Transcript Slide 1
Adult Social Care in 2014 A brief summary of what’s happening CAS Health and Social Care Forum 29 January 2014 www.southwark.gov.uk Current context • Council’s fairer future vision includes a specific commitment to choice, control and independence for older and disabled people. • 2014/15 budget setting underway – informed by an extensive public consultation. Remains a tough financial climate – Southwark will see overall reduction of £25.4m. • In adult social care, we remain committed to our vision of people living independent and fulfilling lives, based on choices that are important to them. • National reforms with big impact on broader care and support system also on horizon. • Council elections in May. www.southwark.gov.uk ASC system – summary Key Open access to all Universal offer Info & advice Social capital Re-ablement Initial offer for those entering the ASC system and at review where appropriate For those with identified eligible social care need Personal budgets, personalised services and self-directed support Targeted prevention Community support Self-help Peer support www.southwark.gov.uk Where are our key action areas? Local focus • Quality approach – implementing our care home quality strategy and ‘My Home Life’ • Carers’ strategy – agreeing final strategy and implementation • Centre of excellence for older people – next phase • Winterbourne View review implementation to support people with behaviour that challenges services • Developing an approach to co-production – working with people at all stages of change • Adults’ Innovation Fund www.southwark.gov.uk Where are our key action areas? National / legislative changes • Implementing SEND reforms for children and young people with disabilities (0-25) • Planning for the Care Bill Other partnership working • Integration with health and the Southwark Lambeth Integrated Care (SLIC) programme • Health and Wellbeing Board (HWB) – engaging with local people • Implementation of personal health budgets (continuing health care mental health) www.southwark.gov.uk National changes – SEND reforms • From Children and Families’ Bill – Special Educational Needs and Disability. About providing greater choice, control and independence for children and young people with disabilities (0-25). • This includes offering young people a personal budget and creating a clear and transparent local offer of what is available. Also developing a more streamlined and co-ordinated assessment process across education, health and care. • Market development to support all this also a major strand of work. • In Southwark, will also include development of a health and social care strategy specifically for adults with autism, and outlining a pathway for young people (under 25) with autism spectrum disorders. www.southwark.gov.uk National changes – Care Bill • Reforming the law on care and support, making it a single statute built around people’s needs and what they want to achieve in life. Currently going through Parliament – if it becomes law, implementation will be from 2015. • Part of the Bill about confirming things we already do. However, are number of new developments. These include: – care and support funding reform, including a cap on care costs and creation of care accounts – treating carers as equal to the person they care for and putting them on the same legal footing – national eligibility criteria for care and support – guarantees and reassurances for people needing care and support if they move between areas in England – promoting integration with other local services, particularly health, so people can achieve better outcomes. www.southwark.gov.uk Partnership working – integration Integration in Southwark • Developing a vision for integrated working with health partners. • Supporting the goal of people in Southwark feeling in control of their lives and care, and for services to be co-ordinated and planned with them as individuals. • In future, will be specific funding identified to support joint working and outcomes through national Better Care Fund. SLIC programme • Partnership across Southwark & Lambeth involving GPs, hospitals, adult social care and NHS clinical commissioning groups, with local people. • Independently funded. Focus to date has been on integrated care to support older people and moving into long-term conditions more broadly. • Has set up multi-disciplinary teams to support people more holistically and starting to develop wider range of work. • Number of workstreams that look at areas including hospital discharge, falls, nutrition, as well as wider issues such as IT. www.southwark.gov.uk Partnership working – HWB What? • Looking to inform a refresh of the Joint Health and Wellbeing Strategy. • Key strand is community and stakeholder engagement work using a 1,000 lives, person-centred approach/methodology. • Involves collecting people's health and wellbeing experiences, stories or journeys. How? • Working group set up led by Healthwatch. With council (incl. public health), NHS partners, CAS, SLIC (integration) and police. When? • Now and through February. Initial findings to Board 24 March. Please get involved! Can we work with your group to have your stories heard? Contact [email protected] www.southwark.gov.uk Role of the VCS • Key stakeholder for many of the areas of work described - number of the projects highlighted have specific VCS partner engagement already. • Conduit to a wide range of views from people who actually access services and are vital to shaping what they should be like in the future. • Number of the reforms are likely to also have a challenge for the VCS in terms of thinking about how they support people locally and how they might need to think about themselves and what they do differently in a changing system. www.southwark.gov.uk Questions and discussion www.southwark.gov.uk