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Commissioning in a New Landscape
Community Prevention
Mark LobbanDirector Strategic Commissioning
Emma HansonHead of Community Support Unit
• meet and get to know each other a bit more• share KCC’s vision for Transformation and our
restructure • think about what a core offer should include for
everyone in our communities• share some of the things you are doing • be inspired by what others are doing• talk to each other about the move from grants to
contracts and the impact, risks and benefits of that for both commissioner and provider
• decide how to move forward together
The aims of today are to:
The Current Picture• KCC Budget –Adult Social Care Savings £18m• Transformation – better outcomes within our
resources• Restructure in many sectors-including ourselves
and Health• Health and Social Care Integration • Social Care Money from Health to support
prevention• Growing Demand
FSC Adults Budget
90% of services provided via adult social care are outsourced to the independent sector
Internal Provision v External Provision
Transformation Themes
Health and Social Care Integration-
A whole system approach
Existing Client(Avoidable Admission) Unknown to ASC
Hospital
Home Based Enablement
Domiciliary Care
Residential and Nursing Care
IT innovation to Support Integration
Hospital Avoidance
Flex Model
Carer Support
Falls Prevention
Hospital Based Enablement
Care Home Based
Enablement
Provider Identified
Existing Client(Unavoidable Admission)
Assessment
Comm
unity Capacity
Telecare &
Equipment
Independence
Care providers in regular contact with the client are
best placed to identify risks that may lead to a crisis and can recommend avoidance
strategies
A combination of “Patient Knows Best”, Risk
Stratification and Urgent Care Dashboard provides risk alerts of those known
and unknown to ASC
Befriending, Community Chest, Micro-providers fund,
Care Navigators, etc
Short burst of intensive support to return the client
to their current level of independence
Breaks for carers and support to reduce instances of carer breakdown, which is a big contributing factor for
Care Home & Hospital admissions
Various mechanisms to respond to falls risks
including response services
Equipment and Telecare packages used more widely to support independence
and defer the need for larger care packages and Care
Home admission
Romney and East Kent Step down beds providing an
intensive Enablement package for those not ready to return to their own beds
Investing social care/health monies
Investing in a Proactive FrameworkExisting Client
(Avoidable Admission) Unknown to ASC
Hospital
Home Based Enablement
Domiciliary Care
Residential and Nursing Care
IT innovation to support Integration
Hospital Avoidance
Flex Model
Carer Support
Falls Prevention
Hospital Based Enablement
CH Based Enablement
Provider Identified
Existing Client(Unavoidable Admission)
Assessment
Comm
unity Capacity
Telecare &
Equipment
Independence
10
Investing in a Proactive FrameworkExisting Client
(Avoidable Admission) Unknown to ASC
Hospital
Home Based Enablement
Domiciliary Care
Residential and Nursing Care
Risk Stratification
Hospital Avoidance
Flex Model
Carer Support
Falls Prevention
Hospital Based Enablement
CH Based Enablement
Provider Identified
Existing Client(Unavoidable Admission)
Assessment
Comm
unity Capacity
Telecare &
Equipment
Independence
Reactive Enablement
Proactive Enablement
11
12
Introducing Strategic Commissioning
Helen JonesHead of Service
Children's Com missioning
Em m a HansonHead of Service
Com m unity Support
Christy HoldenHead of Service
Accom m odation Solutions
M ark Lobban Director Strategic Com m issioning
Andrew IrelandCorporate Director
Families and Social care
13
The Strategic Commissioning Unit was formed to support the transformation of adult social care through the strategic commissioning of services in order to achieve the families and social care directorates objective which is to;
Improve the social care outcomes for the people of Kent. Whilst moving the Families and Social Care (Adults) Directorate to a position where, by 2015, it can operate on a reduced budget.
The Strategic Commissioning Unit was formed to support the transformation of adult social care through the strategic commissioning of services in order to achieve the families and social care directorates objective which is to;
Improve the social care outcomes for the people of Kent. Whilst moving the Families and Social Care (Adults) Directorate to a position where, by 2015, it can operate on a reduced budget.
Introducing Strategic Commissioning
14
Our vision is:
To support the social care needs of vulnerable adults in Kent, by ensuring that services are available which enable them to live fulfilling and independent lives in their homes and communities.
We will do this by:
• Promoting independence, wellbeing and choice for individuals
• Promoting and supporting resilience and self care
• Providing proactive and responsive support
• Developing a market of services which are high quality and represent value for money
Our vision is:
To support the social care needs of vulnerable adults in Kent, by ensuring that services are available which enable them to live fulfilling and independent lives in their homes and communities.
We will do this by:
• Promoting independence, wellbeing and choice for individuals
• Promoting and supporting resilience and self care
• Providing proactive and responsive support
• Developing a market of services which are high quality and represent value for money
15
Our stakeholders have told us they want:
• A system that is easier to understand and navigate
• Comprehensive information, advice and guidance that is accessible
• A proactive rather than reactive system• Integrated services designed to maintain a person’s
lifestyle and engagement with their community.• The same service offer for self-funders and those in
receipt of KCC funding• Integrated health and social care services – single
points of access and less professional involved• Services that are responsive to local need• Targeted interventions that aim to restore a person
back to a preceding state of health and well-being
Our stakeholders have told us they want:
• A system that is easier to understand and navigate
• Comprehensive information, advice and guidance that is accessible
• A proactive rather than reactive system• Integrated services designed to maintain a person’s
lifestyle and engagement with their community.• The same service offer for self-funders and those in
receipt of KCC funding• Integrated health and social care services – single
points of access and less professional involved• Services that are responsive to local need• Targeted interventions that aim to restore a person
back to a preceding state of health and well-being
Emma Hanson
Head of Strategic Commissioning Community Support
Karen Cook
Commissioning Manager
Steve Lusk
Commissioning Officer
Sholeh Soleimanifar
Commissioning Officer
Commissioning Support Assistant
JenniferNewton
Commissioning Support Assistant
Sam Sheppard
Commissioning Manager
Heather Randle
Commissioning Officer
Laura Embery
Commissioning Support Assistant
Sylvia Rolf
Commissioning Officer
Simone Bullen
Commissioning Officer
Guy Offord
Commissioning Officer
Jo Empson
Commissioning Manager
Carina Neeves
Commissioning Officer
Tony Care
Commissioning Officer
Sarah Peacock
Commissioning Officer
Commissioning Support Assistant
Julie Harling
Commissioning Support Assistant
James Lampert
Commissioning Manager
Hazel Price
Commissioning Officer
Navdeep Mandair
Commissioning Officer
Mick Jones
Commissioning Officer
Commissioning Support Assistant
TBC
Paula Parker
Commissioning Manager
David Harris
Commissioning Officer
Commissioning Officer Vacancy
Helen Devlin
Commissioning Officer
(Mat leave until March 2013)
Sarah Challis
Commissioning Officer
(Mat Leave begins Nov 2012)
Information in your packs
Introducing Community Support Unit
Introducing Community Support Unit
Develop Community
CapacitySuport people
remain independent of
social and health care system
Help to stay at home - key strategic partners in
community
Supporting
Rehabilitation
and Recovery
Restoring people
to independence
We are spending £15 Million a year in grants
• We are NOT looking to cut funding, in fact we want to increase spending on preventative services through the Health Money
BUT we want to spend it on the right things:• When every penny counts are we making the best
use of this money to keep people out of the health and social care system?
Grants- a picture of spend
• Grants have grown organically and been locality driven• Different services in different areas- no core offer• You provide other excellent services we don’t fund• Grants not always strategically aligned to Transformation• Cant performance manage a grant• Instability of yearly funding• Unwieldy system and bureaucratic
Questions:
How do we ensure equality of access and provision across Kent?
What should KCC fund and for whom?
What services should we move from grant to contract?
Grants- a picture of services
A Picture of Need
• 25% of service users said they did not have enough social contact.
• 66% of these lived in the community75% of those 65+ who are living in the community said they did not do anything they value or
enjoy with their time
2012: 900 Kent Social Care Users of all ages responded to our annual survey:
19% say information and advice is
difficult to find
NEWS TO SHARE
Welcome Visits
We would like to visit you to
1) Help our new team learn about community based services and understand the range and complexity of what you are doing- it will mean we commission more effectively
2) Help you get to know us and build relationships
We sent everyone a letter- if you didn't get one and would like to offer time for a visit please let us know.
Dementia Friendly Communities
• Successful bid to be a National Pilot• working initially with12 communities across Kent• people will be aware of and understand more
about dementia;• people with dementia and their carers will be
encouraged to seek help and support; • and people with dementia will feel included in their
community, be more independent and have more choice and control over their lives.
Thank you
Mark Lobban - Director Strategic Commissioning
Emma Hanson - Head of Community Support Unit