Transcript What is happening to socal care and support in

What is happening to social
care and support in Norfolk?
James Bullion
Assistant Director, Community Services
Norfolk Council on Aging 13th April 2011
Norfolk Community Services
• ‘Working with People to achieve their
potential and to build strong communities.’
• Health and Well-being approach
• A prevention approach is ‘wider than care’,
across age groups - using culture, leisure,
learning, housing, employment,
safeguarding and safety services as a
means of improving individual well-being
and stronger communities
Vision for adult social care: ‘capable
communities and active citizens’
(DH 2010).
• ‘..a Big Society approach to social care, in
which care is transformed not by looking to the
state, but to active citizens and strong
communities. The role of local authorities, with
partners such as community groups, is to
establish the conditions in which ‘the big
society can flourish’ through ‘stimulating’,
‘inspiring’ and ‘unlocking’ the potential of
communities and neighbourhoods, particularly
in areas where social networks are poorly
developed through deprivation or rural
geography..’
A plural market of providers
• A related priority is ‘a changing offer’ from a
‘plurality’ of providers:
• small-scale voluntary and independent sector
‘microproviders’ and social enterprises provide
community-based, affordable and niche
support to individuals or small groups
• larger providers are encouraged to offer more
flexible community options
• care homes will be increasingly operate as
community facilities.
Local community & voluntary
Sector
• Promoting health, wellbeing, social
involvement and access to information in local
areas across the authority through
‘neighbourliness’, informal resident
collaboration, and running local services.
• The first response to social care needs to be
met by the voluntary and community sector.
• Councils to focus on high-end, complex cases
and statutory duties as well as encouraging
and enabling the network on an authority-wide
basis.
Four key themes
• More personalised services through self
directed support
• Being commissioning led
• Working locally
• Integration between care and health
services
The future of social care
in Norfolk
Personalisation
Co-production
Integration
Localisation
Information
• Is it supportive
of people being
able to exercise
choice and
control over the
services they
receive and tailor
their support?
• Have the views of
people who use
services, or are
affected by this
change, influenced
the shaping of any
proposals, plans, or
delivery?
• Is it supportive of
addressing
peoples’ needs in
terms of both
health and social
care?
• Is it supportive of
services and
solutions being
available to
people locally?
• Does it support
informed decisionmaking?
• Is it supportive
of people finding
their own
solutions where
possible?
• Does it recognise
service users and
carers as the
experts on their
lives?
• Can the approach
taken be an
integrated one?
• Are there
opportunities to
work in partnership
with others?
Making a change?
Then ask these questions….
• Is it supportive of
building capacity
in local
communities and
other sectors?
• Does it support
services or
solutions without
providing them
directly?
• Is it supportive of
ensuring access
to good
information and
advice for
everyone?
In one year…
• Single NHS and Social Care Commissioning
• Local Commissioning Plans ££
• Single care and health services team around
GP surgeries
• Single route of advice services to people
• Budget reductions of £14m
• Changes to direct service provision such as
day activities
Our transformation
•
•
•
•
•
Improved Universal Services
New pathways into integrated services
‘Updated’ care models
Self Directed Support Plans with people
New technology
The problem with language
• Amount of transformation and complexity
• Big conversation consultation
• Unresolved and uncertain positions on
some issues
• Professional language
• Technical project language
• Commitment to ‘co-production’
shared language
..we can only bring change about if we
Speak the same language as you…