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Commissioning in a New Landscape Community Prevention Mark Lobban Director Strategic Commissioning Emma Hanson Head of Community Support Unit.

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Presentation on theme: "Commissioning in a New Landscape Community Prevention Mark Lobban Director Strategic Commissioning Emma Hanson Head of Community Support Unit."— Presentation transcript:

1 Commissioning in a New Landscape Community Prevention Mark Lobban Director Strategic Commissioning Emma Hanson Head of Community Support Unit

2 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:

3 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

4 FSC Adults Budget

5 90% of services provided via adult social care are outsourced to the independent sector Internal Provision v External Provision

6 Transformation Themes

7 Health and Social Care Integration- A whole system approach

8

9 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 Community 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

10 Investing in a Proactive Framework 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 CH Based Enablement Provider Identified Existing Client (Unavoidable Admission) Assessment Community Capacity Telecare & Equipment Independence 10

11 Investing in a Proactive Framework Existing 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 Community Capacity Telecare & Equipment Independence Reactive Enablement Proactive Enablement 11

12 12 Introducing Strategic Commissioning

13 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 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 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

16 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

17 Develop Community Capacity Suport 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

18 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

19 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

20 A Picture of Need 25% of service users said they did not have enough social contact. 66% of these lived in the community 25% of service users said they did not have enough social contact. 66% of these lived in the community 75% 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

21 NEWS TO SHARE

22 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.

23 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;people with dementiacarers and people with dementia will feel included in their community, be more independent and have more choice and control over their lives.independent

24 Thank you Mark Lobban - Director Strategic Commissioning Emma Hanson - Head of Community Support Unit


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