1. Market Development Strategy & Market Position Statement Part 2 Vicky Smith, Head of Policy & Service Development Bianca Byrne, Project Manager - Choice, Market Development and Engagement

2. Last meeting (Part 1)... Feedback from Provider Survey Caretrak tool Developing the Older Peoples’ Market Position Statement Future demand and current supply –Round table discussion –Getting it right: Focus group Market Development Strategy for Personalisation

3. Market Position Statements The overall market direction the LA wishes to see taken The view and predictions of future demand, identifying key pressure points The current state of supply covering strengths and weaknesses of the market Gaps in the market, areas for development and areas of decline Identified models of practice the LA will support, and at what price The support the LA will offer towards innovation and development

4. Content of Market Position Statements Demand Supply Changing Practice Future levels of resourcing Support for innovation and development

5. UNDERSTANDING DEMAND

6. Figure 1: %population 65+ and 85+

7. Figure 2: Population trends 65+ and 85+ by district

8. Figure 3: Dementia trends for people 65+ in East Sussex 2010-2030

9. Figure 4: GP reported dementia incidence by district

10. Figure 5: %older people budget spent on residential care and community services

11. Figure 6: Projected spend on residential and nursing care 2009-2033

12. Figure 7: Trends in commissioned activity 2009-2011

13. Key question What are your views of demand and the impact this might have on your business? 10 minutes discussion at your tables and feedback

14. Future Demand – Key Messages Demand for care and support services will rise but will not be matched by a similar commitment in public spending; Life expectancy is increasing and entry into services is likely to be later in life, with more complex support needs; Need to develop and improve the range of community services to promote independence and wellbeing; Need to develop and improve accommodation options, with more community-based services and supported housing;

15. Future Demand – Key Messages Need to develop and improve the range of community services for those who have urgent, transitional or ongoing complex needs; Need to develop and improve the range of services for people with dementia and other types of mental health needs; We will be testing and developing independent sector led reablement services to underpin the emerging Self-Directed Support (SDS) pathway and value for money for Adult Social Services. Increased importance placed on End of Life Care Services

16. UNDERSTANDING SUPPLY

17. Figure 8: Commissioned adult social care spend and activity – September 2011

18. Figure 9: Extra Care Housing: provision & spend in East Sussex

19. Figure 10: Commissioned ASC domiciliary care spend and activity

20. Figure 11: Commissioned spend and activity for day opportunities

21. Figure 12: Commissioned residential care for older people – Sept 2011

22. Figure 13: Market capacity across the county and by district (residential)

23. Figure 14: Commissioned nursing care for older people

24. Figure 15: Market capacity across the county and by district (Nursing)

25. Key questions What sources of information can you as providers contribute to our understanding of the market? Where do you see your business able to diversify, e.g. can home care agencies deliver PAs? Can residential providers deliver outreach services and/or day opportunities? What three things could the LA do which would best help encourage the social care market in East Sussex? 15 minutes discussion and feedback…

26. Current Supply – Key Messages The number of Direct Payments taken by older people will increase, thus increasing the purchasing power of individuals; Adult Social Care is working with a number of providers to deliver further extra care provision within the County, and will be seeking to reduce overall spend in traditional residential care as other housing options come on-line; There are capacity issues in the market for dementia residential care, particularly in the west of the county, the Havens, Seaford and Eastbourne. Significant self-funding population who need access to information and advice

27. Current Supply – Key Messages There are often difficulties in securing nursing care beds in the Seaford area, and there are restricted numbers of nursing home beds in the west of the county (i.e. Crowborough, Uckfield, Ashdown Forest, Hartfield and Lewes); Dementia nursing care is in short supply across the county, and we are actively looking at ways to support development activity in this area; There are a number of areas in the county that we currently experience difficulties in securing domiciliary care supply (i.e. Lewes & Wealden). New service models being developed to enable access to Personal Assistants for older people

28. Next steps and timescales Draft Market Development Strategy and Market Position Statements by New Year Bring to the Older Peoples’ Provider Forum in February 2012 Publish for implementation from April 2012

29. Thank you Key Contacts: Vicky.Smith@eastsussex.gov.uk Bianca.Byrne@eastsussex.gov.uk