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Prospectus final version
London Borough of Merton Adult Social Care Service
Ageing Well – 3 Year Preventative Grant Funded Programme
for the Voluntary Sector
1 April 2013 – 31st March 2016
1.
Programme Aims
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2.
Programme principles
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3.
To help people live in their own home for as long as possible
To delay or reduce the need for council funded social care
Merton Compact
Borough coverage ( via one organisation or collaboration between organisations)
Building resilience (helping people to find own solutions and groups to manage their own networks)
Building connectedness ( helping people keep in touch with the local community and people who matter to them)
Recognise that everyone can make a contribution (whether this is financial or giving time to others)
Effective customer sign posting and follow up on process
Annual review to establish continuation of successful grant funded services and cessation of unsuccessful grant funded
services
Background
There are a number of national drivers for changing the way in which adult social care services are commissioned. The messages
in ‘Putting People First’ (2007), reiterated in ‘Building a Society for All Ages’ (2009) and ‘Shaping the Future of Care Together’
(2009) established the role of public services in helping people to live independent lives. The main themes include:
 Making a strategic shift to prevention early intervention
 Building on social capital within local communities
 Ensuring people have greater choice and control over meeting their needs
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Merton’s Draft Local Adult Services Commissioning Strategy (May 2010) is in line with this Government Policy and the increased
focus on maximizing effective prevention. Essentially investment in preventive services is being protected for 2010/11 and refocused while investment elsewhere is being reduced.
The programme will have a particular focus on preventing people from requiring social care. Some of the main trigger factors which
make people require social care are as follows:
Wanless Report:
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Mobility and rehabilitation problems
Lack, or breakdown of informal care, or stress for carers
Social reasons – lack of connectedness
Poor or inappropriate housing or environment
IPC Study of Care Pathways
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Dementia
Urinary & bowel incontinence
Osteo Arthritis
Stroke
Depression
Diabetes
COPD (chronic obstructive pulmonary disease)
and
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Unhealthy lifestyle, inactivity
Lack, or breakdown, of resilience
Learning disability (breakdown of supported living or ill-health of ageing parent carer)
Merton Adult Social Care Service is likely to invest in services that:
• Have an impact on trigger factors for admission to social care and therefore prevent or delay admission to social care
• Promote resilience and connectedness
• Enable people to contribute (their time towards service delivery, as well as a financial contribution)
• Take an inter-generational approach
• Make use of assets in neighbourhoods
• Demonstrate collaboration between organisations
• Facilitate borough wide access
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Merton Adult Social Care Service is unlikely to invest in:
• transport costs
• Lunch clubs
• Activities that promote dependency and segregation
Target Area for Grant Funding – Level 3
Merton Adult Social Care
Risk and Priority Areas
ADULT SOCIAL CARE
DRAFT July 2012
VOLUNTARY SECTOR & BIG SOCIETY
4.
RISK MITIGATION / SERVICE RESPONSE
EXAMPLES OF CONDITIONS
Advice
1
Complex & Profound Learning Disabilities
Severe dementia
Very severe mental illness
Severe learning disabilities
Severe physical disabilities
Severe mental illness
Physical disabilities e.g. Stroke
2
Immediate
72 hrs and
unacceptable
risk to safety
and to life
Care at home (Reablement and Dom. Care)
Imminent (1 month)
risk to core activities of
daily living and safety
Grant Funded Prevention
Moderate learning disabilities
Housebound elderly
Mental health issues
3
Independence and well
being will be compromised
without support
Homeless
Respite for carers
Nursing and Residential care
Advice
Supported Accommodation
Domiciliary care
Day support out of home
Telecare
Resilience
Community connectedness
Problem solving
Practical Support
Home Maintenance
Advice and planning
Health maintenance
e.g. Counselling, incontinence,
Dementia, falls prevention,
(NB some funded by NHS)
Getting Through Crisis
Physical Sensory
Impairments
4
Elderly with mobility
General public
Independence and well being
might be compromised without
support in the future
Mild Learning
Disabilities
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Information
Advice
Learning
Health advice
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Priorities for Investment
Categories
Key Preventative
Areas
Funded by social
care grant
programme
1. Health Condition
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Risk of falls
Incontinence
Dementia
Sensory
impairment
 Depression
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2. Isolation
 Connectedness
 Making a
contribution
 Learning &
problem solving
 Money matters
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Funded
through
other
sources not
social care
grant
programme
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4
Outcomes
 Increased levels of selfmanagement in order to
mitigate this
 Improved levels of
resilience &
connectedness
 Reduced levels of
dependency
 Reduced feelings of
isolation
 Increased capacity to deal
with crisis
 Increased levels of contact
with people who matter to
them
 Increased levels of
activities and participation
demonstrating a positive
contribution
 Increased capacity to
problem solve and find
solutions
 Increased levels of
activities promoting
mental wellbeing,
motivation and resilience
Examples of effective
interventions
 Technology solutions
 footcare
 Holistic selfmanagement and
exercise programme
 Hospital discharge
support
 Road map/plan for the
future
 Intergenerational
 Volunteering
 Self-managed Peer
support
 Coaching/mentoring
 Technology solutions
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3.Physical
Environment
4. Carers
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 Home safety &
suitability
 Property
maintenance
 Neighbourhood
safety
 Things to do
locally
 All the areas as in
2. & 3 above.
 Breaks from caring
role
 Advice & planning
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 Home adapted and
maintained to be safe
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 Carers have own time to
spend as they choose
 Carers supported to
resolve crisis
 Hospital discharge
support
 Crisis support
 Road map/plan for the
future
 Intergenerational
 Volunteering, e.g. using
time banking systems
 Self-managed Peer
support
 Coaching/mentoring
 Technology solutions,
e.g. phone networks,
Skype
Metrics
Funded groups will be required to use of a set of tools for monitoring the effectiveness of the programme, as follows:
 Individual wellbeing index – to enable people to identify their individual goals and the benefits they receive from the
programme
 Use of other organisations’ services – to record the range of different services used by people on the preventative
programme.
 Risk assessment tool – to help target services at those who need and can benefit from a preventative programme (level 3 of
the social care triangle)
 Organisation monitoring form – to record activities and wider benefits.
More guidance will be available to funded groups on the use of these tools
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7.
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Prospectus final version
Timetable
The programme will be launched on 26th September 2012.
The closing date for grant applications will be noon on Monday 3rd December 2012.
Organisations will be informed of decisions during December 2012.
New grant-funded activities will begin on 1st April 2013
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