Transcript Slide 1

SSRG Annual Workshop
7 April 2008
Risk and the life of the DCS and DASS
Anne Williams
President, ADASS
The Role of the DASS in 2008
• Responsibility for Adult Social Care
• 50% of Directors have responsibilities for housing
(commissioning and/or providing)
• 40% Crime prevention, community regeneration, safer
communities, neighbourhood services
• 25% Culture, leisure, adult learning
• 10% combine DASS and DCS role
• Most are lead officer for health issues
What’s on our minds?
The background realities
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Demographic change
Rising numbers of people with long-term conditions
Changing public expectations
Personalisation and self directed care and support
Challenging resource environment (workforce and financial)
Commissioning as the driver for change
Integrated commissioning with PCTs (including practise based
commissioning), Housing, Transport, Culture and Leisure
• Integrated services with NHS and Housing
The Key Policy Developments
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Putting People First
Green Paper
CSCI review of eligibility criteria
Review of Carer’s Strategy
Dementia Strategy
Valuing People Now and the transfer of commissioning of
Learning Disability services to Local authorities
Adult Safeguarding
Housing Strategy for Older People
Darzi Review
World Class Commissioning
Performance Framework and Local Area Agreements
“The time has now come to build on best practise
and replace paternalistic, reactive care of variable
quality with a mainstream system focussed on
prevention, early intervention, enablement and high
quality, personally tailored services. In the future we
want people to have maximum choice control and
power over the support services they receive”
Putting People First, December 2007
From Support and Care to
Independence and Transformation
The Old Way
The New Way
Overall Government Agenda
The professional in control
Users / carers in control
Assessment led by professionals
Self assessment / joint assessment
supported by advocates
Information on services very limited
Easily accessible information so
informed choices can be made
Group / inflexible services
Flexible, individually tailored
services
Specialist Services
More accessible, universal services
and specialist services
From Support and Care to
Independence and Transformation
The Old Way
The New Way
Focus on dependency / disability Focus on recovery / re-ablement
and strengths
Lack of transparency on
resources
Clarity about available resources
Contracted services
Direct payment / individualised
budgets and some contracted
services
Service user / carer
Consumer / customer
What are the challenges in
achieving the move?
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Training and culture of professionals
Lack of information and complexity of services / system
Developing / commissioning new types of services
Accurately costing services and resource management
Fears about risk to and by users / carers
Lack of advocacy
Lack of confidence in some users and carers
Changing demography
Challenging resources
Using our corporate roles
The inverted triangle of care
Citizens
Community strategy
Engagement, empowerment, environment,
safety, housing, learning, culture and leisure
Individuals,
families,
communities
Preventive services,
promotion and wellbeing policies
Direct users & carers
Underpinned by re-ablement /
recovery philosophy
Specialist
care
All partners
Public services,
Voluntary
organisations,
faith communities
Health,
social care,
housing
Source: All our tomorrows, - ADSS, LGA
Vision for Health and Social
Care
Centred on:
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People and families, networks and communities
The environment people need to stay healthy
Outcomes and choices
Independence and control
Inclusion, citizenship and human rights
Broad view of well being
Summary
• Transformation agenda now is a greater change than Care in the
Community in the 1990s
• Personalisation is a key feature in Government policy and is most
advanced in adult social care
• Scaling up from Direct Payments and Individual Budget pilots has
risks and opportunities
• Commissioning, individual and population based, will be the
driver for change
• Challenge of resources will not go away
• We have great opportunities in our wider roles to influence
prevention, early intervention and recovery
ADASS Business Unit
Local Government House
Smith Square
London SW1P 3HZ
Tel: 020 7072 7433
Fax: 020 7863 9133
EMAIL: [email protected]
WEB: www.adass.org.uk