Results for 'local authorities'
Provides a framework to help local authorities implement a test of care market sustainability, and offers insights about when a provider requires further monitoring. Many local authorities have developed highly effective systems for gathering local market intelligence in relation to the part of the market with which they contract for services. This intelligence may be gathered both formally and informally and involve a broad range of approaches. This toolkit is designed to complement such approaches by providing a clear structure for local authorities to consider the totality of the local market, only a proportion of which they will directly contract with. There are five phases to the application of the toolkit: determining local market segmentation; evaluation of external indicators; evaluation of sub market composition indicators; forming a judgement on sustainability and deciding which ‘hard to replace’ providers to monitor; and understanding and monitoring the sustainability of ’hard to replace’ providers.
LOCAL GOVERNMENT ASSOCIATION, INNOVATIONS IN DEMENTIA
This guidance looks at current best practice and learning in the creation of dementia friendly communities, how it fits within the broader policy landscape, and what actions councils can take, and are already taking in supporting people with dementia by creating local dementia friendly communities. It illustrates how simple changes to existing services, and awareness raising for those who come into day-to-day contact with people with dementia such as staff working in libraries or in leisure centres, can help people with dementia feel more confident and welcome in using council services. The guide looks at what a dementia friendly community is, why dementia is a key issue for councils and the role councils can play. It then presents a framework to help develop to plan, develop and assess the dementia friendliness of any community, organisation or process. The framework covers five domains: the voices of people with dementia and their supporters, the place, the people, resources, and networks. For each domain information is included on: the background to the issue, key actions that councils can take to make this happen, and examples or case studies of existing practice. The guide for those who have a role in leading, planning, commissioning and delivering public services; including health and wellbeing boards, and those responsible for health and social care services.
SOCIAL CARE INSTITUTE FOR EXCELLENCE
This guide summarises the process and the key elements to consider in relation to using a strengths-based approach. Sections provide information on what a strength-based approach is; the information practitioners need to carry out an assessment; using strength-based mapping; and key factors that make a good assessment. It also looks at how local authorities can extend the use of the strengths-based approach from assessments to meeting needs and provides a summary of core local authority duties in relation to conducting a strengths-based approach. It should be read in conjunction with the Care and Support (Assessment) Regulations 2014 and Chapter 6 of the 'Care and support statutory guidance', published by the Department of Health.
ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
An analysis of the state of adult social care finances, providing in-depth intelligence on how adult social care is responding to the twin challenges of meeting increased demand and managing reducing resources. The survey seeks to explore the views of Directors of Adult Social Services across English Local Authorities on how councils are reconciling the growing numbers of people, often with increasingly complex needs, requiring care and support with the significant and sustained reductions in the funding available. The survey data sets out the concerns of councils in making increasingly difficult choices and the attempts to minimise impacts upon front line services. The report suggests that taking the growth in numbers of older and disabled people into account an additional £1.1 billion would be needed to provide the same level of service as last year. The care provision market is becoming increasingly fragile and 56 per cent of directors report that providers are facing financial difficulties. Many local authorities are going to have to pay more if providers are to be able to attract workers as unemployment falls. While directors see increased prevention and integration as their top two areas for savings for this year, next and beyond, many are struggling to balance investment in reducing future demand and costs at a time when budgets to meet existing statutory duties to provide care and support to those most in need are under such pressure. The paper calls upon the Government to urgently ensure that social care funding is protected and aligned with the NHS, including making provision for the social care funding gap alongside the funding gap for the NHS.
This paper is a progress report exploring the lessons learnt from a variety of approaches taken by councils to outcome-based commissioning in adult social care (sometimes called 'payment by results'). It considers some of the opportunities and risks that arise from taking this approach. The paper puts the emerging practice in social care in a context with other developments within the public sector; explores current practices in social care from a small number of councils and looks at the advantages and risks in taking this approach. It suggests that this approach could deliver better outcomes for people at a lower cost if the transaction costs can be limited. The paper draws on discussions with providers, commissioners and customers receiving services. The development of thinking in local authorities in recent times has shown a new emphasis on interventions that either prevent or reduce someone’s need for longer term care. This is supported by the evidence for the benefits from reablement for older people, the recovery model in mental health and the emerging progression model in learning disability services. Outcomes based commissioning is, in part, a natural evolution of the way in which commissioning might take place when a council is seeking improved outcomes for its customers as a result of the resources it purchases or deploys. The report argues that the overall expectation is that if a provider can produce outcomes for customers that may reduce their need for longer term care they should be rewarded. At the same time if fewer people need longer term care this will reduce the overall costs to the council. The benefits can then be shared between commissioners and providers of services.
MILLER Robin, WHITEHEAD Christine
Reflects the experiences of six local authorities in the West Midlands who were identified by the regional ADASS group as seeking to deploy community based approaches within their prevention strategies. These approaches focus on opening up and sharing resources, insights and influence as a means to support individuals and local communities develop their capacity and resilience, shifting from a crisis solution model to a more preventative based social care system. The report begins with a short overview of the six community based approaches based on interviews with the leads in each local authority, and then pulls out key themes relating to the development of such approaches and lessons learnt. These are: community based approaches to prevention can take different forms; it is important to build on the local context; transformation of practice can be achieved in multiple ways; gathering relevant data is difficult but worthwhile; and genuine engagement and co-production with community and staff are central.
PUBLIC HEALTH ENGLAND
Examines how local authorities and health teams are working together to improve the health of local communities through prevention and early intervention. The report features seven case studies. Each one describes a particular programme or close partnership between a local authority and local public health or health care teams, often with the additional support of the voluntary sector. Each initiative focuses on a specific area and/or set of activities, including: integrating wellbeing; transforming the food culture in schools; helping people stay in their own homes; GPs linking people to other sources of support; healthy homes and housing conditions; promoting public health in schools; and active living.
LLOYD James, ROSS Andy
Explores disability and care at a national, regional and local authority level in England. The report brings together data from Census 2011, DWP and HSCIC ‘administrative data’, as well as from Wave 6 of the English Longitudinal Study of Ageing, to look at the prevalence of disability, need and care of different types, and to paint a picture of the lives of different groups. In particular, Chapter 3 provides a snapshot of disability and care in the older population in England, identifying key results. Chapter 4 looks in detail at the lives of older people with limited day-to-day activities, from their health characteristics to their living situation. Chapter 5 explores the characteristics of older people receiving unpaid and paid care including the overall adequacy of their care, as well as older people with substantial levels of disability who experience difficulty undertaking three or more ‘activities of daily living’. Chapter 6 explores the interaction of older people experiencing limited day-to-day activities with public support, i.e. disability benefits and the local authority care and support system. Chapter 7 examines the prevalence of unpaid older carers and the outcomes they experience, as well as the extent of local authority support for them. The report shows that around half of the 65+ population in England reported their day-to-day activities were limited. Of the 6.7 per cent of the older population living at home in England who reported difficulty undertaking three or more activities of daily living, around 70,000 did not receive any care, and could therefore be classed as experiencing substantial unmet need. Around 20 per cent of older carers experienced self-care (ADL) difficulties themselves.
ROUTLEDGE Martin, et al
Presents the latest information about personal budgets for older people, showing that older people experience positive benefits from having a personal budget, although these are not as marked as for other groups. The first section reflects briefly on recent changes to the policy context and then highlights new data about the performance of councils from the recent 2014 ADASS survey, and the third National Personal Budget survey from In Control. It then draws on research and recent TLAP events, which considered minimum processes and self-directed support, to review what does and doesn't work best for older people. The second section of this report presents some examples of what councils are doing to address the ongoing challenges both of the initial report and the current policy context. The case studies are summarised in Table. Section 3 examines personalisation and safeguarding, and specifically, whether personal budgets increase risks to older people whilst section 4 considers integration and the opportunities that government policy affords older people in relation to personalisation. In its conclusion, the report recommends that there needs to be further evidence of what is being done to support the use of personal budgets by older people.
An exploration of how local area coordination can support people to pursue their vision for a good life, build stronger communities and help reform care services in England and Wales. Local area coordinators, from within their own local communities, provide information, advice and support to help people to solve their own problems. Instead of focusing on deficits, they help people focus on their own vision for a good life, building on their own assets and relationships and acting as a bridge to communities. The model is built on seven key principles, which include: citizenship; relationships; information; the gifts that each member of the community can bring; expertise; leadership; and services as a back up to natural support. The report argues that local area coordination offers the chance for the whole service system to rebalance itself and to focus on local solutions and stronger communities, whilst also offering a powerful catalyst to wider social care system reform.