Transcript Developing a KCC-wide Commissioning Framework

Building Community Capacity
Cabinet Members Meeting
Update October 2014
Emma Hanson Head of Strategic Commissioning
Community Support for Adults
1
A Life not a Service !
What does a
good life look
like for you and
your family and
how can we
The Care Act:
work together
to achieve• it?Places well-being
at its heart: the
primary responsibility of local
authorities is the promotion of the
individual wellbeing of both those with
care needs and carers
• Shifts responsibility from providing
services to meeting needs
Service
• Focuses on the need for services to be
Service
preventative, and stresses the
importance of using the existing
Person
strengths and assets of individuals and
communities an assets based
approach
Support
Service
Support
No Wrong Door
Circle of Support
Support
Community Capacity
Building
Information and Advice
‘Community Agents’
Home Care
and
Enablement
Mental
Health Core
Offer
Older
Person’s
Core Offer
Sensory and
Disability
Services
Carers
Services
Advocacy
3
Things are
getting tough
for me who
can I turn to ?
• Self referrals
or referrals from
• Family/Friends
• GPs
• District Nurses
• Social Services
• Acute Trust
• Faith Groups
• Voluntary
Sector
• DC/BC-Housing
• Home or Care
Home providers
• Anyone …….
Begin a
strengths
based
conversation
about
outcomes –
not a deficit
based
conversation
about needs.
What does a
good life look
like for you
and your
family and
how can we
work together
to achieve it?
Gathers
information
about what
person wants
to achieve;
their strengths
and what
support is
already
available to
them from
family and
local
community.
Discuss what
solutions could
be found and
who might
help - provide
Information
and sign post
to community
services
appropriate
If outcomes
difficult to
define or
support
required
appears more
complex refer
to Community
Agent to
complete home
visit
If needs are
multiple and or
complex refer
to GP Hub for
Multi
Disciplinary
team for
assessment and
support
Outcomes met &
independence maximised
Local Telephone Response
4
Individuals or
Family Members
or friends
Multi Disciplinary
Team - acute or
community
including
enablement
Local Telephone
Response
District/Borough
Council Housing
Community
Agents
Local Groups
and
Community
Assets
Older
Persons
Services
Mental
Health
Services
Carers
Services
Sensory
and
Disability
Services
Advocacy
Services
5
Community Agent
• Help people who need advice and support to self
manage their well-being and LTC’s
• Encourage people to be ‘good neighbours’
• Support local groups to run social activities
• Be the conduit between primary and community
care and the voluntary and community sector
• To support establishment of local community
networks
• Identify local need, service gaps and work with
commissions and providers
6
We already have an army out there !!
Role
Number
KCC Assessment Officers
155
KCC Community Wardens
80
Home Improvement Agents
17
NHS Health Trainers, Co-ordinators and Outreach workers
28
Primary Care Community Link Workers
Working
check by jowl in
Care
Navigators
local communities –
Health
and Social
Care Co-ordinators
crossing
each other
on
Community
people’s Engagement
doorsteps notOfficers
consistently networked Total
together doing a version of
Further scoping
in truth
progress
the same
Kent Fire & Rescue
Kent Police Vulnerability Project
(Neighbourhood Watch Co-ordinators)
18
12
7,000 plus
neighbourhood
watch
members
11
9
330
7
MSOA Middle Super Output
Area population size 5,000 there
are 182 within Kent
Same lots as
which we let the
Homecare
Contract – offers
further
opportunities to
join up support
8
Local Groups
and
Community
Assets
Kent County
Council
Contract
Management
“A strategic partnership
involves a formal agreement
between two or more parties
that have agreed to share
finance, skills, information
and/or other resources in the
pursuit of common goals”
Further tested model at two
workshops with providers –
concept welcomed with lots of
input about how to
develop/deliver outcomes and
safeguard delivery network
Strategic Partner
Service A
Service E
Service D
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Service C
9
Engagement and consultation Activity
Ageing Better: Social
• Joint working with Public Health
Enterprise Kent
• Agreement to collapse grants and develop
an outcomes
framework
£2,987,300
of Big
Funding to work
lead
• Pioneer Steering Group CCB to become Lottery
a recognised
a partnership of
programme
voluntary, statutory
• Pioneer signed up to Making it Real, theand
TLAP
personalisation
private
sector
programme
organisations to help
7,500 older
people
in strength
• Dementia Friendly Communities Programme
– goes
from
Thanet.
to strength
• Ashford & Canterbury keen to take forward – compiling joint bid to
bring ‘Cornwall’ model to Kent
• Kent has been successful in bidding to be a partner in three
complimentary programmes:
– Malnutrition Task Force
– Cultural Commissioning
– DCLG ‘Our Place’ – Neighbourhood Community Budgets in Wye and
Hinxhill Parish
10
Setup
• Agree Key Decisions
• Agree Scope
• Construct Governance &
Comms
• Agree KPI Approach
• Design PMO
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PMO SETUP
Recruit & Train Team
Generate reporting & documentation
Train project leads in project management
Commence project Review structure
Determine dependencies
Finalise KPIs
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Design Phase Plan
LD Reshaping the Market
LD Pathways to Independence
LD SIS
LD Shared Lives
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Design Team Selection
Confirm design plans
Create selection process for leads
and team
Publicise roles
Recruit team
Brief & Train
Refine design plans
Gate 1
OP Demand Management
Working with Newton Europe
to ensure Older
OP Acute Outcomes
Persons Demand Management
coherent with
OP Enablement is
Methodology
Community Capacity Building and supports and
Confirm vision, scope, governance structure and high level KPI
informs wider programme.
Gate 2
Confirm PMO setup to required standard, clear scope for design with understood dependencies. Design team in place and trained to required standard
Gate 3
Initial design gate to agree key design methodology. In particularly around reshaping the market and enablement
Gate 4
Opportunity Confirmed, Implementation governance established, KPI packs & FMG reporting finalised, Implementation plans in place, Resource requirements identified
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