Housing Related Support for Older People
Provider Meeting Agenda
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Time
9.30
9.45
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10.05
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10.30
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Break
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11.15
Mapping Information
» Feedback/summary of current provision
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11.35
Discussion points:
» What outcomes should future services focus on?
» Comments on service models?
» Dependencies, risks and ways forward
» Understanding services costs
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12.00
Information for service users
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12.15
Q&A
Subject
Introductions
Strategic Overview:
» Strategic review of older people’s housing related support services
» Assistive technology
Service models and co-dependencies:
» Support
» Alarm
» Response
Procurement Timetable
Housing related support
for older people
Strategic review – March
2011
Tracey Montgomery
Key Drivers
•Personalisation
•Increase in number of older people
•Flexibility of service options
•Promoting independence
•Value for money
•Prevention and early intervention
Review outcomes:
what do we need in the future?
•Efficient and cost effective service
•Models to meet growing and changing demand:
– Flexibility
– Range of options
– Outcome focused
•Optimise the use of technology
•Services based on need and not tenure
•Equitable distribution of services across the County
•Covering all older people, including BME communities and
people with dementia
Review outcomes: recommendations
•Recommendation 1
•Commission a combination of accommodation based
services and floating support services on a hub and
spoke service delivery model, offering a menu of
services
•Recommendation 3
•Commission one countywide community alarm and
telecare/assistive technology call centre
• Recommendation 5
• Explore how personal budgets can be introduced to
housing related support
• Recommendation 6
• promote access to training for support workers on
dementia
• Recommendation 7
• Improve information and access to services and their
quality
Assisted Technology
David Stanton
Leicestershire’s Assistive Technology
Strategy:
In 2010 the authority and NHS Leicestershire and
Rutland agreed The Assistive Technology; a
strategy to promote, integrate and implement
Telecare in Leicestershire (2010) as a cost-effective
method of meeting the care and health needs of
Leicestershire’s growing population of older and
disabled people.
Leicestershire Assistive Technology
Strategy
• Assistive technology helps people maintain
their independence by enabling them to
remain at home and also reduces the need for
people to receive ongoing social care funded
support, ensuring that longer term services are
targeted at people with higher support needs.
• The Medium Term Financial Strategy (MTFS)
2010/11 to 2013/14 sets out efficiency targets
to be achieved against this investment.
Leicestershire Assistive Technology
Strategy
• The MTFS 2011/12–2014/15 sets out that the
Department will increase the number of
service users helped to live at home through
the use of assistive technology in order to
enable people to live more independently for
longer and reduce the costs of care and
support.
The Vision
To mainstream the use of Telecare in
Leicestershire for :
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Short term Reablement & Assessment
Preventative services
Ongoing Social Care Support
A single countywide Community Alarm
Telecare service
Assistive Technology Team
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A specialist project team to support the
assessment for and provision of-
• Stand Alone Technology
• Integrated Community alarm and Telecare
Solutions
Phase One
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Procurement of a Countywide Community
Alarm telecare service:
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Short term contract
Monitoring and Responder service
Service shaping
Social Care Reablement
Phase One
• Features of the service:
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Rapid response
Integration with Social Care Reablement
Installation and Configuration
Countywide responder service
The Benefits
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Privacy and dignity
Independence
Positive risk taking
Choice and Control
Ongoing support
Community Alarms – Phase 2
Carol Stanyard
Vision
• Reduce from the current 5 call centres to 1 call
centre
• Call centre can be based anywhere in the
country
• Approximate transfer of 10,000 connections
• This will include dispersed alarms and those in
sheltered schemes
Vision
• It is the intention to separate out the responder
service from the alarm monitoring service
• Proposed transition of connections will be over
a 6 month period, October 2012 to April 2013
• The challenge will be to transfer information
about 10,000 connections and update any
changes prior to contract start date.
Housing Related Support.
Sharon Aiken
Vision
• One contract per area based on District and
Borough boundaries.
• More flexible model of support, reaching more
older people who need housing support to
maintain their independence.
• Hub and spoke and more floating support
• Outcome based specification
To make this happen
• Transitional period within contract.
• Contract 3 years +1+1
to enable;
• Outcomes to be met fully
• Eg Move to support people within the wider
community who need support.
• To only providing people with support who
have been assessed as needing it.
The challenge
• Use existing funds more effectively and
efficiently.
• To link this support to ASC prevention agenda
and alarm and response service.
• To consider contributions made by tenants.
• To support tenants to manage any changes
they maybe concerned about
Timetable
• Previous contract start date was the 1.1.13 proposed
that this will now be put back to the 1st April 2013
• Draft timescale for tender as follows;
April 2012
• Explore opportunities for collaboratively
commissioning additional requirements with District
Councils, e.g. co-dependencies such as out of hours
housing repairs, CCTV
Timetable
• Adverts approved and published by ESPO.
Tender sent out to bidders in May 2012.
• Deadline for receipt of tenders by mid July
2012
• Evaluation of the bids mid July to mid August
2012
• Presentations or clarification meetings with
bidders if necessary end of August 2012
Timetable
• Finalise Contract Award mid to end of
September 2012
• Transition period October 2012 – end of
March 2012
Mapping- key Points
•Alarm Equipment and System- Some fit for purpose
others not
•Various names for housing officers who go off site but
basically the same and this is predominantly based on
adjacent dispersed schemes e.g. bungalows.
•Some have a mobile response service others haven’t
•Some provide an alarm and call centre to Private
lifeline users, not part of procurement but might impact
• There has been a more evolutionary process since
these services have not been through a full open
tender.
• Services are predominantly based on sheltered
housing schemes and have
– Different staffing levels
– Different unit prices
– Different budgets per area.
• Mix of Sheltered Housing Providers,
– Based on district and council transfer of stock - 7
– Smaller providers – 12
Other data needed
Alarms dispersed and within schemes
• For tender
Equipment name
IT operating system
Numbers of hardwire and dispersed per provider.
(We have some info but incomplete)
.
• For transition
We need above and actual location, name and
address of user
Response
• To scope the service we need to understand
currently what type of calls are responded to and
how many per month/year.
Support
• Tenancy agreements – can be a requirement that
support is provided but shouldn’t specify the provider
Main Co dependencies
Alarms
• Some have add-ons like CCTV or out of hours
repairs reporting linked to call centre.
• We may be able to include this with this procurement
process
• Some providers also deliver Private alarm services
through existing call centres
Some Registered Housing Providers have sheltered
housing schemes in more than one area. See map.
As there is one support contract per area bidders will
need to consider how to cover all support per area
within their bids.
• We need to know if any landlords are not seeking
funding*.
• Information by the end of March*
Tenure within Leicestershire
People
People People People
aged 85
aged
aged
aged
and
55-64 65-74 75-84
over
Owned
88.99
84.27
74.24
66.49
Rented from council
6.08
10.19
16.71
19.45
Other social rented
Private rented or living
rent free
1.10
1.61
2.60
4.02
3.83
3.92
6.45
10.05
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housing related support for older people provider meeting agenda