Transcript HCS Plan Presentation

Hertfordshire County Council
Health and
Community Services
Plan 2012-15
Health & Community Services Plan
Most families in Hertfordshire will call upon Health and Community Services at some
point in their lives. Whether this be using their local library, getting information about
local services, returning home safely from a stay in hospital or receiving a personal
budget for social care to help them live independently.
People have told us that they want to be given access to good advice about what is
available to them so they can make an informed choice. They want to feel well and stay
in their own homes for as long as possible and they want to feel safe in their local
community.
The Government has published its vision for social care in the future called ‘Capable
Communities, Active Citizens’. It sets a challenge for councils to provide a personal
budget, preferably as a direct payment, for everyone who is eligible for social care
services by April 2013. The vision also calls for an increase in local services which
prevent needing health and social care in the future. ‘Future Libraries’ is a government
strategy which gives expectations around running a modern public library service. The
government has also announced that Primary Care Trusts in the NHS will hand
responsibility for public health initiatives to local authorities from April 2013 and this plan
will be refreshed at that time to reflect those new responsibilities.
Health & Community Services Plan
What we want to do:
Inform, advise and prevent: Our first objective is to ensure that people can access the
information and advice they need to live full and independent lives and to enhance their
wellbeing. We also want to ensure that there is a community infrastructure and a set of
universal and preventative services that people can readily access to support
independence and wellbeing.
Reablement and recovery: For people that need some specific social care support
following an illness or other life event, our objective is to enable them to recover as fully
as is possible and to regain their independence.
Personalisation: Where people have benefited as much as possible from short term
reablement and recovery services and need ongoing support, our objective is to ensure
that this support is personalised and that an enabling approach is continued. People will
choose how they want their care needs to be met using an allocated personal budget.
How we want to do it:
We want to do everything we do as efficiently as we can, ensuring value for money for
taxpayers.
We will aim to do things in partnership where this adds value for citizens in terms of
lower costs and / or better outcomes
We will seek contributions from citizens both in terms of care, support and activity within
communities, engagement in developing, commissioning, delivering and reviewing
services and sometimes financially , through means tested contributions.
1. Inform, advise and prevent
From the council’s objective of maximising independent living we will:
•
Lead on public health from April 2013, promoting the health and
wellbeing of citizens through the Health and Wellbeing Board
•
Encourage volunteering in the county, including using our buildings to
assist local groups to take the initiative in their communities
•
Use the Hertfordshire Adult and Family Learning Service to improve
the wellbeing of citizens, particularly hard to reach groups
•
Give excellent information through a range of access points, including
the internet, resolving people’s enquiries to their satisfaction first time
•
Assist other health professionals to get the right advice to people at
the right time and work with GPs to promote better health outcomes
•
Continue to fund the third sector to deliver schemes which evidence
how they make a positive difference to people and carers
•
Promote ‘universal services’ available to everyone in Hertfordshire
through our libraries to maximise people’s independence
How we will measure our success:
2012/13
2014/15
People who get information from our website, via
the Customer Service Centre or through Herts
Help are ‘satisfied’ with that assistance.
90%
95%
Numbers of visits to libraries and ‘virtual visits’
increases by a percentage each year
+5%
+5%
People who fund their own services or have Direct
Payments transact via our online eMarketplace
100
people
2,000
people
The proportion of people who use services who
“find it easy to get information and advice about
services”, measured by the ASCOT survey
90%
95%
Provide carer’s assessments, services and carer’s
direct payments to family carers to help them
sustain their caring role at home
40%
46%
The proportion of carers who report that they have
“been consulted in discussion about the person
they care for”, measured by the Carer’s Survey
90%
95%
Number of individuals directly benefiting from
grants to the voluntary sector or volunteering
6,000
7,500
Proportion of GPs who report that they are
‘satisfied’ with the support from HCS measured by
a survey
90%
95%
2. Re-ablement and recovery
From the council’s objective of maximising independent living we will:
•
Minimise the number of people whose discharge from hospital is
delayed because social care services are not arranged in time
•
Assess people for intermediate care services and enablement
services jointly with the NHS to get the best outcome quickly
•
Provide Telecare and TeleHealth devices to give people and their
families confidence and independence
•
Identify the family carers who would benefit from extra support
and put this in place - an enhanced ‘core offer’ for carers
•
Use peer support schemes to aid people’s recovery and provide
on-going care and support
•
Make new accommodation schemes like Flexicare Housing and
Supported Living widely available around the county
•
Develop ‘progressive’ services to help people with a disability to
learn or re-learn skills and live independently
How we will measure our success:
2012/13
2014/15
Very low numbers of Hertfordshire people are
delayed in hospital because of social services
12 per
week
12 per
week
A high percentage of people eligible for social care
services use enablement services
80%
80%
People who have accessed enablement services
do not need social care after up to 6 weeks
50%
54%
Improve on the current ratio of volunteers (no of
people) to HCC grant (£s) funding
+5%
people
+5%
people
High numbers of people are given access to
Telecare and TeleHealth devices
550
people
4,500
people
Number of people with learning disabilities moved
from residential care into housing tenancies
50 in
year
50 in
year
Family carers reporting “a good quality of life”,
measured through the ASCOT survey
90%
95%
Number of new Flexicare Housing places available
in the year
160
places
180
places
Number of people who use new “progressive”
services to learn life skills and get tenancies
15
people
20
people
3. Personalisation
From the council’s objective of maximising independent living we will:
•
Provide a personal care budget to everyone who is eligible for
on-going social care services
•
•
Show that people’s social care has improved their quality of life
Increase the number of people receiving a Direct Payment and
improve the amount of training given to personal assistants
Improve our care services and support to people who have
dementia and their families
Reduce the number of older people and people with learning
disabilities living in residential care homes
Explore the development of advocacy and independent
brokerage services and support to families who self-fund
Promote life skills and literacy along with IT skills in our libraries
and through the Hertfordshire Adult and Family Learning Service
Work with care providers of all sizes to deliver a vibrant and
diverse market and give real choice to people and carers
•
•
•
•
•
How we will measure our success:
2012/13
2014/15
The percentage of people eligible for on-going
social care who have a personal budget
65%
80%
The proportion of people who use services who
say they have “control over their daily life”,
measured through the ASCOT survey
90%
95%
Numbers of people in receipt of a Direct Payment
for their care on the last day of the year
2,100
2,900
A high ‘quality of life’ response from people who
answer the national ASCOT survey
90%
95%
People who are eligible for social care and their
families use the eMarketplace and a ‘virtual wallet’
to choose their social care services
100
people
2,500
people
Number of older people in permanent residential or
nursing care funded by the county council
2,068
1,804
Number of people with learning disabilities living in
their own home supported by the council
2,250
people
2,650
people
Numbers of people with disabilities helped into
work or volunteering opportunities increases
120
people
195
people
All young disabled people have a personal
transition plan at age 17
100%
100%
4. Safeguarding people
From the council’s objective of ensuring safe neighbourhoods we will:
•
Pro-actively work with care providers to prevent safeguarding
issues occurring and improve the overall quality of care
•
Work with the NHS, communities and other agencies to prevent,
detect and report neglect and abuse
•
Take immediate action to protect vulnerable people from abuse
where this has been reported
•
•
Balance people’s freedom and choices with risk and protection
Invest in learning and development for the health and social care
sector including all public sector staff and care providers
Support all care providers in the county to achieve good ratings
•
•
•
Treat people and carers with dignity and respect and support
them to participate in the safeguarding process, where possible
Promote schemes like ‘Keep Safe’ for people with disabilities
How we will measure our success:
2012/13
2014/15
Percentage of safeguarding referrals where people
were protected on the same day
100%
100%
Percentage of safeguarding referrals with protection
plans in place within three days
100%
100%
People with a protection plan who, when surveyed,
reported that they were included in decisions about
their care and protection
100%
100%
Percentage of care homes in Hertfordshire rated as
‘good’ or better on the eMarketplace.
90%
95%
People through ‘Having Your Say’ who reported
being ‘satisfied’ they were treated with dignity and
respect by HCS
90%
95%
The proportion of people who use on-going social
care services who say they feel safe, measured by
the ASCOT survey
90%
95%
Percentage of professionals in Hertfordshire who
have received learning and development in
safeguarding vulnerable adults in the last 2 years
70%
90%
5. Be a leading council
From the council’s objective of being a leading council we will:
•
Build on existing partnerships with the NHS and other stakeholders through the new Health and Wellbeing Board
•
•
Create a new strategy for Library and Heritage Services
Promote volunteering as a valuable and important activity for the
county council as an opportunity for citizens
Encourage localism and community participation in all of the
services we deliver or commission
Engage people who use our services when we redesign them
•
•
•
Invest in our staff and keep our talented people in times of
change through a co-ordinated workforce strategy
•
Champion the equalities agenda for older or disabled people
who use our services and their family carers
•
Lead on commissioning the voluntary sector for the council
How we will measure our success:
2012/13
2014/15
Increase the number of apprenticeships and work
tasters being offered by HCS
50 per
year
100 per
year
Reduce the average number of days of sickness
absence in Health and Community Services
11.9
days
8.0
days
Voluntary staff turnover maintained at low levels
5%
5%
Improve the percentage of the workforce which is
trained to NVQ level 3 and above
+5%
+5%
Percentage of our staff satisfaction with working
for Hertfordshire County Council
70%
80%
Develop a Health and Wellbeing Strategy for the
county, incorporating the accompanying action
plan into the HCS plan when agreed
By Sept
2012
Review
annually
Achieve sustained citizen satisfaction with the
council’s Customer Service Centre
95%
95%
Reduce expenditure on library services per 1,000
population through use of online services and new
innovations, whilst maintaining user satisfaction
-3% (£s)
-3% (£s)
Pilot a ‘carer-friendly town’ in Hertfordshire in
partnership with Health and the voluntary sector
Demonstrate growth in sustainable microbusinesses delivering care and support
evaluate
pilot
+5
+25
Health & Wellbeing Board
Hertfordshire’s New Shadow Health and Wellbeing Board
In anticipation of the government’s vision for each area to have a forum to lead on the
strategic direction for health, social care and public health in their locality - a shadow board
is now meeting in Hertfordshire.This will be the key partnership for promoting the health
and wellbeing of residents. Its focus will be on securing the best possible health outcomes
for all local people.
Membership of the Board has been taken from locally elected councillors, senior managers
from the statutory organisations in the county – and elected leads from the new Clinical
Commissioning Groups who represent GPs and other clinicians in Hertfordshire:
Cllr Richard Roberts (Chair), HCC Cabinet Member Children’s Services
Cllr Colette Wyatt-Lowe, HCC Cabinet Member Health & Adult Care
Cllr Lynda Needham, Leader North Herts District Council
Cllr Dorothy Thornhill, Mayor of Watford Council
Cllr Chris Hayward, HCC Cabinet Member Hertfordshire Local and Libraries
Sarah Pickup, HCC Director of Health & Community Services
Jenny Coles, HCC Director of Children’s Safeguarding & Specialist Services
Dr Raymond Jankowski, Deputy Director Public Health, Hertfordshire PCT
Dr Tony Kostick, Chair of the East & North Herts Clinical Commissioning Group
Dr Nicholas Small, Chair of the Herts Valley Clinical Commissioning Group
Kenneth Spooner, Practice Manager - The Red House Group of Practices
Henry Goldberg, Chair of the Hertfordshire LINk
Jess Lievesley, Assistant Director Community Commissioning for HCC
This plan has been endorsed by this Board as well as by county councillors.
Health and Community Services Plan 2012-15