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Procuring of Carers Services
Judd Skelton – Integrated Commissioning Manager
July 2015
Structure of Event
Presentation: - Carers in Salford- Carers pathway to services - Current thinking on scope of tender - Next Steps
Group questions and discussion
Individual opportunity to ask questions and provide feedback
Carers in Salford 2011 census identified 23,400 carers in Salford
6,400 identified themselves as caring for more than 50 hours per week
JSNA on carers completed in 2012
Carers strategy in place covering period 2013-2016
Current core carers services contracts end March 31st 2016
Carers funding contained in Better Care Fund managed by Alliance agreement
City Council acts as Lead Commissioner
Salford has a long established Carers Centre, registered with the Carers Trust
Current Centre operates out of a building located in Central Salford and provides a full range of carers services
Current thinking is we would wish to commission a Carers Centre with a strong emphasis on ensuring delivery within local communities
Carers Services in Salford
Carers Pathway Aims to identify where we see responsibilities
lying for:
- Identification - Assessments- Advocacy- Provision of advice and information - Generic and specialist support lie
Would welcome views on alternative pathways and models of delivery
Carers Pathway
Carer Identification All organisations responsibility to identify carers and
have effective policies and processes in place to support carers
Commission a service to:
- Maintain a database of carers in the City
- Deliver a Primary Care liaison and development service
- Support neighbourhoods and communities to identify and support carers
- Support the creation of carers groups
Assessments
Alison Antrobus – Principal Manager
Carers Market Development
Assessment For the first time Carers will be recognised in the law in the
same way as the person they care for
The Care Act places responsibility on the Local Authority to:
- Assess carers need for support where the carer “appears” to have such need
- The assessment has to consider the impact of the caring on the carer
- Must consider issues such as whether the carer is willing to carry on caring, whether they want to work, undertake study or do more socially
Assessment Process Done in two ways:
1. Joint assessment: complete as part of the assessment for the cared for person
2. Carers Assessments: Assessments focused on the carer and developed in line with the Independence Led Assessment
Assessments are completed by workers across all adult teams; mental health services.
We have Specialist carer development workers based on teams across the City.
Outcomes are identified from the assessment and a support plan then developed with the carer
Carers Market Development
Advocacy; Advice & Information; Generic Support & Health Checks
Judd Skelton – Integrated Commissioning Manager
Advocacy Care Act 2014 - new statutory requirements regarding
independent advocacy
Local Authorities must arrange Independent Advocates for people who have:a) ‘substantial difficulty’ in being fully involved
and
b) where there is no one appropriate available to support
Includes support and representation during a carers assessment
'Appropriate'? “It is not sufficient to know the person well or to love them deeply; the role of the advocate is to support the person’s active involvement with the local authority processes”
Training for carers
Provision of Advice & Guidance
Provide comprehensive information to all carers in Salford
Support other organisations to provide information for carers
Maximise use of Social Media and Internet
Interdependencies Range of organisations are commissioned to provide
carers support, generally as part of a holistic service offer:
- Age UK- Stroke Association- GMW
Role of commissioned service to work in partnership to support delivery of outcomes for carers
This will also include developing relationships with City Council, SRFT, GMW and employing organisations
Generic Support Role of commissioned service to provide generic
support to carers
Expectation is that this will be delivered by:
- the advice and information offer including short term carers support
- more comprehensive support packages will be delivered to carers referred to the service
Carers Market Development
Drug & Alcohol Support
Mark Knight – Public Health Strategic Manager
Drugs & Alcohol
Nationally, 1.5 million people are ‘significantly affected’ by a relative’s drug use (UK Drug Policy Commission 2009). ACMD (2003) estimate that 2-3% of all children are affected by parental drug misuse. This equates to between 1000 and 1,500 in Salford. National Psychiatric Morbidity Study (NPMS) estimates applied to the Salford population suggest 10,300 children live with hazardous drinkers and 1,200 live with harmful drinkers. UKDPC (2009) estimates suggest there are at least 2,500 adults (e.g. parents and partners) in Salford who are living with someone who has a drug problem.
There are an estimated 11,000 ‘higher risk drinkers’ in the city although the true figure could be as low as 4,000 or as high as 39,000 (PHE 2014).
How many adults in Salford live with some who has a drink problem is anyone’s guess!
In 2014, there were around 300 problem drug users and 150 problem drinkers in treatment living with children under the age of 18 (Salford NDTMS data). Children with heroin using parents are the cohort most likely to become problem drug users themselves and end up in prison (PwC / MoJ 2008).
Drugs & Alcohol
We know that children supporting a family member with a drug or alcohol problem are much more likely to miss school and experience educational difficulties (e.g. 40% of Dearden and Becker’s 2004 sample). We know that carers use alcohol as a coping mechanism: - a survey of unpaid carers in Wales found that 20% of respondents used alcohol to cope with the pressures of caring (Alcohol Concern Cymru & Carers Trust, 2012). - 34% of spousal caregivers reported using alcohol as a coping strategy (Connell 1994).
SERVICE IMPLICATIONS
An effective partnerships with Achieve (drug and alcohol services) is essential.
But drugs and particularly alcohol need to be everyone’s business.
So it’s not just about having a substance post in a carer’s service
It’s about screening, providing brief interventions and knowing when an onward referral to specialist services is required.
Carers Market Development
Mental Health
Judd Skelton – Integrated Commissioning Manager
Mental Health Redesign of the Salford Acute Care Pathway
Carer support in Acute Inpatient and Home Based Treatment
NHS Forward View Access Standards for Early Intervention in Psychosis (EIP)
Increased need for effective Carer support in EIP
Specialist interventions – to complement generic support to carers of people with mental health problems from the core carers service
Carers Market Development
Young Carers
Emily Edwards – Senior Commissioning Manager
Young Carers
What is a young carer?
A young carer is a child or young person under the age of 18 carrying out significant caring tasks and assuming a level of responsibility for another person, which would normally be taken by an adult.
The caring role may be long-term, range from a few hours a week, for example checking on someone or keeping someone company, to 24 hours a day every day
Young adult carers (aged 16-25) are often a ‘hidden’ group of carers
What do we know about young carers?
In Salford 1.5% of young people are carers compared to 1.3% nationally. Likely to be an underestimate due to an unknown number of “hidden carers”. A BBC study estimates that 8% of young people are carers - an estimate of 3759 young carers in Salford55% of young carers are female and 45% of young carers are male.Just under one in ten young carers provide over 50 hours care per week. Young carers care mostly for people who have a physical disability or mental health problem. The majority of young carers care for their mother. 56% of young carers live in lone parent families
Young Carers
Impacts and challenges for young carers
Substantial numbers of young carers report stress, anxiety, low self-esteem or depression.A survey carried out by VOCAL – The forum for young carers in Salford found that 44% of Salford young carers feel their education is affected due to being a carer and 33% would like more support in school.Young carers are far more likely to be not in education, employment or training (NEET) than their peers.Young carers experience a range of difficulties and disadvantages, including poverty, isolation, physical and mental health difficulties which have consequences for them, and their families, throughout their lives. The transition between primary and secondary schools, school to college and into work are identified as difficult points.
What Salford Young Carers have told us…
58% identified that being a young carer had affected their education46% of those who took part in the survey had ignored their own health issues due to caring 76% identified that they had experienced bullying with over half suggesting it was because of their caring role or being differentSource: Survey conducted by the Salford Carers Centre (49% of those registered participated)
Young Carers Service Implications
Children and Families Act 2014 sets out new rights for young carers
Young carers have a right to an assessment of need
Local Authority must consider needs and wishes of young carers
In Salford, referrals for young carers aged under 18 will go through ‘The Bridge’
Need for a targeted service for young carers aged up to 25 years, to provide improved outcomes for young carers in Salford through:
- Raising awareness of young carers’/ young adult carers’ issues across a range of organisations, and contribute to training programmes
- Information, advice and advocacy
- Targeted support schools and colleges, health services and employers
- Advice on the development and implementation of young carers’ policies
- Participation in Team around the Child, Family Group Conferences, Child in Need meetings, and Child Protection
Social Value
Andy Roberts
Client Manager – Shared Legal Services
Social ValueSocial Value is defined as:
“A process whereby organisations meet their needs for good, services, works and utilities in a way that achieves value for money on a whole life basis in terms of generating benefits not only to the organisation, but also to society and economy, whilst minimising damage to the environment.”
Sustainable Procurement Taskforce (2006)
Social value asks the question: If £1 is spent on the delivery of services, can that same £1 be used to also produce a wider benefit to the community?"
Social Value
It is a mandatory requirement to include a reference to social value within a contract specification, and can be defined as, economic, social and environmental.
Social value should be “Relevant” and Proportionate” to the subject matter.
This may include:• Using long term unemployed citizens to carry out the
contract• Creating training places or apprenticeships for young
people not in education, employment or training • Making full use of Salford companies• Using sustainable or recycled products
Social Value developments
The City Mayor’s employment charter will be referred to within contract documentation.
We are encouraging providers to work towards or seek accreditation to the charter.
The charter refers to good employment practices such as not using zero hours contracts and paying staff the Living Wage.
Many organisations have already gained charter accreditation.
Salford CVS
Marie WilsonSalford Third Sector - Consortium Hub Manager
Salford CVS•Established in Salford in 1973•The city-wide infrastructure organisation for the voluntary, community and social enterprise sector•A membership organisation with over 500 local member organisations •Providing specialist information, advice, development support and opportunities for influence and collaboration
VisionA robust voluntary, community and social enterprise sector that meets the diverse needs and aspirations of the people of Salford
How we can help
•Utilise our networks & forums to communicate opportunities and identify potentially interested partners.•Facilitate briefings and events to empower organisations & enable networking opportunities.•Provide expertise and experience where required to ensure fit for purpose applications.
We will post questions and answers from today on Chest and will be asking for any further contributions by 30th July
Total value of tender expected to be in the region of £375-400k p.a.
In addition, result of bid for an additional £120k p.a. is awaited
Tender process will commence in September and contract start date is April 1st 2016
Next Steps
