Putting People First – where to next? Mona Sehgal – National Adviser Adult Social Care 7 April 2008

The context demographics by 2022, 20% English population will be over 65 by 2027, number of 85 year olds up by 60% health inequalities improving generally but gap widening increasing levels of obesity eligibility criteria – 73% councils anticipate operating at “substantial” or “critical” in 2007/8 workforce – from 2006 to 2020, need 25% more staff working with older people efficiency savings – 3% per year

Putting People First concordat December 2007 – a “landmark protocol” DH circular January 2008 “The time has now come to build on best practice and replace paternalistic, reactive care of variable quality with a mainstream system focused on prevention, early intervention, enablement, and high quality personally tailored services.” “The direction is clear: to make personalisation, including a strategic shift towards early intervention and prevention, the cornerstone of public services. In social care, this means every person across the spectrum of need, having choice and control over the shape of his or her support, in the most appropriate setting.”

Putting People First significant progress expected by March 2011 transformation of adult social care: prevention early intervention and re-enablement personalisation information, advice and advocacy principle of self-directed support Social Care Reform Grant

Implications of Putting People First adult social care to take a leadership role within local authorities, across public services and in local communities Joint Strategic Needs Assessments commissioning role of the Third Sector resources regional Improvement and Efficiency strategies and Joint Improvement Partnerships

What will it look like? For users personal budgets for everyone different and innovative types of support being purchased greater diversity of providers For local authorities social workers spending less time on assessment and gate keeping, and more time on support, brokerage and advocacy self-assessment questionnaire and resource allocation system

The challenges managing change and shifting culture creative use of existing resources beyond care budgets arguing the case for prevention information, advice and advocacy commissioning for personalised services, for prevention, for the whole population development of the market the Local Area Agreement

Local Area Agreements – the top year olds not in education, training or employment (117) under 18 conception rate (103) number of affordable homes delivered (gross) (99) obesity among primary school age children in year 6 (97) per capita CO2 emissions in the LA area (95) working age population qualified to level 2 or higher (92) serious acquisitive crime rate (90) % of people who believe people from different backgrounds get on well together in their area (87) 16+ current smoking rate prevalence (87) % of people who feel they can influence decisions in their locality (82) net additional homes provided (81) alcohol harm related hospital admission rates (78) age all-cause mortality (78) all-adult participation in sport (76) re-offending rate of prolific and priority offenders (76) repeat incidents of domestic violence (75) young people’s participation in positive activities (75) social care clients receiving self-directed support (72) carers receiving needs assessment or review (72) VAT registration rate (71)

Next steps Putting People First programme board is being set up Sector led consortium (IDeA, LGA, ADASS), and new post Building on the work of the POPP projects, the LinkAge Plus pilots, Individual Budget pilots, In Control, and the DH efficiency and personalisation programmes Work of the Regional Improvement and Efficiency Partnerships and the Joint Improvement Partnerships Funding – local authority level, regional level, national level Member engagement – through LGA/IDeA networks

IDeA support regional networks for lead members with the adult social care portfolio, health portfolio as well as Chairs of Overview and Scrutiny national network for lead members – next meeting to be held in the summer, then at the October conference ‘Must Knows’ for lead members outcomes based accountability beacons work in individual authorities Making Ends Meet toolkit – next year – adults scrutiny toolkit, induction support healthy communities programme

Further information Mona Sehgal National Adviser Adult Social Care Tel: