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Market Development
Strategy & Market Position
Statement Part 2
Barry Atkins, Head of Strategic Commissioning
- Older People and Carers
Bianca Byrne, Project Manager – Choice,
Market Development and Engagement
Last meeting (Part 1)...
•
•
•
•
Feedback from Provider Survey
Caretrak tool
Developing the Older Peoples’ Market
Position Statement
Future demand and current supply
– Round table discussion
– Getting it right: Focus group
•
Market Development Strategy for
Personalisation
Market Position Statements
• The overall market direction the LA wishes to
see taken
• The view and predictions of future demand,
identifying key pressure points
• The current state of supply covering strengths
and weaknesses of the market
• Gaps in the market, areas for development and
areas of decline
• Identified models of practice the LA will support,
and at what price
• The support the LA will offer towards innovation
and development
Content of Market Position
Statements
• Demand
• Supply
• Changing Practice
• Future levels of resourcing
• Support for innovation and development
UNDERSTANDING DEMAND
Figure 1: %population 65+ and 85+
Figure 2: Population trends 65+ and 85+ by district
Figure 3: Dementia trends for people in East Sussex 2009/10-2018/19
1: Total early dementia
1:
2:
3:
2: Total mid stage dementia
6000
1:
2:
3:
3000
1
1
2
1 2
2
1
2
0
0
Page 5
2
1
3
3
3
3
3
1:
2:
3:
3: Total late stage dementia
104
208
312
Weeks
Breakdown of dementia prev alence
416
16:54
520
18 Jun 2011
Figure 4: GP reported dementia incidence by district
Figure 5: %older people budget spent on residential care and community services
Figure 6: Projected spend on residential and nursing care 2009-2033
Figure 7: Trends in commissioned activity 2009-2011
Future Demand – Key Messages
• Demand for care and support services will rise
but will not be matched by a similar commitment
in public spending;
• Life expectancy is increasing and entry into
services is likely to be later in life, with more
complex support needs;
• Need to develop and improve the range of
community services to promote independence
and wellbeing;
• Need to develop and improve accommodation
options, with more community-based services
and supported housing;
Future Demand – Key Messages
• Need to develop and improve the range of
community services for those who have urgent,
transitional or ongoing complex needs;
• Need to develop and improve the range of
services for people with dementia and other
types of mental health needs;
• We will be testing and developing independent
sector led reablement services to underpin the
emerging Self-Directed Support (SDS) pathway
and value for money for Adult Social Services.
• Increased importance placed on End of Life
Care Services
Key question
• What are your views of demand and the
impact this might have on your business?
• 10 minutes discussion at your tables and
feedback
UNDERSTANDING SUPPLY
Figure 8: Commissioned adult social care spend and activity – September 2011
Figure 9: Extra Care Housing: provision & spend in East Sussex
Figure 10: Commissioned ASC domiciliary care spend and activity
Figure 11: Commissioned spend and activity for day opportunities
Figure 12: Commissioned residential care for older people – Sept 2011
Figure 13: Market capacity across the county and by district (residential)
Figure 14: Commissioned nursing care for older people
Figure 15: Market capacity across the county and by district (Nursing)
Current Supply – Key Messages
• The number of Direct Payments taken by older
people will increase, thus increasing the
purchasing power of individuals;
• New service models being developed to enable
access to Personal Assistants for older people
• Adult Social Care is working with a number of
providers to deliver further extra care provision
within the County, and will be seeking to reduce
overall spend in traditional residential care as
other housing options come on-line;
• There are capacity issues in the market for
dementia residential care, particularly in the
west of the county, the Havens, Seaford and
Eastbourne.
Current Supply – Key Messages
• There are often difficulties in securing nursing
care beds in the Seaford area, and there are
restricted numbers of nursing home beds in the
west of the county (i.e. Crowborough, Uckfield,
Ashdown Forest, Hartfield and Lewes);
• Dementia nursing care is in short supply across
the county, and we are actively looking at ways
to support development activity in this area;
• There are a number of areas in the county that
we currently experience difficulties in securing
domiciliary care supply (i.e. Lewes & Wealden)
• Significant self-funding population who need
access to information and advice
Key questions
• What sources of information can you as
providers contribute to our understanding
of the market?
• Where do you see your business being
able to contribute?
• 15 minutes discussion and feedback…
Next steps and timescales
• Draft Market Development Strategy and
Market Position Statements
• Publish for implementation from April 2012
• Bring to the Older Peoples’ Residential &
Nursing Provider Forum in May 2012
Thank you
• Key Contacts:
[email protected]
[email protected]
[email protected]