Post event proposal for the coproduction board March 19 (3)€¦ · Workshop Next Steps. What happened at the workshop? 75 people attended They told us how good they though user engagement

Hertfordshire Adult Care

Co-production BoardReview and Refresh of the current User Involvement

Structures and Boards in Hertfordshire

Workshop Next Steps

What happened at the workshop?

75 people attended

They told us how good they though userengagement and Co-production is now?

Most people agreed that we have made someprogress but Hertfordshire could do more.

Rating Very Bad Bad Ok Good Very Good

No’s 0 15 15 7 0

Existing Groups and Forums

What we mean by co-productionPeople who use a service are best placedto help design it.

People who have used care services, carersand paid officers work in equal partnership,bring different ways of seeing things,knowledge and experience to design andhelp make services better.

In Hertfordshire Adult Care Services it meanspeople who have used care services, theirfamilies and carers being involved, includedand working with the council to influencefrom the very start to the end , how servicesare designed, commissioned and delivered

Event Summary Video:https://youtu.be/_7FIaMD_za4

Lots of ideas for improvement

https://youtu.be/_7FIaMD_za4

Future Group Structures

Vision- Partnership Boards for all

Co-production

MentalHealth

Carers

AgeingWell

LearningDisability

All AgeAutism

PhysicalDisability& Sensory

Needs

DementiaComplex

Needs

Vision- Partnership Boards for all

Strengths

Equal

Consistent

Fair

SharedIssues

Resourced

Aware ofeachother

How we will do this?

Co-production Standardsfor Adult Care Services inHertfordshire

Standard Partnership Boards TOR

• Who are their members

• How often they meet

• The way they work

• How the new Boards work with the Co-Production Board

Other Social Care Funded support

Total £122,000

HERTS PEOPLE FIRST

When?

May /June2019

People

changes

Sept 2019

NewGroupsmeeting

Dec 2019

AllPartnershipBoards havework plans

in place

April 2020

CommissionedServices

funding reviewed

Jan 2020Review of

Group budgetallocations

Talking to other groups/Boards - if the Co-Production Board agree that this is what is needed

www.hertfordshire.gov.ukwww.hertfordshire.gov.uk

Co-production & commissioning

Chris Badger

Operations Director, Older People

Adult Care Services

www.hertfordshire.gov.uk

What is commissioning?


How can we co-produce commissioned services?


Commissioning co-production and Co-producing commissioning

Commissioning co-production: asking providers to design and

deliver services in a co-produced way

Co-producing commissioning: involving people who use services,

carers, families and communities throughout the commissioning cycle.

People will help to:

• Insight - explain about local needs, aspirations and assets

• Planning - make important decisions about what things are needed

to make sure people have better lives

• Evaluation - Check and feedback about how well providers are

doing


Co-production Standards


What’s coming up in commissioning (1)

ContractsAware of coproduction

already happening

Opportunity to

coproduce service?

Future opportunity to

evaluate service & ensure

provider coproduces

service development

Support at Home (SAH) & Specialist

Care at Home (SCAH)√ √

Flexicare√

√ √

Community navigators & hospital

discharge service√

HertsHelp √ √Next generation work √

Community Meals √

Crisis intervention √ √




already happening

Opportunity to

coproduce service?

Future opportunity to

evaluate service & ensure

provider coproduces service

development

Carers breaks √ √

Dementia support √ √

Direct Payment Support Service √

OP lunch clubs & befriending √ √

Supported Living Framework √

Day Opportunities re-procurement,

ADS workstream√

LD/PD 'Preventative' Services process √




already happening

Opportunity to

coproduce service?

Future opportunity to evaluate

service & ensure provider

coproduces service

development

Sensory Services re-procurement Herts

hearing advisory, hearts visison loss) √Communicator Guide and Intervenor

Service √Wormley Service Delivery of Nursing

Care and Residential Care Home √

CAMHS- Early Intervention √

Nightlight Pilot √

Midpoint √

MH Vol Sector Contracts √

New Leaf Wellbeing College √

PALMS √

ACS Business Improvement and Modernisation

How people will contact SocialServices for information, advice andsupport after April 2021

Co-production discussion


What we will do today

• Tell you about our project

• Ask you for your ideas about makingthings better when people need to contactthe council about social care

• Ask you for your ideas on co-producingthis work


The project will:

• Look again at the way things are done and come up witha new way that supports:

• people to get the information, advice and supportthey need

• our 15 year vision

• our 3 year plan

• future savings to allow the council to balance itsbudget

• Work with the rest of the organisation to ensure what wewant to do works well for the whole council


Opportunities at the “front door”

• We could change the way the customer servicecentre, community information and adviceservices and the social care access servicework together

• We want to look at how people get services thatprevent things getting worse, help them recoverand support them to become more independent

• We want to explore options to work with otherpartners

• We want to use technology more effectively


Co-production discussion

• Do you have some ideas already?

• What is it most important to co-produce?

• Shall I recruit a co-production team to work withme?

• How can we be sure we are getting our co-production right?


Feedback from Carers survey

Iain MacBeath


What is the Carers Survey?

• Every two years we send out the National Carers Survey Or the “Survey ofAdult Carers England” (SACE).

• The survey helps us to understand if the support and services we provideto our carers are helping them in their caring role and in their life outside ofcaring

• The survey is sent to a group of carers who have received a service orhave been assessed by us during the year.

• The Department of Health and Social Care use key questions from thissurvey to help populate the Adult Social Care Outcomes Framework(ASCOF)

• During October and November we sent out surveys to over 1400 Carersover the age of 18. We received over 720 responses (51%)


• Carers overall satisfaction with social services reduced from 38.2%in 2016-17 to 37.7%.

• More of our carers (71.7%) reported that they were included orconsulted in discussions about the person they care for. Up from69.5% 2 years ago.

• Of the carers surveyed more than 50% were aged 65 and over.With 80% caring for more than 20 years.

• 53% Of the carers are caring for more than 100 hours a week.

• 75% Of the carers surveyed said they have there own healthcondition with 22% stating that they have a long standing illness.

Results from the Carers survey


• The carers we surveyed who are receiving services fromHertfordshire tend to be older with support needs of theirown

• They have also been caring for a long period of time

• The people they are caring for tend to have complexneeds particularly physical needs or dementia

• Final results for the rest of England will be publishedduring October 2019

What does this mean?


• The Social Adult Carers Survey produces the results for 5 of the ASCOF measures.

• For 2018/19 Hertfordshire improved on the carers that were satisfied they had beenincluded in discussions about the person they care for were better than England in2016/17

An overview of our Carers ASCOFIndicators

Indicator Herts

2018/19

Perf. Trend

18/19 v

16/17

Herts

2016/17

East of

England

2016/17

England

2016/17

Carer-reported quality of life score

(score out of 12)7.0 7.3 7.6 7.7

The proportion of carers who reported that they had as

much social contact as they would like22.0% 22.9% 31.6% 35.5

Overall satisfaction of carers with social services 37.7% 38.2% 37.3% 39

The proportion of carers who report that they have

been included or consulted in discussion about the

person they care for

71.7% 69.5% 70.2% 70.6

The proportion of carers who find it easy to find

information about support63.9% 65.0% 63.2% 64.2


Target setting

Iain MacBeath


Why we set targets

• Each year we review key targets to ensure that they are stillmeasurable, achievable and relevant

• If we are performing well, we may want to stretch ourselves

• If we have new strategies we may want to change our targets tohelp us achieve goals

• If we aren't performing so well for a particular reason we may wantto make the target more achievable

• Many of our targets have been chosen to help us achieve ourvisions set out in the “Adult Care Services Three Year Plan”.

• We also have to set targets for our national indicators, set bycentral government


• We send data to the government

• This data is then used to pull together the AdultSocial Care Outcomes Framework (ASCOF)

• This framework attempts to measure how wellwe achieve the outcomes that matter most topeople.

• It also allows us to benchmark ourselvesagainst other local authorities in England

ASCOF


• The number of adults aged 65 and over isincreasing

• We want to provide support and advice that willhelp them to remain independent for as long aspossible

• A key part of this is supporting more adults withbetter information and advice and signpostingthem to organisations that may help them toachieve and maintain their independence

Target 1: Information and Advice


• Our target for this year was 65%

• Last year (2017-18) we achieved 62%

• We are currently at 62.3%

• The England Average is 54.0%

• The average for similar Councils is 57.6%

What do we need to think about?

• We have a new information and advice strategy

• Our staff are receiving more training to help them provide more effectiveinformation and advice

• We suggest the target increases to 67% for next year

Key indicator for information and advice:‘We will increase theproportion of people whose enquiries are successfully resolved by theprovision of information and advice’


Direct payments allow people to manage their own care and supportas much as they wish, so that they are in control of what, how andwhen care is delivered

Key indicator for direct payments: “The proportion of peopleusing social care who receive direct payments (ASCOFIndicator)”

• Our target for this year was 28%

• Last year (2017-18) we achieved 27.9%




Target 2: Direct Payments


• Direct payments are seen as the best option to ensure people get apersonalised service

• We are working on a new direct payment strategy

• Direct payments give choice and control but may not always be thebest option for people

• People choose to receive a direct payment and they may feel morecomfortable having us arrange their care

• Direct payments can have a negative effect on our homecaremarket and in turn the amount care costs the council

• We suggest the target remains at 28% for next year. The pointsabove suggest that to push the target up would make itunachievable.



Target 3 - Carers

Key indicator for carers: “The proportion of carers who receivedirect payments (ASCOF Indicator)”

• Our target for 2018-19 is 71%

• Last year (2017-18) we achieved 70.9%






• Direct payments give choice and control but may notalways be the best option for Carers

• It’s the carers choice to receive a direct payment andthey may feel more comfortable having the councilarrange support for them in their caring role, such as acarers breaks

• We are now performing better than last year and we areabove the current target

• We suggest the target goes up to 74% for next year tostretch ourselves

Documents

Post event proposal for the coproduction board March 19 (3)€¦ · Workshop Next Steps. What happened at the workshop? 75 people attended They told us how good they though user engagement