REPORT OF THE
EXECUTIVE MEMBER
ADULT SOCIAL CARE
PART II
JOINT OLDER PEOPLES' MENTAL HEALTH COMMISSIONING STRATEGY
1. The Executive Member has approved the consultation on the draft Older Peoples' Mental Health Commissioning Strategy which will run from 3 December 2007 to 3 March 2008.
2. The consultation is being carried out in conjunction with Hampshire Primary Care Trust, Hampshire Partnership NHS Trust and the Alzheimer's Society.
3. There is already a high level of demand for services for older people with mental health needs, both specialist and generic needs. A large increase in demand for services is anticipated over the coming years due to growth in the local population of older people and it will not be possible to meet the growing demand within resources unless changes are made to the way services are currently delivered. Working together across health, social care and wider communities should provide a much more efficient and co-ordinated response to complex needs and promote independence and inclusion in society.
4. The Strategy will provide a commissioning framework for Hampshire County Council and Hampshire Primary Care Trust for older people's mental health services that will deliver:
_ Clear statements of commissioning intentions
_ A modernisation programme for health, social care, and voluntary sector providers
_ Priorities that make a real difference in the short term to medium term
_ A robust analysis of the mental health needs of older people in Hampshire to inform commissioning.
_ A whole health and social care system focus for improvement that spans all aspects of the dementia and functional mental health needs based pathways for older people.
_ Cohesion with other related health and social care commissioning strategies, e.g. primary care mental health, day care activities, extra care sheltered housing.
5. The Commissioning aims being:
_ To secure services and support that deliver holistic, person-centred health and care, which address mental, as well as physical health needs and which provide dignity and respect
_ To secure services which are flexible and able to change in line with people's unique circumstances, enabling independence and choice
_ To secure a comprehensive specialist older people's mental health service as part of a fully integrated pathway of care
_ To secure equitable access to services and support across Hampshire based on individual and population needs.
_ To ensure that treatment and care is based on the best available evidence of effectiveness.
6. Commissioning will focus on prevention and community based services that promote independence in the early years of this strategy. All investment plans will be balanced with a disinvestment plan to demonstrate affordability within the available resources and the links between business cases will be demonstrated. Where redesign of services is required, this will be subject to the usual scrutiny and public consultation processes. Service level agreements will be jointly agreed with NHS trusts and any future Foundation Trusts and with health and social care providers that set out the modernisation programme and describe service specifications based on the new care pathways, with identified outcomes and standards. Hampshire County Council and Hampshire Primary Care Trust will review the funding position, should evidence emerge that additional resource is required in the future. Opportunities will proactively pursued for attracting further grants/resources to support older people's mental health services, such as any future Partnership's for Older People Projects funding and access to funding for the voluntary sector. The implications of this strategy for market management will be considered as will proactively engagement with the voluntary sector as a key player within the market.
INTEGRATION OF SOCIAL CARE AND HEALTH COMMUNITY TEAMS FOR LEARNING DISABILITY
1. The Executive Member has endorsed the implementation of joint management arrangements for integrated Learning Disability Teams in order to better meet the needs of service user and carers.
2. The project to integrate community learning disability teams for health and social care began in 2004. Hampshire Adult Services have been working in partnership with Hampshire Partnership NHS Trust with a jointly appointed Project Manager.
3. The integrated service across Hampshire will deliver a single point of access for service users, co-location of staff, integrated management and joint management of budgets but no pooling of budgets.
4. Integrated services will be better able to respond to the entire range of users' needs and will support the implementation of personalised services with Self Directed Support and Person Centred Planning, thereby enabling people with learning disabilities to have fulfilling lives with access to good health care, work, social activity, and housing in the same way as any other citizen.
5. The visible result at the end of the project will be multidisciplinary teams for health and social care providing a single point of access for service users and their families. The teams will be better placed to work in partnership with key agencies for example, housing authorities, Education, Children's Services as well as other County Council Departments, health providers, primary care and voluntary sector organisations. Considerable work has already been done on developing an operational policy for the future service. The integrated care pathway will benefit service users and carers by avoiding multiple assessments and providing a holistic approach to meeting needs. Assessment, care planning and service delivery in one place will reduce risk.
6. At this stage the project excludes the North east area of Hampshire which is served by Surrey and Borders Trust.
ADULT PROTECTION ANNUAL REPORT
1. The Executive Member has approved the first annual report of the Adult Protection Committee, a copy of which is available in the Members' Room.
2. In approving the report the Executive Member wishes to raise awareness in the public arena of issues relating to safeguarding and adult protection
3. Hampshire works in partnership with the unitary councils of Southampton and Portsmouth on the protection of vulnerable adults from abuse. The three authorities, along with other statutory agencies, all share one multi-agency policy and procedure.
4. Until May 2006, when a Hampshire Adult Protection Committee was established , Hampshire had relied on the Multi-agency Management Committee (shared with Southampton and Portsmouth) to steer strategic development. The specific Hampshire Adult Protection Committee now ensures that local priorities are addressed. The Multi-Agency Management Committee remains in existence as an integral strategic group informing the Adult Protection Committees in the respective three local authorities. Senior managers from all authorities attend this, including the chairman of Hampshire's Adult Protection Committee (Nick Georgiou, Assistant Director, Adult Services).
5. The information which the County Council is now collecting on outcomes of situations of abuse reported to Adult Services illustrates the need for continued efforts to maintain and expand the high quality partnership working in adult protection involving not only the NHS, police, housing authorities, voluntary organisations and service providers but also financial institutions, law firms, the office of the Public Guardian and Crown Prosecution Service.
6. Additional resources have been allocated to this work with three safeguarding co-ordinators appointed to improve consistency and effectiveness of approach across Hampshire.
CARERS STRATEGY
1. The Executive Member has approved the consultation on the draft carers Strategy which will run from 27 February to 21 May 2008.
2. This Strategy results from a partnership approach and effective joint-working. It seeks to underpin future allocation of resources and provide shared strategic direction for improving recognition and support for carers in Hampshire.
3. It is estimated that there are between 113,835 to 126,000 carers in Hampshire with approximately 19,808 carers providing over 50 hours of unpaid care per week.
4. There are approximately 2,500 carers from black and minority ethnic Communities in Hampshire and in addition to the range of issues and challenges experienced by all carers, carers from black and minority ethnic communities are likely to experience compound disadvantages.
5. Carers in Hampshire provide a substantial range of care including emotional, physical, medical and practical support. Total benefits of the support offered by carers is incalculable, however, recent Carers UK research calculates that the current cost of replacement care in Hampshire alone would be £1,482.4 million. This is an increase of 44% from the figure in 2002.
6. Carers are both partners in providing support and care and are individuals with rights and needs in their own right and require a range of accessible support and information, and flexibility in the way services and support are offered.
7. The Draft Strategy develops and supports safer communities through improvements in support, information and services for carers and people with care needs. It supports carers of all ages including young carers.
8. The Strategy will provide commissioning framework for the County Council for carers services that will deliver:
_ Clear statements of commissioning intentions
_ A modernisation programme for all providers
_ Priorities that make a real difference in the short term to medium term
_ A robust analysis of carers needs to inform commissioning
_ A whole system focus for improvement
_ Cohesion with other related health and social care commissioning strategies, e.g. older people's mental health
9. The commissioning aims of the Strategy being:
_ To secure services and support for carers of all ages which address locally agreed priorities
_ To secure services which are flexible and able to change in line with people's unique circumstances, enabling independence and choice
_ To secure equitable access to services and support across Hampshire based on individual and population needs
10. Commissioning will focus on specialist and community based services. All
investment plans will be balanced with a disinvestment plan to
demonstrate affordability within the available resources and the links
between business cases will be demonstrated. Where redesign of services is required, this will be subject to the usual scrutiny and public consultation processes. Service level agreements will be agreed that set out the modernisation programme with identified outcomes and standards. The implications of this strategy for market management will be considered as will proactively engagement with all partners within the market.
11. The outcomes and actions proposed in this Strategy prioritise improving the quality of life for carers and ensuring they have opportunities to access information, to support themselves, be active in their community and have access to the services they need.
FELICITY HINDSON, MBE
Executive Member for Adult Social Care
4IR320108