1. Prevention and Promotion John Bolton Director of Community Services Coventry City Council

2. Approaches to delivery of social care
Social Justice Model
User Led Services
Navigators of system
Preventative Model
Universal Services
Low Level Services
Social Inclusion Model
Enablement
Challenge to keep people away from social care
Stronger Communities
CE NOT DASS
Social Model of Disability

3. Council as a Commissioner Social Worker as Navigator/ Broker
What might happen in 2010
Current Policy
User Led Services
Person Centred Planning
Direct Payments
Individual Budgets
Council as a Commissioner
Social Worker as Navigator/ Broker
Same policy approach to all service users
Low level preventative services
Alternative Viewpoint
Council as an enabler – creating the right markets
Challenging service users to reach their potential
Focus on enablement not dependency
Different approaches for different customer groups
Focus on OUTCOMES
Stronger community services

4. Dependency Models
In what way might we have developed services in a way that encourages people to be dependent on social care?

5. Who needs help from whom?
Those people who have long-term enduring conditions which lead them to be dependent for daily living on some form of care support
Those people who have conditions, which though long-term, with the right type of enablement/ rehabilitation the amount of long-term support required can change and reduce over time.
Those people who have shorter-term conditions, which with the right type of enablement/rehabilitation will need little or no care support.
Those people who have minimum care needs that may be helped by sign posting to community based services.

6. Approaches to outcome focussed work in Coventry
Older People
Enablement OT Services – focus on helping older people regain confidence / strength
Rehabilitation Services for Visually Impaired
Intermediate Care Services – Residential/Day Care/ Community Support Teams
Extra Care Housing – life style promotes independence
Assistive technology
Community based services can contribute
Engagement of Older People through Partnership Board

7. “Shape”
High use of extra care housing (low use of residential at a higher unit cost)
High level of support to people in their own homes after enablement (some higher costs)
Investment in Intermediate Care
Commitment to NOT keeping people in hospital (where their care needs increase)

8. Putting these factors in a wider context
Using models of intermediate care/ enablement to reduce dependency on long term care
De Montford University Finding –
62% did not need a service after enablement programme
28% needed less service
Ensuring that there are wider community services that older people can access – social and fitness.

9. Good News for Coventry 570 Extra Care tenancies @ £85 per week
87 fewer people in residential care (from low base – total 736 and £397
3000 people helped to live at home but reducing with enablement and with less intensive packages
TOTAL SAVING in Coventry about £1 million with positive outcomes!

10. Low admissions to residential care
2004/05 Comparative Performance and Coventry 2005/06 projected performance

11. Low admissions to residential care (2)
Coventry Trend Analysis

12. Getting intensive home care right
   2004/05 Comparative Performance and Coventry 2005/06 actual performance

13. Role of Social Care Staff
Soc Worker/Occupational Therapists
To challenge the person with care needs to raise their ambitions
To help carers deal with their emotions in taking risks
To offer a supportive environment in which outcomes can be achieved
Care Workers
To do things with the person not for them
To contribute to the challenge
To provide the supportive environment where risks can be taken
To keep focussed on the outcome

14. AIM OF SOCIAL CARE
To make a positive contribution to people’s lives in such a way that they are transformed from someone needing care to someone who is in control of their own destiny