Commissioning in a New Landscape
Community Prevention
Mark Lobban
Director Strategic Commissioning
Emma Hanson
Head of Community Support Unit
The aims of today are to:
• meet and get to know each other a bit more
• share KCC’s vision for Transformation and our
restructure
• think about what a core offer should include for
everyone in our communities
• share some of the things you are doing
• be inspired by what others are doing
• talk to each other about the move from grants to
contracts and the impact, risks and benefits of that
for both commissioner and provider
• decide how to move forward together
The Current Picture
• KCC Budget –Adult Social Care Savings £18m
• Transformation – better outcomes within our
resources
• Restructure in many sectors-including ourselves
and Health
• Health and Social Care Integration
• Social Care Money from Health to support
prevention
• Growing Demand
FSC Adults Budget
Internal Provision v External Provision
90% of services
provided via adult social
care are outsourced to
the independent sector
Transformation Themes
Health and Social Care
Integration-
A whole system
approach
Investing social care/health monies
Existing Client
(Avoidable Admission)
Unknown to ASC
Existing Client
(Unavoidable Admission)
A combination of “Patient
IT innovation to
Hospital
Knows Best”, Risk
Support
Integration
Care providers
in regular
Assessment
Stratification
and Urgent
contact with the client are
Care Dashboard provides
best placed to identify risks
risk alerts of those known
Hospital
Care Home
thatAvoidance
may lead to a crisis and
and unknown to ASCHospital Based
Based
can recommend avoidance
Enablement
Enablement
strategies
Romney and East Kent Step
down beds providing an
intensive Enablement
Breaks for
Equipment
and
and Telecare
package
forcarers
those
not Based
ready
Home
Enablement
Short burst
support
of
intensive
to
reduce
packages
instances
used
more
to return
to their
own beds to widely
Various
mechanisms
Befriending,
Community
support
to
ofreturn
carer breakdown,
the client
to support
whichindependence
is
respond to falls risks
Chest, Micro-providers
to their acurrent
big fund,
contributing
level and
of defer
factorthe
forneed for larger
including response services
Care Navigators,
etc Home &care
independence
Care
Hospital
packages and Care
Independence
Domiciliary
Care
admissionsHome
admission
Provider
Identified
Residential and Nursing Care
Telecare &
Equipment
Falls Prevention
Carer Support
Flex Model
Community
Capacity
Investing in a Proactive Framework
Existing Client
(Avoidable Admission)
Provider
Identified
Existing Client
(Unavoidable Admission)
Unknown to ASC
IT innovation to
support Integration
CH Based
Enablement
Hospital Based
Enablement
Telecare &
Equipment
Falls Prevention
Carer Support
Flex Model
Community
Capacity
Independence
Assessment
Home Based Enablement
Residential and Nursing Care
Hospital Avoidance
Hospital
Domiciliary Care
10
Investing in a Proactive Framework
Existing Client
(Avoidable Admission)
Provider
Identified
Existing Client
(Unavoidable Admission)
Unknown to ASC
Hospital
Risk Stratification
Assessment
Reactive
Enablement
CH Based
Enablement
Hospital Based
Enablement
Home Based Enablement
Residential and Nursing Care
Telecare &
Equipment
Independence
Falls Prevention
Carer Support
Flex Model
Community
Capacity
Hospital Avoidance
Proactive
Enablement
Domiciliary Care
11
Introducing Strategic Commissioning
Andrew Ireland
Corporate Director
Families and Social care
Mark Lobban
Director Strategic Commissioning
Helen Jones
Head of Service
Children's Commissioning
Emma Hanson
Head of Service
Community Support
Christy Holden
Head of Service
Accommodation Solutions
12
Introducing Strategic Commissioning
The Strategic Commissioning Unit was formed
to support the transformation of adult social
care through the strategic commissioning of
services in order to achieve the families and
social care directorates objective which is to;
Improve the social care outcomes for the
people of Kent. Whilst moving the Families
and Social Care (Adults) Directorate to a
position where, by 2015, it can operate on
a reduced budget.
13
Our vision is:
To support the social care needs of vulnerable adults in
Kent, by ensuring that services are available which
enable them to live fulfilling and independent lives in
their homes and communities.
We will do this by:
•Promoting independence, wellbeing and choice for
individuals
•Promoting and supporting resilience and self care
•Providing proactive and responsive support
•Developing a market of services which are high quality
and represent value for money
14
Our stakeholders have told us they want:
•A system that is easier to understand and navigate
•Comprehensive information, advice and guidance
that is accessible
•A proactive rather than reactive system
•Integrated services designed to maintain a person’s
lifestyle and engagement with their community.
•The same service offer for self-funders and those in
receipt of KCC funding
•Integrated health and social care services – single
points of access and less professional involved
•Services that are responsive to local need
•Targeted interventions that aim to restore a person
back to a preceding state of health and well-being
15
Introducing Community Support Unit
Emma Hanson
Head of Strategic Commissioning
Community Support
Karen Cook
Commissioning Manager
Steve Lusk
Commissioning Officer
Sholeh Soleimanifar
Commissioning Officer
Sam Sheppard
Commissioning Manager
Heather Randle
Commissioning Officer
Laura Embery
Commissioning Support Assistant
Jo Empson
Commissioning Manager
Carina Neeves
Commissioning Officer
Tony Care
Commissioning Officer
Commissioning Support Assistant
Sylvia Rolf
Commissioning Officer
Sarah Peacock
Commissioning Officer
JenniferNewton
Commissioning Support Assistant
Simone Bullen
Commissioning Officer
Commissioning Support
Assistant
Guy Offord
Commissioning Officer
Julie Harling
Commissioning Support
Assistant
James Lampert
Commissioning Manager
Hazel Price
Commissioning Officer
Paula Parker
Commissioning Manager
David Harris
Commissioning Officer
Navdeep Mandair
Commissioning Officer
Commissioning Officer
Vacancy
Mick Jones
Commissioning Officer
Helen Devlin
Commissioning Officer
(Mat leave until March 2013)
Commissioning Support
Assistant
TBC
Sarah Challis
Commissioning Officer
(Mat Leave begins Nov 2012)
Information in your packs
Introducing Community Support Unit
Supporting
Rehabilitation
and Recovery
Restoring people
to independence
Help to stay at
home - key
strategic
partners in
community
Develop
Community
Capacity
Suport people
remain
independent of
social and health
care system
Grants- a picture of spend
We are spending £15 Million a year in grants
• We are NOT looking to cut funding, in fact we
want to increase spending on preventative
services through the Health Money
BUT we want to spend it on the right things:
• When every penny counts are we making the best
use of this money to keep people out of the health
and social care system?
Grants- a picture of services
• Grants have grown organically and been locality
driven
• Different services in different areas- no core offer
• You provide other excellent services we don’t fund
• Grants not always strategically aligned to
Transformation
• Cant performance manage a grant
• Instability of yearly funding
• Unwieldy system and bureaucratic
Questions:
How do we ensure equality of access and provision across Kent?
What should KCC fund and for whom?
What services should we move from grant to contract?
A Picture of Need
2012: 900 Kent Social Care Users of all ages
responded to our annual survey:
• 25% of service users said they did
not have enough social contact.
• 66% of these lived in the
community
19% say
information
and advice is
difficult to find
75% of those 65+ who are living
in the community said they did
not do anything they value or
enjoy with their time
NEWS TO SHARE
Welcome Visits
We would like to visit you to
1) Help our new team learn about community based
services and understand the range and complexity of
what you are doing- it will mean we commission more
effectively
2) Help you get to know us and build relationships
We sent everyone a letter- if you didn't get one and
would like to offer time for a visit please let us know.
Dementia Friendly Communities
• Successful bid to be a National Pilot
• working initially with12 communities across Kent
• people will be aware of and understand more
about dementia;
• people with dementia and their carers will be
encouraged to seek help and support;
• and people with dementia will feel included in their
community, be more independent and have more
choice and control over their lives.
Thank you
Mark Lobban - Director Strategic Commissioning
Emma Hanson - Head of Community Support Unit