Transcript Phase 3 model of extra care in East Sussex

Phase 3 model of extra care
in East Sussex
Geraldine O’Shea, Strategic
Commissioning Manager,
older people, ESCC
What is the ‘Phase 3 model of
extra care’?
• Remodelling of the delivery of extra care
to ensure sustainability
• Services are provided in line with the
personalisation agenda
• Impact of national and local policies and
initiatives
Remodelling- issues and
challenges
Extra care workshop held in April 2011:
• Understanding demand, need and profile of prospective
clients
• Approach for identifying potential residents will depend
on type of tenure
• Type of tenure - needs to reflect local demographics and
reduced availability of public funding
• Shift away from model of large % of rented properties
towards increase in % of shared equity/ outright sales
will reflect local demographics and reduced public
funding e.g. 50% rented/ 50% market or 20%
rented/80% market
Remodelling- issues and
challenges
Extra care workshop - contd
• Level of need- need to differentiate between
care needs and housing needs
• Current model of 40/40/20 high/medium/low can
only be used realistically for affordable rented
properties to achieve balanced community
• Option to change model to increase number of
high/medium and minimum threshold- benefits
of extra care over residential more apparent
Remodelling- issues and
challenges
Extra care workshop – contd
Models of care and support - discussed 5
options:
• Block contracts
• Spot purchasing
• Core and add on
• Co-production
• Pump priming
Remodelling- issues and
challenges
Extra care workshop – contd
• Preferred models of care and support‘core and add on’ and ‘pump priming’
Services are provided in line with
personalisation agenda
Key messages from older people and
carers:
• Personalised services which puts them in
control of their own support
• Support to live independently
• Choice of service and provider
• Support for carers
Services are provided in line with
personalisation agenda
• Shift from ASC control of community care
budget to individual control
• Models of care and support to provide
choice
• Providers
National and local policies and
initiatives
National
• Laying the Foundations: A Housing
Strategy for England 2011
• Living Well at Home Inquiry - 2011
• Changes to benefits
National and local policies and
initiatives
Local:
• East Sussex Joint Commissioning
Strategy for adults in later life and their
carers 2010/15
• Draft East Sussex Supported Housing and
Housing Support Strategy
• Draft East Sussex Market Position
Statement- Older Peoples’ Service
Provision
National and local policies and
initiatives
Local:
• Impact of extra care housing projectDownlands Crt, Margaret House and
Cranbrook
• Evaluation of extra care housing project
• Cranbrook- introduction of approach to
core care and support service and costs to
residents
Round Table Discussions
Providers:
The current model of service (care and
support, housing support, meals) is funded
through block contracts.
What ideas do you have to enable this
model of service to continue without this
guaranteed funding?
Round Table Discussions
District and Boroughs
Where would you like to see extra care
housing in 5 years time- taking into
account tenure issues?