Care and Repair Scotland 20th May 2016 Eddie Fraser Director, East Ayrshire Health and Social Care Partnership Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Background Public Bodies (Joint Working) (Scotland) Act 2014. Duty to prepare a Strategic Plan Deliver on the 20:20 Vision and shared Outcomes Ayrshire Shadow Integration Boards established 2014/15 Ayrshire Integration Joint Boards – 2 April 2015 Delegated functions agreed (including Childrens and Justice Services) Empowering Supportive Seamless Inclusive

Lead Partnership Arrangements East Ayrshire HSCP Lead Partnership for Primary Care North Ayrshire HSCP Lead Partnership for Mental Health South Ayrshire HSCP Lead Partnership for Allied Health Professionals Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Vision Working together with all of our communities to improve and sustain wellbeing, care and promote equity Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Values Empowering Supportive Seamless Inclusive

Why Work in Health or Social Care Setting? Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Partnership Services Bringing together £200m creates the opportunity to improve outcomes Working with Community Planning partners, the third and independent sectors Co-production with community and service users Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Health inequality Supporting people with long-term conditions Care for older people Alcohol and drug misuse Technology enabled care Choice and control Workforce Empowering Supportive Seamless Inclusive

Where we are now- 1 year on ? Pan Ayrshire Programme Arrangements Strategic Lead for Wellbeing Delivery Plan Strategic Plan and Action Plan Lead Partnership Primary Care Management Teams and new structure in place Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Pan Ayrshire Programme Arrangements Empowering Supportive Seamless Inclusive

Integration Scheme – Delegated Housing Functions Must Aids and adaptations and gardening services Housing support services Assessment of need including residential care May Provision furniture, laundry and board Homelessness support Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Housing Advice Note Role of housing providers in health and social care; Independent living Care and repair Housing adaptations Support services Technology enabled care Housing advice/tenancy support Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive What is our vision for independent living? People have more choice and control over their own lives and the care they receive Providing support to allow people to live at home or homely setting for as long as possible Opportunity arose from Strategic Local Programme , submission to SG by Sept 2012 with builds to be completed by March 2015 High quality new build affordable housing making and more efficient use of public resources Total of £6.277m allocated £3.877 was for local programme initiative Witch Road identified from 7 sites initially. Council strategic priority to promote town centre living Originally designed as 14 General Needs flats, the brief was changed to 13 Assisted Living flats incorporating a staff base (modelled on Patrick Finn Court in Cumnock) In Sept 2012 site identified for adults with complex needs and was a key priority within the transformation strategy Opportunity with resource transfer, number of residents living at home but with high cost care packages. Provide example, i.e. £250k per year to support people in their own home with 24 hour care. Unsustainable costs for future Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Strategic Plan Locality planning arrangements; Locality planning groups - representation from housing providers, third and independent sector Joint Strategic Needs Assessment Coordination of Strategic Plan and Local Housing Strategy Housing Contribution Statement Empowering Supportive Seamless Inclusive

Care and Repair Services Health and wellbeing of residents Person centred and preventative Advice and assistance Small repairs, home security,minor adaptations Local and flexible response Empowering Supportive Seamless Inclusive

Care and Repair Services- East Ayrshire Reshaping Care for Older people Programme 2011-2014 Integrated Care Fund from April 2014 and East Ayrshire Council - Community Safety Total of 1,137 cases in 2015/16 Empowering Supportive Seamless Inclusive

How do we make that change? Where we are now? Mitigate - holding steady and delivering what we can Prevent – implementing change investing for the future Undo- contribution to tackling underlying causes How do we make that change? Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Mitigate Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive Prevent Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive UNDO Empowering Supportive Seamless Inclusive

Empowering Supportive Seamless Inclusive