Commissioning for Personalisation

Phase 3 – “Ongoing Care” Reviews

Your care your way

Commissioning for Personalisation

Your care your way

• Planning for the future across all social care and related services

– Looking at public, third and private sectors to deliver…• Personalisation• Prevention, health and wellbeing• Value for money

Structure

Your care your way

• Commissioning for Personalisation Board

• Projects and workstreams

• Working in phases

Phase 1 – Community

Support

Phase 2a – Mental Heath

Social Inclusion

Phase 2b – Health and Wellbeing

Phase 3– Social Care

Phase 3 – Ongoing Care

Your care your way

Strategic recommissioning of ongoing care adult social

services, in 5 workstreams: • Care at Home, including domiciliary care, personal

assistants• Community-based Care, including day opportunities,

day care, leisure and culture• Care and Housing, including supported housing with

care, residential care etc• Transport• Respite care, including short breaks and holidays

Phase 3 – Outcomes

Your care your way

• Deliver savings from service redesign and re- or de-commissioning

• A vibrant and diverse market place, open to new services starting

• Services meet the care-related needs of Hackney’s diverse community

• A smooth transition into Personalisation• Systems and information available for the market to be

able to operate and evolve

Phase 3 – Tasks

Your care your way

All the projects include common elements: -• Analysis of the borough’s population and needs• Analysis of the current supply of services, their impact

and value for money• Understanding what customers and carers think about

services now and want for the future• Learning from best practice• Proposing a way forwards

Phase 3 – Day Services

Your care your way

• LBH provided day/wellbeing centres for older people and people with learning disabilities

• Private and third sector spot purchased day centres for older people, people with learning or physical disabilities and people with acquired brain injury

• Culture, leisure and sport services used by people eligible for ongoing social care, provided by any sector.

• Day support provided by Personal Assistants • Employment, support and craft projects for people

using social care services

Phase 3 – Housing

Your care your way

• Supported Housing with Care (LBH +)

• Supported Living Schemes (LBH +)

• Supported Living contracts / spot purchase

• Residential Care

• Adult Placements (part)

Phase 3 – Care at Home

Your care your way

High volume and high profile services

Diverse local market: around 40 providers

Diverse London market: around 500 providers

Rough estimated spend in 2011/12: - £6.5m: private and third sector- £3.8m: direct payments- £2m: public sector

Phase 3 – Care at Home

Your care your way

Clear views from service users: • Many content with services• Many dissatisfied

Issues of timeliness, consistency, respect w/ care workers

Barriers to taking up Direct Payments

Little choice and control in system at the moment

Uneven experiences between client groups

Weak connections to other services

Phase 3 – models

Your care your way

Open market

+ Approved List + Framework contracts

+ PA / micro support + No PA development

Customer Council

choice choice

+ Framework contracts + Block contracts

+ PA Register + No PA development

Closed market

Phase 3 – Involvement

Your care your way

• Much bigger market than has been looked at so far• Seeking to use what we know already wherever

possible • Different approaches for different projects• Small workshops being planned for Day Services• Will use blog / Survey Monkey to gather views• CEN reps on Reference Board• Keep updated through SIGs and other groups

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Your care your way

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