Transcript Supporting People

Primary Care Trusts
Hellen Daley
Health and Social Care Co-ordinator, ODPM
[email protected]
Role of health co-ordinators
 Sign up to shadow strategy
– 170 PCT’s North
– 102 PCT’s South
– Client
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re-assess engagement
Conferences
Strategic Health Authorities
Client groups
Role of NHS Co-ordinators
 Two co-ordinators - north/south
 Nationally with the Department of Health on policy
 Nationally and regionally with policy implementation
bodies
 Strategic Health Authorities
 Attending Regional Lead Officer Meetings
 Information pack
 Kweb section for Health and Social Services
 Health Pilots and Positive Practice sites.
What helps build the links
 £97,301,905
 GOWM region
 Coventry & Warks SHA. £38,120,856
 Birmingham & Black Co. £47,287,403
 Staffordshire SHA
£11,893,646
NHS Plan
 Reducing waiting times and delays throughout the
system
 Reduce delayed discharge and expand capacity in
older people’s services
 Promoting independence in old age
 Improved whole systems working including
improved partnership working
 Increased Choice
Supporting People
 1.
A key policy aim of Supporting People is to
promote greater independence for its clients and to
improve their quality of life. The Supporting People
programme is designed to work alongside, not
replace,
services
provided
by
housing
management, the probation service, social services
care and the health service.
Priorities and Planning Framework 20032006
• Improved access to care
• More choice
• Improving services and outcomes in:
mental health
Older people
• Reducing health inequalities
• Contributing to the cross -government drive to reduce
drug misuse.
Targets attached .
• Building capacity.
Benefits of SP.
 1.
It is expected that the benefits of Supporting People
services in terms of improved client outcomes and related cost
savings will vary according to client group but potential
examples include:
  fewer hospital admissions;
  shorter hospital stays;
  reduced need for residential care and consequent costs
savings to health services;
  fewer failed tenancies and/or repeat homelessness
applications, and related costs savings to local housing
authorities;
  reduction in reconviction rates for offenders leaving prison
and those subject to probation service supervision in the
community;
 an increase in successful outcomes for drug and alcohol
treatment services
Local Delivery Plans
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Identifying national and local priorities.
Identifying key targets for delivery.
Agreeing capacity.
SHAs will bring together PCT plans into LDP
monthly/quarterly/annual milestones
“live” document
Older Peoples NSF
 Key group - 40% of NHS budget spent on over 65s
1998/99. Two thirds in general and acute beds over
65
 NSF standard 2 - person centred care - calls for
independence, choice and integrated
commissioning and delivery
 NSF standard 3 - prevent unnecessary acute
admissions. Support timely discharge
 NSF standards 5 &6 strokes and falls - minimise
loss of independence, manage consequences,
access suitable accommodation
Older People - Priorities and Planning Framework
2003-2006
PSA Objective:
‘Improve the quality of life and independence of
older people so that they can live at home wherever
possible ,by increasing by March 2006 the number
of those supported intensively to live at home to
30% of the total being supported by social services
at home or in residential care.’
Delayed transfers of care reduce to a minimal level by
2006.
Birmingham…. Policy in practice
 Survey of local and national strategies and plans for
all partners
 Identified key targets
 Ensured S.P. strategy is formally part of the
Community Plan
 Agreed COLLECTIVELY how the partnership would
meet targets, in view of supply and needs data.
Birmingham… Delivery
 Older People
 Fundamental review of services for older people –
revision of council strategy for sheltered & extra
care housin.
 A jointly agreed model of extra care sheltered
housing to ensure a valid alternative to care home
admission
 Joint commissioning strategy for extra care
sheltered housing under development
Leicestershire….
Innovation
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Proposed developments for innovative services
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 Leicestershire Supporting People is keen to see the
development of innovative services that will better address the
needs of the county. At the present time the following areas
have been identified:
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 Floating support in rural areas: the development of models of
floating support that are suitable for use in sparsely populated
rural areas
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 Community based very sheltered (extra care) housing: models
for very sheltered housing that use it as a community facility
as well as a supported housing scheme
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 Partnership approaches: e.g. district authorities working
together to jointly deliver support to Teenage Parents
Mental Health NSF
 Care pathways - delayed discharge
 Balance of hospital,staffed and supported - ‘A
shortage of provision at any point will result in
pressures in other areas’
 Supports early contact with specialist service reducing emergency admissions
 Supports - Assertive Outreach ,Crisis Resolution,
Home Treatment, Early Intervention,Primary Care
workers.
 Building independence and skills
 Helps manage condition, motivates and encourages
to use other support
Wolverhampton
 Mental Health
 BME Mental Health Strategy provided by Health Partners
 Identified a need for short term respite accommodation &
additional floating support.
 DELIVERY
 -.. 7 units of supported accommodation & single referral
system
 9 units for asian women with mental health needs + planning
for a further 70 units of accommodation
Herefordshire…. delivery
 Supported Housing and Recovery Project (SHARP).
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 Housing Services Division has enabled this project to come
on-line by making a three-bedroom property available to
SHARP on a rent-free basis. This property is being used to
provide a safe and stable environment for people with
enduring mental illness. People making use of the project will
be central in determining their needs, setting their recovery
goals and ensuring that they move forward at their own pace.
The Recovery model of support for mental health service
users is at the forefront of user led services, and should be the
working model for further supported tenancies in
Herefordshire, ultimately focusing on the user’s own choice of
home across all tenures, rather than a transitional shared
home.
Substance Misuse
 Targets to reduce drug related deaths and increase
numbers in treatment
 Role in helping manage addiction, support and
encourage
 PSA/Priorities and Planning Framework 2003-2006:
Increase the participation of problem drug users in
drug treatment by 55% by 2004 and by 100% by
2008, and increase year on year the proportion of
users successfully sustaining or completing
treatment programmes.
Herefordshire.. Policy in Practice
 Supporting People…
 …opportunity to develop services for those
vulnerable groups traditionally outside of the remit
of social care services….. It was anopportunity look
at preventative services in order to avoid greater
costs …. In the future
Herefordshire….
 A process to ensure a unified response from Social
Care, Housing and health to drug related, housing
issues.
 ..a recognition that housing and housing support is
key to stabilising and keeping people off drugs.
 Project proposal for a supported housing drug
project – CDRP, DAT, Health, CAD, Council and
Probation
What Helps Build the Links
 Existing good partnership and integrated working between
Health and Social Services
 Understanding of different organisational culture
 Joint/lead commissioning
 Moving managers across agencies
 Focus on whole systems
 Preventative agendas
 Supporting People linked into health strategic groups e.g, NSF
LITs
 Local work on care pathways
 Use the data base provided to encourage discussion with your
SHA. The picture can look very different from a regional
perspective
What helps build the links
 £97,301,905
 GOWM region
 Coventry & Warks SHA. £38,120,856
 Birmingham & Black Co. £47,287,403
 Staffordshire SHA
£11,893,646
Benefits for PCTs of SP
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Co-ordination of services - avoiding gaps and duplication
Strategic overview - linking and integrating policies
Promoting independence and choice
Care pathways - gaps in service impact on whole system creates delays
 Reducing delayed discharge from hospital
 Vital role alongside other support - helping its effectiveness
 Alternatively 40% of the previous
Thank you all for your patience..
I hope it was helpful for you…
My contact details are:
[email protected]
tel: 07766 368852