1. Putting People First – SW region update Feb 2010

2. Putting People First Re-enablement Early intervention Joint working with health Self directed support Personal budgets Neighbourhoods Volunteers User led groups Housing Leisure, libraries etc Transport Information,advice and brokerage Personalised and flexible services

3. PPF - Key components for success Leadership and good governance Whole system approach with commitment across the council and with key partners Commitment to culture change – empowerment, choice, personalisation Involvement of people who use services Sound programme management for transformation with clear outcomes and targets Willingness to shift resources towards preventative services and more flexible and personalised approaches

4. ADASS Milestones In order to support the process of change ADASS and LGA have worked in partnership with DH and other key stakeholders ( including the CQC) to establish a set of milestones against which we can judge progress. March 2010, Oct 2010 March 2011

5. ADASS Milestones 1.Effective partnerships with people using services, carers and other local citizens 2.Self directed support and personal budgets – includes NI 130 3.Prevention and cost effective services 4.Information and advice 5. Local commissioning

6. Effective partnerships with people using services, carers and other local citizens LAs have service users on their Boards or in a reference group Planning is being undertaken with some users ( involving older people is a challenge) Evidence of co-production 7 ULO hubs established across the region to build capacity in ULOs Users acting as ambassadors and trainers in some LAs More work needed on wider engagement with local citizens

7. Self directed support (SDS) and personal budgets (PBs) Self directed support – good practice in some LAs but needs to be mainstreamed to deliver real choice and control to all Wider involvement of families and other agencies in support planning to offer choice Regional work planned in MH services Links with Valuing People Now Delivery of PBs- all LAs working on a resource allocation (RAS). Most LAs will provide PBs to all new users by Oct. Regional support programme

8. Prevention and cost effective services Prevention – most LAs have developed or are developing re-ablement services Some good work on telecare Integrated approaches - more work needed to deliver efficiencies across the health and social care sectors. Most challenging area - DH regional team lead supporting LAs on this.

9. Information and advice Several LAs already operate a customer service centre. Good examples of community based information – Village Agents Joint regional work on information databases and online market place Need to ensure consistent, quality information across an area More help to navigate the system – especially for self funders Better communication with the wider public needed

10. Commissioning local services Many LAs working well with providers but more flexible services required Mapping and shaping the market to take account of choice is a challenging area Evidence of co-production with users and carers DPs increasing so need to shift balance of investment Social capital – more work needed to develop community networks

11. Underpinning requirements Workforce – regional support programme has started to develop workforce strategies Sustainability – working regionally to develop models for forecasting budget impacts of PPF Support to LAs to develop and evaluate their operating model for PPF

12. Key Issues The 5 Cs Capacity Confidence Costs Culture Communication

13. Challenges in the SW Higher proportion of people over 65 than any other region in the country ( 21.8%) The SW region has a higher proportion of its pop. in rural areas than any other region LAs in SW are spending a higher % on residential and nursing care than other regions SW has a relatively affluent population with large numbers of homeowners and self funders but with significant pockets of deprivation Budget deficits and cost pressures

14. Sources of Support to LAs Social Care Reform Grant Joint Improvement Partnership ( JIP) programmes and co- ordinator DH Regional Team Nat PPF programme, SCIE, IDeA In Control Focus of JIP Programme for forthcoming year Support to achieve Milestones particularly - PBs, Prevention, Commissioning Sustainability / efficiencies Workforce

15. Contacts Pam Richards pam_richards@bathnes.gov.uk SW PPF webpage http://www.dhcarenetworks.org.uk/Personalis ation/Regions/SouthWest/