Adapting for Change –

Demonstration Sites

Margaret Moore – JIT Action Group

Purpose

> Background to the AFC programme

> Its role in health and social care

integration

> Objectives of the programme

> The Technology Enabled Care

programme

Purpose

> The five sites

> Governance and evaluation

> Adaptations network

> Issues and focus

> Questions??????

Adapting for change

> The Adaptations Working Group 2012 and

Scottish Government’s response

> Dementia Strategy commitment 5

> Health and social care Integration outcome 2

> Scottish Government sponsored programme of

Adapting for Change demonstration sites

supported by the Joint Improvement Team

Dementia Strategy – Commitment 5

> We will take further action to support safe

and supportive home environments and

the importance of the use adaptations

and assistive technology, in maintaining

the independence and quality of life of

people living with dementia and their

carers.

Health and Social Care Outcomes –

outcome 2

> People ,including those with

disabilities, long term conditions, or

who are frail, are able to live , as far

as reasonably practicable,

independently and at home or in a

homely setting in their community

Aim & objectives Overall aim

To develop and test key aspects of the approach recommended by the

Adaptations Working Group to inform a revision of the national policy

framework for housing adaptations, and to provide learning to improve

practice

Specific objectives

Test approaches in relation to key issues around current services and

supports

Identify approaches, consistent with recommended principles, which deliver

better outcomes

Capture the learning on a continuing basis over the test period and share

this across Scotland

Inform the review and revision of the national policy and funding framework

for housing adaptations

6 Key features of recommended approach

1. Strategic leadership from the local housing authority,

working in partnership with health and social care, and a

clear local strategy;

2. A strategy for housing adaptations, which is ‘tenure neutral’

with a single funding pot;

3. Arrangements enabling people to have control and choice

through personalisation and self-directed support;

4. A single point of access with a lead agency – ‘one-stop

shop’ – with clear communication and a single point of

contact for service users throughout the process;

5. A broader outcomes-focused service with early

consideration of overall housing options; and

6. Streamlined local partnership working and governance.

Technology Enabled Care

> Programme to increase the use and

awareness of technology enabled

care

> £10m to support the programme in

2015/16

> 22 sites have been selected

>

AFC TEC Programme

> TEC integral part of adaptations

> Streamlined pathways

> Active case finding

> Asset management

> Test and provide illustrations of

housing’s role

AFC TEC approach

> Assessment tool

> Asset management

> Streamlined processs

> Housing options/housing health

check

AFC TEC approach

> One stop shop

> Case finding

• Dementia – post diagnostic support

• GP referrals

• Hospital discharge

• Community initiatives

5 Demonstration Sites Agreed

> Aberdeen

> Borders

> Falkirk

> Fife

> Lochaber

Aberdeen Demo- site

> Bon Accord Care lead

> Very broad coalition of partners

> Focussing on -

Person-centred approach

Consistent streamlined pathways across all tenures

Faster service delivery timescales

> Currently –

Canvassing previous customers’ views/feedback

Mapping current pathways in all RSLs

Targeting delayed discharge

Aligning local & demo-site TEC bids

Borders Demo- site

> Care & Repair lead

> Project was already in flight, Change Fund input

> Focussing on –

A one stop shop approach

Tenure neutral assessment, provision and access

Self referral/advice only included in approach

OT based within C & R

Outcomes for service - users

> Currently –

Nearly 6 months into implementation

About to carry out 6 month review of improvements

Lochaber Demonstration Site

> Care & Repair Lead

> One stop shop- all adaptations

Handyperson & telecare services

> Tenure neutral, single pot

> OT alignment

> Learning processes

> Removing duplication

Fife

> Fife Council Housing & Neighbourhood

Lead

> Integrate ,Streamline ,improve efficiency

> Faster end to end process

> Personalisation

> Link to equipment & minor adaps

Falkirk Demo site > Social Work and Housing lead, with NHS

> Project had been initiated previously with Change

Fund input

> Focussing on –

-Tenure neutral seamless pathways, widening -

assessment across health, housing and social care;

-Governance and Partnership Agreement;

-Outcomes and performance framework;

-Training programme.

> Currently – pending testing of draft Assessment &

specifications tool, Adaptations definitions, and new Pathways

proposal.

Issues and focus Self-directed support approach in housing adaptations

Single funding pot, with tenure neutral access/eligibility

Prevention and early intervention

Adaptations for people with dementia

Design aspects

Adaptations as one response in an integrated menu of options to

secure suitable/fit for purpose housing

Partnership governance - which includes people using services –

and integrates with health and social care

Improved data collection on impact and effectiveness, including

added value

Helping people to help themselves, offering services other than

associated with funding

Integrating the use of technology solutions

Governance & Evaluation

> Co-ordinated as a Programme

> Consistent elements of Reporting

> Focus on base-lining & measuring improvements

> Building a robust evidence base

> Developing 2 consistent outcome measures

> Evaluation supported by research staff

> Executive Sponsor at appropriate level

> Regular ‘flash reports’

> Series of webinars/learning sessions & feeding in to national

events where possible

> Sharing learning with Adaptations network & wider

Adaptations Network

To share learning across Scotland

From demonstration sites, other initiatives in

Scotland & elsewhere

Focus on practice improvement, in line with

AWG recommendations

Part of a developing wider Housing Learning

Network

Demonstration

Site 1

Demonstration

Site 2

Demonstration

Site 3

Demonstration

Site 4

Demonstration

Site 5

Supported by JIT

SG led Project

Team

Adaptations

Network

Housing

Learning

Network

Adapting for

Change

Advisory Group

Scottish

Government

Ministers (and

Policy Teams)

Adapting for Change

>Any questions ?