Community Impact Assessment Form For a summary of this Community Impact Assessment, click here Title of Community Impact Assessment (CIA): Personalisation Framework Directorate: Service Area 2 (Community, Health and Social Care) Date of assessment: November 2013 Names and roles of people carrying out the community impact assessment. (Please identify Lead Officer): Jennifer McGovern – Assistant Director (Adult Services Commissioning) Deborah Siddique – Principal Officer (Commissioning) Section A – What are you impact assessing? (Indicate with an “x” which applies):A decision to review or change a service A strategy A policy or procedure A function, service or project x Are you impact assessing something that is?:New Existing Being reviewed Being reviewed as a result of budget constraints x 1 Describe the area you are impact assessing and, where appropriate, the changes you are proposing? The Commissioning cycle involves a continuous activity of assessing need, identifying provision, identifying gaps, specifying service requirements, identifying a budget, agreeing the contract, monitoring performance and reviewing the service. CHSC commission a range of services for vulnerable adults from Third Sector providers, including advocacy; advice and information; support for carers; support for people with dementia and other conditions such as stroke; hospital aftercare and support for people using Direct Payments. Other services, currently commissioned under block contract arrangements, include day care; breaks for carers. These services help people to live in the community and maintain their independence, preventing or delaying their need for specialist interventions. The health and social care services provided by these Third Sector organisations were reviewed in 2010/11 in response to the Comprehensive Spending Review, which necessitated efficiency savings equivalent to 8%. Whilst this meant that most organisations had to make adjustments to the way they carried out their services the actual level of services received by vulnerable adults was largely unaffected in 2011/12. However the continuing requirement for efficiencies meant that the level of service provision was further affected in 2012/13 when services were reconfigured and a procurement process was undertaken. A further 22% efficiency was required at this time. At the same time a number of organisations were deemed to be providing services that people would, in future, be able to purchase with their Personal Budget / Direct Payment. These organisations were given a two year extension to their block contract to facilitate the transition to this new market model. This impact assessment is considering services commissioned under Personalisation. The review established that there were a number of contracts in place which provided the type of service that could either be accessed by a personal budget or direct payment or a person could self fund if not eligible for support through Adult Social Care. It was confirmed with the sector in 2011 that commissioners intended to decommission these contracts by March 2014 and that those organisations could move to the Personalisation Framework in 2014. The contracts affected are: Age UK – Day Care Autistic Society – Carer Breaks & Autism Support Crossroads – Support for Carers Give Us A Break (BME Women) – Carers Support Group Manchester Jewish Community Care – Day Care Salford Link Project – Social Day Centre Swinton Worsley MENCAP – Community Activity Support for Learning Disabled Adults Wai Yin Chinese Women’s Society – Carers Support for Chinese Women 2 During the past two years Commissioners have provided the following support to ensure that there is minimal risk to organisations as a result of this change: (a) Workshops and 1:1 meetings to prepare the market for Personalisation (b) Make sure the organisations applied to be put on the Personalisation Framework (c) Work with the organisations to understand how many of their current service users are known to adult social care services and their eligibility for service under ‘Fair Access to Care’ (FACs) (d) Use the information gathered to calculate how much money could be transferred to the mainstream community care budget to fund each individual’s personal budget / direct payment The FACS budget efficiency proposal to cease providing services to people assessed as moderate has significant implications for this plan of action. A risk assessment process has been undertaken with each organisation. Section B – Is a Community Impact Assessment required (Screening)? Consider what you are impact assessing and mark “x” for all the statement(s) below which apply Service or policy that people use or which apply to people (this could include staff) Discretion is exercised or there is potential for people to experience different outcomes. For example, planning applications and whether applications are approved or not Concerns at local, regional or national level of discrimination/inequalities Major change, such as closure, reduction, removal or transfer Community, regeneration and planning strategies, organisational or directorate partnership strategies/plans Employment policy – where discretion is not exercised Employment policy – where discretion is exercised. For example, recruitment or disciplinary process X X X X X If none of the areas above apply to your proposals, you will not be required to undertake a full CIA. Please summarise below why a full CIA is not required and send this form to your directorate equality link officer. If you have identified one or more of the above areas, you should conduct a full CIA and complete this form. 3 Equality Areas Indicate with an “x” which equality areas are likely to be affected, positively or negatively, by the proposals Age X Religion and/or belief X Disability X Sexual Identity X Gender (including pregnancy and maternity) X People on a low income (socio-economic inequality) X Gender reassignment X X Race X Other (please state below) (For example carers, ex offenders) Carers If any of the equality areas above have been identified as being likely to be affected by the proposals, you will be required to undertake a CIA. You will need only to consider those areas which you have indicated are likely to be affected by the proposals 4 Section C – Monitoring information C1 Do you currently monitor by the following protected characteristics or equality areas? Age Yes (Y) or No (N) If no, please explain why and / or detail in the action plan at Section E how you will prioritise the gathering of this equality monitoring data. Y Please note that whilst the information is requested from providers it is not always available as individuals can refuse to give the information Disability Y Please note that whilst the information is requested from providers it is not always available as individuals can refuse to give the information Gender (including pregnancy and maternity) Y Please note that whilst the information is requested from providers it is not always available as individuals can refuse to give the information Gender Reassignment N We will add this to our equality monitoring section of the evaluation forms from 1st April 2014 Race Y Please note that whilst the information is requested from providers it is not always available as individuals can refuse to give the information Religion and/or belief Y Please note that whilst the information is requested from providers it is not always available as individuals can refuse to give the information Sexual Identity Y Please note that whilst the information is requested from providers it is not always available as individuals can refuse to give the information People on a low income (socio-economic inequality) Y Other (please state) (For example carers, ex offenders) Y We ask for employment status, not income level. It should also be noted that whilst the information is requested from providers it is not always available as individuals can refuse to give the information Please note that whilst the information is requested from providers it is not always available as individuals can refuse to give the information 5 Section C (continued) – Consultation C2 Are you intending to carry out consultation on your proposals? No If “no”, please explain your reason(s) why The provider organisations involved have been involved in the process at all stages and the views of stakeholders and service users was sought during the consultation process as part of the strategic review in 2011/12. No additional changes are being proposed so no further stakeholder / service user consultation has been undertaken by the City Council. However during the on-going involvement and support undertaken with providers it has been made clear that they need to maintain dialogue with their service users. In relation to Salford Link Project the City Council provided a questionnaire for them to use with their service users. All organisations, through their meetings with commissioners, have suggested that they will be carrying on their service in one form or another. In addition the FACS proposal, which has obviously been the major driver to the reductions in funding, was fully consulted on. If “yes”, please give details of your consultation exercise and results below 6 Section C (continued) – Analysis C3 What information has been analysed to inform the content of this CIA? What were the findings? Mid-Year Census data; 2011 Census data; Government data; Service User data from providers; Service Provider Contract Monitoring / Evaluation Forms. All the information used is existing information. Please include details of, for example, service or employee monitoring information, consultation findings, any national or local research, customer feedback, inspection reports, and any other information which will inform your CIA. Older People The information tells us that there are approximately 33,100 people over the age of 65 in Salford (14.1%) of the population. This is expected to rise to 15.2% by 2030. It is predicted that 35.8% (11,893) of people over 65 live alone, 10.7% (3,581) are carers and 32.4% (10,780) are unable to manage at least one self-care activity on their own. In 2008 there were 14,400 (43.2%) men and 18,900 (56.8%) women over the age of 65 in Salford. Disabled People The majority of people with a Learning Disability are in the 18 – 64 age range. Please specify whether this was existing Studies have shown that 0.35 – 0.46% of the population will have a moderate to profound information or was specifically in relation learning disability and be likely to use services of some kind. It is expected that due to to this equality analysis and CIA process medical and health care advances this is likely to increase by 14% by 2021 and that the majority of growth will be in the 65+ age group. This means that in Salford we can expect there to be between 751 and 987 individuals with a moderate to profound learning disability. There were 14,999 people on the Chronically Sick and Disabled Persons Register in June 2008 and 18.5% of these were under 65. 1,034 are registered with a hearing loss, 220 are profoundly deaf, 989 are registered blind and 1,055 are partially sighted; 175 people are deaf and blind. The prevalence of disability in those aged 55 – 74 is slightly higher for men than women, but in those aged 75+ more women than men have serious disabilities. Therefore more women access these services. 25,709 people (11%) of the population are very limited in being able to carry out day to day activities and 17,710 (7.6%) describe their health as bad or very bad. Gender In 2008 there were 14,400 (43.2%) men and 56.8% women over the age of 65 in Salford. Women generally live longer than men and it is the very elderly that are more likely to need 7 services. Gender Reassignment The Gender Identity Research and Education Society estimates that the prevalence of gender dysphoria is 20 per 100,000 population. This would equate to 43 in Salford. This is an area of growing demand for medical treatment (doubles every 5 years). Race The 2001 census showed that the older BME population in Salford was very small – 72 people; although this does not include the Jewish population. It is known that the BME population has grown since 2001 and according to the 2007 ONS population estimate 7.98% of the population in Salford is from a BME community. The 2011 census shows that the BME population is now 23,264 (9.9%) but this does not include the Jewish community. Religion The 2001 census indicated that 76.46% of the population in Salford was Christian, 2.4% Jewish, 1.22% Muslim. It is known that these figures have changed – for example it is believed that the Jewish population is now 5.5%. Sexual Identity Information on sexual identity was not collected in the 2001 census but the Government figure is that 5.7% of the population is lesbian, gay or bisexual. Most services for disabled people are targeted at heterosexuals. People on Low Income (Socio-economic Inequality) All service users have access to welfare benefits checks through the providers and will either be pensioners or people who are not working due to their condition (cancer, stroke, early onset dementia). Older people, disabled people and carers, particularly those living on a state pension or other benefits, experience higher levels of deprivation as they become frailer and need services due to other conditions. Health inequalities are also closely linked with levels of deprivation. Carers It is estimated that there are 20,000+ carers in Salford of whom approximately 3,500 receive a service through Community, Health and Social Care Directorate. Whist some carers will manage to work as well as undertake their caring role many do not – 14% of carers provide 20 -49 hours of care each week and 24% provide over 50 hours. 8 Health inequalities are also closely linked with levels of deprivation and carers often have additional health problems – 15% describe themselves as not being in good health. Section D – Potential impacts and how these will be addressed Could your proposals have a Yes (Y) differential impact relating to age equality Are your proposals discriminatory on the grounds of age? Will people within certain age ranges not be getting the outcome they need? Will people within certain age ranges be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Will the proposals mean that people within certain age ranges will experience positive outcomes? Highlight any positive impacts N Impact: The nature of the services provided by Age UK, Manchester Jewish Community Care and Salford Link Project means that they are targeted at Older People, although some people, age 50+ will use the services due to issues affecting their health or mobility. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 121 older people use the services of the provider organisations; of these 45 have been assessed as having Substantial or Critical needs under the FACS criteria and will be able to continue using the services with their indicative budget should they wish to do so; 44 are funding their services independently (i.e. they have not requested an assessment of their needs); 26 have been assessed as Moderate and 6 have not been assessed and are currently receiving services under the block contract arrangement. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed. These individuals will not be funded if their level of need remains Moderate and as such may stop using services. This means that up to 32 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations Y Action to reduce impact: Provider organisations have had regular meetings and workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; 9 individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This will be enhanced by older people, who no longer qualify for Adult Social Care Services but access universal services within their community, being more connected to the wider community in their local area. Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a differential impact relating to disability equality Are your proposals discriminatory on the grounds of disability? Will people with disabilities not be getting the outcome they need? Will people with disabilities be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? Yes (Y) Will the proposals mean that people with disabilities will experience positive outcomes? Highlight any positive impacts Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Impact: The nature of the services provided by the Autistic Society, Swinton Worsley MENCAP, Crossroads and Salford Link Project means that they are targeted at Disabled People. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 198 disabled people use the services of the provider organisations; of these 54 have been assessed as having Substantial or Critical needs under the FACS criteria and will be able to continue using the services with their indicative budget should they wish to do so; 87 have been assessed as Moderate and 57 have not been assessed and are currently receiving services under the block contract arrangement. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed. These individuals will not be funded if their level of need remains Moderate and as such may stop using services. This means that up to 57 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. N Y Action to reduce impact: Provider organisations have had regular meetings and 10 characteristic and those who do not? Identify areas where there is potential to foster good relations workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This will be enhanced by disabled people, who no longer qualify for Adult Social Care Services but access universal services within their community, being more connected to the wider community in their local area. Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a Yes (Y) differential impact relating to gender equality (this includes pregnancy and maternity) Are your proposals discriminatory on the grounds of gender? Will men or women, boys or girls not be getting the outcome they need? Will men or women, boys or girls be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Will the proposals mean that men or women, boys or girls will experience positive outcomes? Highlight any positive impacts N Impact: The nature of the services provided by Age UK, the Autistic Society, Crossroads, Manchester Jewish Community Care, Salford Link Project are accessible to both men and women, however the fact that women generally live longer than men means that more women use the services, with the exception of the Autistic Society which has more men using the service due to the prevalence of Autistic Spectrum Disorders in the male population. Give Us A Break (BME Women) and Wai Yin Chinese Women’s Society are services specifically targeted at women. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 349 people use the services of the provider organisations, of which 122 are men and 227 are women; of these 100 have been assessed as having Substantial or Critical needs under the FACS criteria and will be able to continue using the services with their indicative budget should they wish to do so; 98 have been assessed as Moderate and 151 have not been assessed of whom 107 and are currently receiving services under the block contract arrangement and 44 are self- 11 Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations funders. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed. These individuals will not be funded if their level of need remains Moderate and as such may stop using services. This means that up to 215 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. Y Action to reduce impact: Provider organisations have had regular meetings and workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This will be enhanced by people, who no longer qualify for Adult Social Care Services but access universal services within their community, being more connected to the wider community in their local area. Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a differential impact relating to equality for people planning, undergoing or who have undergone gender reassignment? Are your proposals discriminatory for people planning, undergoing or who have undergone gender reassignment? Will people planning, undergoing or who have undergone gender reassignment not be getting the outcome they need? Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Impact: The nature of the services provided by Age UK, the Autistic Society, Crossroads, Manchester Jewish Community Care, Salford Link Project are accessible to both men and women. Give Us A Break (BME Women) and Wai Yin Chinese Women’s Society are services specifically targeted at women. 349 people use the services of the provider organisations, of which 122 12 Will people planning, undergoing or who have undergone gender reassignment be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? are men and 227 are women. However as gender reassignment is not recorded it is not known if any of these individuals have undergone or are planning to undergo gender reassignment. For those that are funded there will potentially be a wider choice of services available. Action to reduce impact: Gender reassignment will be added to the contract monitoring documentation from April 2014. Will the proposals mean that people planning, undergoing or who have undergone gender reassignment will experience positive outcomes? Highlight any positive impacts Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations N Community Cohesion: This will be enhanced by people, who no longer qualify for Adult Social Care Services but access universal services within their community, being more connected to the wider community in their local area. Y Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a differential impact relating to race equality Are your proposals discriminatory on the grounds of race? Will people within certain racial groups not be getting the outcome they need? Will people within certain racial groups be disadvantaged as a result of your proposals? Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Impact: The nature of the services provided by Give Us A Break (BME Women), Manchester Jewish Community Care, Salford Link Project and Wai Yin Chinese Women’s Society means that they are specifically targeted at BME communities and are culturally sensitive to the needs of their communities. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 124 people from BME communities use the services of these providers of which 3 have been assessed as having Substantial or Critical needs under the FACS 13 If the impact is negative, how will it be reduced or eliminated? Will the proposals mean that people within certain racial groups will experience positive outcomes? Highlight any positive impacts N Y Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations criteria and will be able to continue using the services with their indicative budget should they wish to do so; 8 have been assessed as Moderate and will be reassessed; 69 have not been assessed and are currently receiving services under the block contract arrangement and 44 are self-funders. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed and those who have not been assessed will be assessed if they request an assessment. These individuals will not be funded if their level of need is Moderate and as such may stop using services. This means that up to 77 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. For those that are funded there will potentially be a wider choice of services available. Action to reduce impact: Provider organisations have had regular meetings and workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This may be enhanced by service providers diversifying their service provision to the wider community and by people from BME communities, who no longer qualify for Adult Social Care Services, accessing universal services and being more connected to the wider community in their local area. Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a differential impact relating to religion or belief equality Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? 14 Are your proposals discriminatory on the grounds of religion or belief? Will people of certain religions or who have particular beliefs not be getting the outcome they need? Will people of certain religions or who have particular beliefs be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? N Will the proposals mean that people of certain religions or who have particular beliefs will experience positive outcomes? Highlight any positive impacts N Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations Y Impact: The nature of the services provided by Give Us A Break (BME Women), Manchester Jewish Community Care, Salford Link Project and Wai Yin Chinese Women’s Society means that they are specifically targeted at BME communities and are sensitive to the religious needs of their communities. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 124 people from BME communities use the services of these providers of which 3 have been assessed as having Substantial or Critical needs under the FACS criteria and will be able to continue using the services with their indicative budget should they wish to do so; 8 have been assessed as Moderate and will be reassessed; 69 have not been assessed and are currently receiving services under the block contract arrangement and 44 are self-funders. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed and those who have not been assessed will be assessed if they request an assessment. These individuals will not be funded if their level of need is Moderate and as such may stop using services. This means that up to 77 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. Action to reduce impact: Provider organisations have had regular meetings and workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This may be enhanced by service providers diversifying their service provision to the wider community and by people from different religious communities, who no longer qualify for Adult Social Care Services, accessing universal services and being more connected to the wider community in 15 their local area. Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a differential impact relating to sexual identity equality Are your proposals discriminatory on the grounds of sexual identity? Will gay, lesbian and/or bisexual people not be getting the outcome they need? Will gay, lesbian and/or bisexual people be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? Yes (Y) Will the proposals mean that gay, lesbian and/or bi-sexual people will experience positive outcomes? Highlight any positive impacts Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Impact: The services provided by Age UK, the Autistic Society, Crossroads, Give Us A Break (BME Women), Manchester Jewish Community Care, Salford Link Project, Swinton Worsley Mencap and Wai Yin Chinese Women’s Society are expected to be accessible to individuals who are gay, lesbian and / or bi-sexual. However, although the data is included in the service monitoring there is very little information available on the sexual identity of service users. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 349 people use the services of the provider organisations of which 122 are men and 227 are women; of these 100 have been assessed as having Substantial or Critical needs under the FACS criteria and will be able to continue using the services with their indicative budget should they wish to do so; 98 have been assessed as Moderate and 151 have not been assessed of whom 107 and are currently receiving services under the block contract arrangement and 44 are selffunders. Although it is not known if any of these individuals are gay, lesbian and / or bi-sexual the assessment process should not disadvantage them. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed. These individuals will not be funded if their level of need remains Moderate and as such may stop using services. This means that up to 215 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. N Y Action to reduce impact: Provider organisations have had regular meetings and workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; 16 existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This could be enhanced by people, who no longer qualify for Adult Social Care Services but access universal services within their community, being more connected to the wider community in their local area. Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a differential impact on socio economic equality (people on a low income)? Are your proposals discriminatory on the grounds of socio economic inequality? Will people on a low income not be getting the outcome they need? Will people on a low income be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? Yes (Y) Will the proposals mean that people on a low income will experience positive outcomes? Highlight any positive impacts Are the proposals likely to impact on community cohesion? No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Impact: The services provided by Age UK, the Autistic Society, Crossroads, Give Us A Break (BME Women), Manchester Jewish Community Care, Salford Link Project, Swinton Worsley Mencap and Wai Yin Chinese Women’s Society are accessible to people on low income as the majority of service users are people who are not working due to their age, disability or caring responsibilities. However, although the data is included in the service monitoring there is very little information available on the income level of service users. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 349 people use the services of the provider organisations of which 100 have been assessed as having Substantial or Critical needs under the FACS criteria and will be able to continue using the services with their indicative budget should they wish to do so; 98 have been assessed as Moderate and 151 have not been assessed of whom 107 and are currently receiving services under the block contract arrangement and 44 are self-funders. The majority of these people will be on state benefits and will not be disadvantaged by the assessment process. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed. These individuals will not be funded if their level of N Y 17 Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations need remains Moderate and as such may stop using services. This means that up to 215 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. Action to reduce impact: Provider organisations have had regular meetings and workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This could be enhanced by people, who no longer qualify for Adult Social Care Services but access universal services within their community, being more connected to the wider community in their local area. Section D (continued) – Potential impacts and how these will be addressed Could your proposals have a Yes (Y) differential impact relating to any other equality groups, for example, carers, ex offenders? Are your proposals discriminatory in relation to any other groups? Will people within any other groups not be getting the outcome they need? Will people within any other groups be disadvantaged as a result of your proposals? No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Carers will be affected by the proposal. Impact: The nature of the services provided by the Autistic Society, Crossroads, Give Us A Break (BME Women), Salford Link Project and Wai Yin Chinese Women’s Society means that they are targeted at adult Carers. The move from block contract to individuals purchasing the services with their Personal Budget / Direct Payment means that service providers are re-configuring their services to manage this new model. 179 Carers use the services of the provider organisations; of these 55 have been 18 If the impact is negative, how will it be reduced or eliminated? Will the proposals mean that people within any other groups will experience positive outcomes? Highlight any positive impacts Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations N Y assessed as having Substantial or Critical needs under the FACS criteria and will be able to continue using the services with their indicative budget should they wish to do so; 17 have been assessed as Moderate and 107 have not been assessed and are currently receiving services under the block contract arrangement. Individuals who are currently assessed as having Moderate needs under the FACS criteria will be reassessed. These individuals will not be funded if their level of need remains Moderate and as such may stop using services. This means that up to 124 people may not be funded to receive a service from April 2014 which could have a potential impact on them as individuals and the organisations as service providers. For those that are funded there will potentially be a wider choice of services available. Action to reduce impact: Provider organisations have had regular meetings and workshops to prepare for Personalisation and have been advised to encourage their service users to request an assessment, if they have not been assessed; existing Moderate service users will be re-assessed to determine whether or not their needs have increased to enable them to continue receiving services; individuals who no longer meet the criteria for Adult Social Care Services will be directed to information and advice services to help them find suitable services / activities in their community. All service specifications require that services are accessible to the protected groups. Community Cohesion: This could be enhanced by carers, who no longer access block funded services / choose not to access services with their Carers Personal Budget, but access universal services within their community, being more connected to the wider community in their local area. Section E – Action Plan and review 19 Detail in the plan below, actions that you have identified in your CIA, which will eliminate discrimination, advance equality of opportunity and/or foster good relations. If you are unable to eliminate or reduce negative impact on any of the equality areas, you should explain why Impact (positive or negative) identified Proposed action Person(s) responsible Market uncertainty (in terms of number of service users and income) for provider organisations due to the move from block contracts to individuals purchasing services with their personal Budget / Direct Payment Continue to work in partnership with Salford CVS to support provider organisations with individual meetings and workshops on topics such as marketing and business planning N Johnson D Siddique Where will action Target date be monitored? (e.g., Directorate Business Plan, Service Plan, Equality Action Plan) Business Plan 31st March 2015 Continue to monitor the market and the take up of services N Johnson Business Plan 31st March 2015 Improved awareness of the market Encourage provider organisations to apply for inclusion on the Personalisation Framework Integrated Commissioning Managers Business Plan 31st January 2014 Majority of provider organisations are accepted onto the Personalisation Framework Individuals who are currently assessed as having moderate needs will be reassessed to determine whether or not their needs have Social Workers in the FACS Team Business Plan 30th April 2014 All Moderate service users will have been reassessed Loss of service for individuals who are assessed as having Moderate needs 20 Required outcome Provider organisations are supported and have the knowledge to operate in the new market increased and they can continue to receive services People who have not been assessed under FACS before will be assessed if they wish Appropriate Social Work Team Business Plan 30th April 2014 All those who wish to be assessed will be assessed Individuals who do not meet the criteria for Adult Social Care will be directed to the Information and Advice Service to help them find suitable services / activities in their community Appropriate Social Work Team Salford CABx Business Plan Contract Monitoring Meetings 30th April 2014 People will be able to find alternative services / activities in the community with the help of Salford CABx More choice for individuals as more providers enter the market Organisations are being Integrated encouraged to diversify Commissioning their service provision Managers and to ensure they apply for inclusion on the Personalisation Framework (which will be open to a wide range of providers not currently providing services to Salford residents) Business Plan 31st January 2014 A wider and diverse range of services is available for individuals Possible positive impact on Community Cohesion People who no longer qualify for Adult Social Care Services will be encouraged to access universal services in the community through the Contract Monitoring Meetings 30th April 2014 People will be more connected / included in their community Salford CABx 21 Information and Advice Service Could making the changes in any of the above areas have a negative effect on other groups? Explain why and what you will do about this. No Review Your CIA should be reviewed at least every three years, less if it has a significant impact on people. Please enter the date your CIA will be reviewed in March 2015. You should review progress on your CIA action plan annually. 22 Section F – Summary of your CIA As your CIA will be published on the council’s website and accessible to the general public, a summary of your CIA is required. Please provide a summary of your CIA in the box below. Summary of Community Impact Assessment How did you approach the CIA and what did you find? The CIA was approached by looking at the 8 provider organisations affected by Personalisation; obtaining details of the people who used their services and working individually with the organisations to understand the possible impact of the new market for adult social care. We found that of the 349 people using the services of the providers 124 had been assessed as having substantial or critical needs, 61 had moderate needs, 120 had not been assessed under the FACS criteria, and 44 were self funding their care. This means that 124 people would continue to qualify for adult social care and could potentially continue using the existing services if they wished. The 61 individuals who have moderate needs and the 120 people who have not been assessed under the FACS criteria, will no longer qualify for adult social care so would not be able to use the services unless they paid for them with their own funds. This represents a significant risk to the organisations in terms of income and the individuals in terms of loss of services. What are the main areas requiring further attention? The main issue for organisations is improved knowledge and confidence to operate in the Personalisation market. The main issue for individuals is improved access to universal services and activities in local communities. Summary of recommendations for improvement Continued support for organisations through joint working with Salford CVS to improve knowledge and confidence in provider organisations e.g. workshops on topics such as marketing and business planning; individual meetings / support. Encourage organisations to apply for inclusion on the Personalisation Framework. Monitor the market in terms of diversity of provision and take up of services. Reassess all those who have moderate needs and assess those who have not been assessed under the FACS criteria if they wish to be assessed. Ensure those who do not meet the criteria for adult social care services are directed to Information and Advice services to help them identify resources within their community. 23 Section G – Next Steps Quality Assurance When you have completed your CIA, you should send it to your directorate Equality Link Officer who will arrange for it to be quality assured. Your CIA will be returned to you if further work is required. It is important that your CIA is robust and of good quality as it may be challenged “Sign off” within your directorate Your directorate Equality Link Officer will then arrange for your CIA to be “signed off” within your directorate (see below). Your directorate Equality Lead Officer or other senior manager within your directorate should “sign off” your CIA (below). Name Signature Date Senior Manager Keith Darragh 03.12.2013 Lead CIA Officer Anne Roberts 03.12.2013 Publishing When your CIA has been signed off within your directorate, your directorate Equality Link Officer will send it to Elaine Barber in the Equalities and Cohesion Team for publishing on the council’s website. Monitoring Your directorate Equality Link Officer will also send your CIA to your directorate Performance Officer where the actions identified within your CIA will be entered into Covalent, the council’s performance management monitoring software so that progress can be monitored as appropriate. 24