • Reducing avoidable emergency admissions • Improving patient/service user experience • Reducing injuries arising as a result of falls in the elderly

7. Projects

8. Keeping Well – information and advice • How to stay healthy and independent and plan for old age, and where to find support in communities • The aims are to have a high quality website and put in place support which will allow everyone to access the internet – for example through libraries, GP surgeries and the voluntary sector • A tender to facilitate digital accessis currently out to market • We will be working closely with partners, service users, carers and the public to develop the content and presentation to ensure that it is easy to use • A digital inclusion strategy is under development that will put in place measures to support people to access the internet.

9. Keeping Well – community resilience and volunteering • Action to help to build stronger, healthier communities to reduce the need for health and adult social care • In tandem with the Act Local Programme we have begun the voluntary sector through Worcestershire Voices to develop a strategy to increase volunteering and build on community assets to increase the range and depth of support available in communities.

10. Keeping Well – prevention, early help and other support services • Initial proposals for future funding and commissioning put to Cabinet on 7 November 2013 • Council has consulted extensively • Final recommendations have been amended to allow a longer period of transition for providers whilst the commissioning of new services takes place • Cabinet decision is expected on 6 March 2014.

11. Recovery • Reviewing re-ablementand rehabilitation services, working closely with the local NHS • Will review the overall model of care, aiming to reduce duplication and ensure that the pathway is as clear and simple as possible • Funding for Howbury and the Grange has been secured from the Better Care Fund for 2014/15, pending the outcome of the wider review • Will include consideration of options for future provision of the Council's in-house recovery services

12. New models of care – cost management • Develop alternatives to high cost home care and residential care including Supported Living and Shared Lives • Ensure that individuals' needs can be met whilst also ensuring that there is sufficient funding to meet the needs of all eligible service users • Ensure that the Council is paying a fair price for care, and is striking the right balance between quality and value for money

13. New models of care – assessment and case management • Developing a new streamlined process consistent with the requirements of the Care Bill and which will maximise the amount of time that staff can spend with service users • Has started to consider and model activities and volume of work required and the number and skill mix of staff to carry them out • Will explore further integration of social work and health teams to reduce the number of assessments that people undergo • Will also develop joined up care plans and identify the technology necessary to support them • The tender for digital access includes the facility for online supported self-assessment

14. New models of care – social care market development • More people will be using their personal budgets and direct payments to choose from an expanded range of services • We have held a number of market development sessions to help providers understand how they can evolve their business model to operate in the new system • We will consider options for the future of the Council's in-house social care services • The tender for digital access includes an e-marketplace that will present information about the services available for people, including details about quality and price, feedback from service users and the ability to purchase services online • We are strengthening quality assurance of external adult social care providers

15. New models of care – strategic management • Review and streamline strategic functions in order to minimise costs • Will explore synergies between services funded by the Council and those funded by other agencies and consider what alternative sources of funding and/or efficiencies might be possible

16. Assistive technology • Continue to develop and promote Telecare • Telecare will be considered during the assessment process as an option to meet people's assessed needs • Services will be presented on the e-marketplace for people to choose from

17. Safeguarding • Offer a challenge to the other projects to ensure that they meet requirements for Safeguarding adults at-risk • Review adult protection policies and procedures to ensure that they are consistent with the requirements of the Care Bill • Review the Safeguarding Adults Board to ensure that it is fit to assume its new statutory role

18. Contact Future Lives There are various ways to get in touch with us: Website: www.worcestershire.gov.uk/futurelives Email address: Futurelives@worcestershire.gov.uk Twitter: #futurelives There will also be a new series of staff roadshows (dates tbc)

19. Future Lives Pathways to Independence Key Messages February/March 2014