Future Lives Pathways to Independence Key Messages November 2013

Context The Council is developing plans to make savings of £30m in 2014/15 and then £25m a year every year after that Council-wide plans were discussed by Cabinet on 07 November Future Lives is the major change programme in Adult Services and Health: it will include reform of all aspects of adult social care The Council has decided not to change the eligibility criteria for adult social care, and will continue to meet the needs of service users where these are defined as 'Critical' or 'Substantial' Some specific proposals were discussed at Cabinet on 07 November 2013 and we are now consulting on these proposals There will be further communication before decisions are made

Future Lives outcomes Promote health and independence Reduce the need for adult social care Allow greater choice and control for service users Maximise the quality and productivity of services Achieve the required savings Make sure that we comply with our legal duties, especially those new duties under the Care Bill 3

Information, advice and signposting We want to develop a high quality information, advice and signposting service The expectation is that it will be primarily online Content will include: Staying healthy Self-management of long term conditions Using services effectively Planning for future care needs How to get independent financial advice Advice on housing options Benefits maximisation The intention is that there will be support available through libraries, GP surgeries, the voluntary sector and our partners to help people use the internet and access information and advice 4

Community resilience and volunteering We want to develop more support for vulnerable people in the community – for example from peer networks and volunteers - and make it easy for people to find that support We will need to do more to mobilise volunteers and make it easy for them to make a contribution In our online service we are looking to include the facility for communities and local organisations to advertise the support they have available so that it is easy for people to find 5

Prevention, early help & other support for adults We will need to focus funding on our core statutory duties Any discretionary funding will need to be saved for the people at greatest risk of requiring adult social care and/or services that we can be confident will reduce the need for adult social care This will mean prioritising and re-commissioning prevention, early help and other support for adults – however the Council will continue to invest around £6.5million a year in these services Proposals for prioritising and re-commissioning of these services were considered at Cabinet on 07 November 2013 Read the full Cabinet report on the Council website for more detail 6

7 Prevention, early help & other support for adults ServicesCurrent spend (£)Proposed spend (£) Supported accommodation and housing related support for families/young people 1,883,000911,100 Learning disabilities services 965,900286,700 Mental Health services 1,074,300805,700 Older people services (including community meals) 7,220,9003,002,800 Physical disability & sensory impairment services 963,000307,800 Domestic abuse services 912,100462,400 Substance Misuse services 489,000109,100 Offenders services 332,5000 Homelessness services 1,190,000616,900 TOTAL 15,030,7006,502,500

Prevention, early help & other support for adults How to Have Your Say Proposals for prioritising and re-commissioning prevention, early help and other support for adults are now out for a full consultation before a final decision is made The consultation started on 19 November 2013 and the closing date to return your questionnaire is 21 January 2014 The consultation can be completed online at Hard copies of the questionnaire will be available at Hubs, GP surgeries and Libraries and can be returned by freepost 8

Older People’s Recovery services These services aim to return older people to independence after episodes of ill-health – they are provided free for up to six weeks We will have less funding available and will need to save this for those services that we can be confident will reduce the need and costs for adult social care The Promoting Independence service may be cost saving, whilst the Resource Centres seems to result in net costs We will talk to the NHS about alternative sources of funding including the Integration Transformation Fund We will explore future service models and how these can be integrated across health and social care Options for future delivery include on going in-house provision, social enterprise, an independent trading company and/or transfer to the NHS 9

New Models of Care – case management 10 The number of referrals, assessments and reviews is expected to rise due to the ageing population and the Care Bill We will not be able to do all of them in person We are looking to develop a 'tiered' process under which some assessments are carried out as self-assessments, some by telephone, and with professional social workers reserved for the most complex cases The process would include the needs and financial elements of the assessment and link to the systems to set up and monitor independent personal budgets and direct payments Online systems would need to guard against over or under assessment and fraud We are considering a similar model for reviews

New Models of Care – extending personalisation 11 We are committed to allowing service users control over their care Currently 25% of service users take a direct payment. We would like this number to be higher, and for all personal budgets to act like direct payments so that services users and carers can think creatively about how to meet their needs This will mean reviewing our internal processes to ensure that they promote choice A new method of making direct Payments through Direct Payment Accounts is being developed and should be in place by April 2014

New Models of Care – developing the market 12 We want to make sure that there are a range of services available for service users and carers to choose from We will work with service users / carers to understand their preferences - and with existing and potential providers to encourage them to flourish and to enter the market Support for voluntary sector organisations is available through the Changing Futures Fund We are also thinking about developing a ‘Social Care e- Marketplace’ where people can find and buy services - it would provide information about the quality and cost of services to help service users or their advocates make choices about their care We will need to consider the future of in-house provider services - options include transfer to the NHS, social enterprise, an independent trading company, in-house

New Models of Care – Safeguarding 13 Expectations around Safeguarding and quality are higher than ever We will review adult safeguarding processes and procedures We will strengthen quality assurance of commissioned services - this will be particularly important as we develop the market for adult social care We will need to strike a balanced approach that ensures the quality of services without stifling innovation We will review the adult protection process We will review the Worcestershire Safeguarding Adults Board

Contact Future Lives There are various ways to get in touch with us about your views: Website: address: Twitter: #futurelives 14

Future Lives Pathways to Independence Key Messages November 2013