1. Introduction
Number of people who might need adult social care is expected to rise significantly
National budget reductions means finding new ways of working
Our focus is to promote, maintain and enhance people’s independence

2. Key design principles

3. Our strategic approach

4. Prevent Need How it works now:
People don’t know how to find the information they want
People rely upon formal services for support
In four years’ time:
Information and advice will be co-ordinated and easily accessible
People will be better informed about maintaining their own and their family’s health and wellbeing, and identify what they can do for themselves and each other
People will think about the future and plan ahead in case they need support

5. Prevent Need Our Strategy Better Adult Social Care
Joint Health and Wellbeing Strategy
Managing the shift to early intervention and prevention
How we measure success
How many new requests for support result in a preventative service?
How many service users and carers find it easy to access information?

6. Reduce Need How it works now:
We have low expectations of what people can do for themselves
We don’t actively identify people who are at risk of losing their independence
In four years’ time:
We will identify people who may be at risk
We will have good information about current and predicted situation
We will maximise what’s in the community
We will develop the support available in the community
Carers will be aware of and will access support available, early in their caring role

7. Reduce Need Our Strategy Better Adult Social Care
Joint Health and Wellbeing Strategy
Supporting the ageing population
Improving services for people with learning disabilities
How we measure success
How many new requests for support result in reduced need?
How many service users and carers have had as much social contact as they would like?
How many people with learning disabilities are in settled accommodation and/or employment?

8. Delay Need How it works now:
The focus is upon people’s disabilities or those things they find difficult
Services are commissioned to maintain people at the same level of need
We do not have good information about which interventions can reduce need
In four years’ time:
We will focus upon what people can do for themselves, and enable people to be as independent as possible
The proportion of people needing long term support will be reduced
People and communities will be supported to help themselves
There will be effective recovery, rehabilitation and reablement services
We will have good communication with staff - who understand what we are trying to do and work towards this
We will have an integrated transitions service
There will be more joined up services across health and social care

9. Delay Need Our Strategy
Integrating Health and Social Care – Better Care Fund
Joint Health and Wellbeing Strategy
Supporting the ageing population
How we measure and monitor success –
How many new requests for support result in delayed need?
How many people had no need for ongoing services following reablement?
How many people are living at home 91 days after hospital discharge and reablement?
How many people are admitted to permanent care facilities?
How many people are delayed from being transferred from hospital because of adult social care?

10. Meet Need How it works now:
Community and individual resources that can support people are not fully explored
People have expectations that care will be funded through the council
Services are ongoing regardless of people getting better or worse
In some cases services may create reliance rather than promote independence, and avoid rather than manage risk
In four years’ time:
We will provide support to meet people’s needs where families and communities cannot
Care will be focused on the person and be cost effective
People will be supported with less funding from the council
We will effectively manage demand within budget

11. Meet Need Our Strategy Better adult social care
Joint Health and Wellbeing Strategy
Supporting the ageing population
How we measure and monitor success –
How many new requests for support result in needs being met?
How many adults and carers aged 18+ are receiving self-directed support and direct payments
How many service users say the service makes them feel safe?
How many safeguarding enquiries are substantiated or partly substantiated?