HAMPSHIRE HEALTH JOINT CONSULTATIVE COMMITTEE
22ND NOVEMBER 1988
JOINT FINANCING
REPORT OF THE DIRECTOR OF SOCIAL SERVICES
SECTION A: SCHEMES RECOMMENDED FOR APPROVAL
PORTSMOUTH & SOUTH EAST HAMPSHIRE HEALTH AUTHORITY
1. Contact Clubs for People Suffering/Recovering from Mental
Illness, Portsmouth
The District Health Authority request Joint Finance to meet the
first year rental costs of 4 contact clubs in Portsmouth
providing support to past and present psychiatric patients and
elderly people with dementia. A sum of £2000 is required.
2. Psychogeriatric Services: Andrew Lodge, Portsmouth
At their meeting in May 1988 the Social Services Committee
agreed to this property being transferred to the District Health
Authority for the provision of residential and day care for the
elderly mentally infirm. The date of transfer is
January 1st, 1989 and the Health Authority do not expect to be
able to reopen the premises until the following financial year.
The District General manager has therefore requested that a
Joint Finance allocation of £5682 be approved to fund rental and
security costs in the intervening period.
3. Category "2½" Sheltered Housing Scheme, Cyprus Road, Titchfield
Fareham Borough Council propose to build a Category 2½ sheltered
housing scheme for the frail elderly and request a Joint Finance
grant in respect of the following facilities not normally
provided within an ordinary Category 2 scheme:-
£
Communal bathroom & special bath 7,250
Additional w.c. for disabled 2,100
Larger common room 21,750
Larger kitchen 5,100
Additional circulation space 11,300
Larger office 3,900
Extra handrails, including ramps 14,300
Multipurpose room for paramedical activities 1,000
Four wheelchair flats 31,050
97,750
The District Joint Planning Team for the Elderly are strongly
supportive of this project as there is a lack of this type of
facility within the Fareham Area. The proposal accords with
local strategic objectives and the Chief Housing Officers
Group's recommendations on such developments published in
September 1987 and reported to the Social Services Committee in
February 1988.
The full development of the Category 2½ scheme will require an
enhancement of staff at a cost currently estimated at £20,000
per annum. However, it is not anticipated that the project will
open before the latter half of 1990 and the Joint Planning Team
do not feel able to support the associated revenue bids so far
in advance of the scheme. Should Joint Finance funding be made
available, the long term commitment would fall to the Social
Services Committee.
It is recommended that the capital sum be allocated from Joint
Finance on the understanding that negotiations on revenue
funding will continue and joint operational policy for the unit
will be established between the Borough Council, Health and
Social Services.
4. Alzheimers Disease Society Day Centre, Southsea
The item in Section B (Portsmouth and South East Hants No. 16)
indicates that this Day Centre providing for a maximum of
20 people per day, five days per week, faced closure without the
replacement of Community Programme funding due to cease in the
same month. Joint Financing sufficient to meet the Centre's
costs until March 1989 was approved and negotiations have
continued regarding the position in the longer term.
It is intended that the Day Centre will transfer to the Andrew
Lodge Residential & Day Care Centre for the Elderly Mentally
Infirm when it is reopened by the District Health Authority.
The Joint Mental Health Services Development Group, therefore,
propose that a sum of £19,500 per annum should be made available
from Joint Finance on the normal five year tapering basis to
allow the continuation of the Centre at its present premises in
the mean time, and to fund services in the new location. The
long term costs will be met equally by the Health Authority and
Social Services Committee.
5. Guidepost Housing Association Hostel for people with
Long Term Mental Health Problems: Havant
This project involves the provision of two houses to accommodate
12 people with long term mental health problems and is given a
high priority in the joint Health and Social Services strategies
for the care of this client group in South East Hampshire.
Funding is sought to top-up the staffing in the Hostel at an
estimated cost of £10,000 per annum. The long term commitment
will be met equally by the Health Authority and Social Services
Committee.
6. Special Needs Day Services for Mentally Handicapped People
in Fareham & Portsmouth
Six people with a mental handicap having special needs and
living at home have been identified through joint Health and
Social Services planning arrangements as in need of day care.
The joint costs of these services are estimated at £48,127 per
annum. In view of the oversubscription of Joint Finance
funds, the Joint Planning Team propose an allocation of
£30,000 from this source, sufficient to meet the whole time
equivalent needs of 3/4 of these clients. The long term
costs would be accepted equally by the Health Authority and
Social Services Committee.
7. Day Centre for The Elderly Mentally Infirm,
St Joseph's Church Hall, Havant
This project is to accommodate 10 elderly mentally infirm day
care clients for three days per week. It will operate in an
area where no other such facility exists and which was
identified as a high priority in the review of County-wide day
care requirements reported to the Social Services Committee in
November 1986. The costs of the project are as follows:-
£
CAPITAL
Furniture, curtains, etc. 3,000
REVENUE
Rental of premises 1,500
Transport, heating, etc. 2,000
Honorarium - Part-time Co-ordinator 3,000
6,500 p.a.
It is anticipated that this service will transfer to the
Department's own day care facility to be built in Havant and,
therefore, the long term costs will be met by the Social
Services Committee.
8. Home Help Personal Care Services for the Elderly:
Winchester Social Services Area/Portsmouth & S E Hants
Overlap Catchment Areas
A sum of £7400 per annum on the normal five year tapering basis
is required to allow an extension of the present Winchester Home
Help personal care scheme to cover that part of the Social
Services area which overlaps with the Portsmouth & South East
Hampshire Health Authority. The cost will be met on the normal
equal share basis between Health and Social Services.
9. Linked Family Scheme for Mentally Handicapped Children & Adults:
Fareham & Gosport
Representatives of the Fareham Council of Community Service,
Health and Social Services have obtained short term funding from
MENCAP and the Children in Need Appeal to start a six months
trial Linked Family Scheme project for mentally handicapped
children and adults. Joint Finance is requested to allow the
continuation of this project at a cost of £11,240 per annum, the
long term commitment being met equally by the Health Authority
and the Social Services Committee.
10. Children Services Strategy
The Joint Planning Team for Services to Children wish to develop
a joint strategy for the investment of manpower and monies in
the short/medium term and require the services of a Research
Consultant to undertake the necessary investigations. A
contribution of £7000 is requested towards the cost of the study
which will be undertaken in two phases during 1988-89. Any
remaining costs will be met through the Health Authority and
Social Services Department existing budgetary provision.
11. Occupational Therapy Technician
Occupational Therapy Technicians are employed to undertake a
range of tasks enabling handicapped clients to achieve maximum
independence and safety in their own home or facilitate the work
of a carer. This may include the fitting of ramps,
environmental aids and undertaking minor structural adaptations.
In the Portsmouth area, one-third of the average fifty referrals
per month to the Technicians' services emanate from Health based
Occupational Therapists and are directly related to the
discharge of patients or facilitate access and circulation
within the home. The current pressure on the service precludes
achievement of any acceptable response rate, despite the
majority of referrals being classified as urgent.
It is proposed to appoint a full-time Technician and a quarter
full-time Clerical Assistant to meet this demand at an annual
cost of £12,182 per annum, inclusive of travelling. Joint
Finance is requested for this purpose and for the purchase of a
suitably adapted van at a cost of £10,000. The long term
revenue costs would fall to the Social Services Committee.
12. Voluntary Sector Care Attendant Services to Younger Physically
Handicapped People
The Joint Planning team for Services to Younger Physically
Handicapped People have identified a large amount of unmet need
for these services within the district, particularly for clients
who, without such support, are likely to need Health or Social
Services residential care. In view of the oversubscription of
available Joint Finance funds, the District Joint Planning Group
recommend that a Joint Finance sum of £17,818 per annum be
approved on the normal five year tapering basis as a block
allocation to meet the requirements of the most needy clients,
subsequent expenditure being met equally by the Health Authority
and the Social Services Committee.
13. Portsmouth Council of Community Service Furniture Store
This service exists to provide items of furniture and other
household equipment for disadvantage people, significant number
of whom are former patients or clients of Health and Social
Services. The work of the City Resettlement & Development
Officer and many other community staff are helped considerably
by the availability of these facilities.
The store has been funded until recently through the Community
Programme and will continue through short term City Council and
Joint Finance support until March 1988. The annual costs of the
scheme are estimated at £33,809 and it is hoped that a
multi-agency package of funding can be achieved to ensure
maintenance of the service. It is recommended that a sum of
£10,000 on the normal five year tapering basis be made available
through Joint Finance as a contribution to these arrangements,
the long term commitment being met equally by the Health and
Social Services Committee.
14. Day Services for a Mentally Handicapped Person in Fareham
Short term funding is requested in respect of the full time care
of a client with special needs between January and March 1989
while long term arrangements are made. At present only
part-time provision is possible. The costs involved are
estimated at £2549.
15. Day Centre for the Elderly, St Michael's Convent, Waterlooville
This project to provide a 20-place five day per week Centre was
the subject of a report to the Committee in May 1988. A Joint
Finance allocation of £2000 was approved to fund a feasibility
study and a further £25,000 earmarked to meet the capital costs
of conversion works and £27,000 per annum for revenue purposes.
The study has now been completed and the cost of adaptations to
the property is now confirmed as £27,791. In addition,
provision of furniture and equipment, a Parker bath and
telephone installation, will require a further £9000. The
revenue costs of operating the Day Centre are as follows
£
Supervisor (Scale 4) 8,898
Assistant Supervisor (Scale 1-2) 3,459
Cost of employment 2,101
Transport 10,000
Lease 2,000
Electricity, etc. 1,850
Meals 3,800
TOTAL 32,258
Income 5,108
Net cost 27,000
It is recommended that earmarked funds in respect of the capital
costs be released for this purpose and that a further £11,791 be
approved from Joint Finance to meet the deficit identified.
This would be found by transfer from the Joint Finance set aside
for the revenue costs of the Centre in the 1989/90 and the
Centre's opening date would be deferred until September 1989.
16. Fareham Horticultural Out-Group: Toilet Facilities
This out-group caters for 15-20 people with a mental handicap.
A portable toilet facility is required to enable the project to
become fully operational. A contribution of £2557 is requested
from Joint Finance (see item elsewhere on this agenda).
SOUTHAMPTON & SOUTH WEST HAMPSHIRE HEALTH
1. Additional Support in Sheltered Housing for the Elderly
Members may recall a report submitted to the Committee at its
meeting in November 1987 which detailed proposals to increase
staff support to dependent elderly clients in Category 2
Sheltered Housing throughout the Health District. The total
cost of £45,000 per annum following the normal five year
tapering period of Joint Financing was accepted by the
Committee. Joint discussions of the proposals involved have led
to the following amendments at no extra cost to the Committee.
The services now to be provided are:-
Southampton City Council
- Additional Home Care Staff £10,000 per annum
New Forest District Council
- 2 Part time Special Care Assistants £13,000 per annum
Eastleigh Borough Council
- 1 Peripatetic Care Assistant £10,000 per annum
The remaining sum of £12,000 approved from Joint Finance is
likely to be allocated to similar services within the Test
Valley District and will be reported to the Committee in due
course.
A report by the District Care Planning Team for the elderly
which recommended the further development of these and other
community based services was accepted by the Social Services
Committee at its meeting in May 1988. Consequently, a proposal
that an additional £45,000 per annum be approved on the normal
five year tapering basis for this purpose has been endorsed by
the District Joint Planning Group. The long term costs would be
met by the Social Services Committee.
Detailed proposals are currently being prepared and will be
reported to the Committee when available.
2. Day Care for the Elderly in Lymington
A Health Service Review of local rehabilitation and day care
arrangements in this area has identified the need for a
co-ordinator to facilitate the transfer of patients from
Lymington Day Hospital to local day care services. A similar
input in the Hythe area has been very successful in allowing
earlier patient discharges and therefore increasing the number
of people able to use the day hospital. The cost of the
appointment inclusive of travelling is estimated at £11,000 per
annum. The long term cost following the normal five year
tapering Joint Finance arrangement would be met by the District
Health Authority.
3. Southampton & District MIND Patient Support Councils
At their meeting in May 1988, the Committee approved a
continuation allocation of £807 in 1988/89 from Joint Finance to
start a pilot programme of patients support councils in
psychiatric units within the District. Patient Support Councils
are a forum for in-patients and day care users to participate
directly in service provision as it affects them. A support
group will service the patients councils by arranging, chairing
and minute taking of meetings and by supporting in-patients in
their discussions with hospital management.
The voluntary organisation now wish to continue the development
of this service to provide for 4 hospital wards at a cost of
£2,375 per annum on the normal five year tapering basis.
Funds are required to meet travelling costs, meal allowances and
training expenses. Subject to a review of the scheme's success,
the DHA would accept this commitment in the long term.
4. The Welcome Club, Romsey - Day Services for the Mentally Ill
The Welcome Club accommodates 12 recovering mentally ill clients
on two afternoons a week. The service has operated for two
years, partially on a self-financing basis and in part through
MSC funding for the co-ordinator. The latter source of funding
recently ceased and an interim joint finance allocation of
£1,000 was approved by the Social Services Committee at its
meeting in May, 1988.
A joint strategy for mental illness services in Romsey is
currently under discussion and it is recommended that a sum of
£1500 be agreed to cover costs during 1989/90 while the long
term future of the club is confirmed.
5. Care in the Community Programme for the Mentally Handicapped -
Specialist Social Worker
This proposal relates to the social work support of clients
discharged from long stay hospital care into the community. A
half time specialist social worker is needed in the Eastleigh
area to complete the coverage necessary throughout the District.
The costs of the appointment are as follows and will be met in
the long term by the Social Services Committee:-
£
Half time social worker Grade 1/3 5,962
Clerical Assistance 759
Travel 750
TOTAL 7,471 p a
Setting up costs 400
6. Headway House, Southampton - Day Centre for Head Injured People
A report to the Social Services Committee at its meeting in
September 1987 recommended a capital allocation of £2,000 and a
revenue contribution of £10,000 per annum for two years towards
the costs of a day centre for people suffering from head injury
in Southampton. The Centre would operate on two days per week
and provide for 5 - 10 people each day. The total costs were
estimated at £18,773 per annum but due to a shortage of Joint
Finance at the time, only the lesser sum described could be made
available.
The Headway Organisation have been unable to raise the total
remaining sum and have found difficulty in recruiting a
part-time co-ordinator of sufficient calibre for the scheme.
They have therefore re-submitted a request for an additional
£6,733 per annum during the remainder of the two year pilot
period. Support for the project subsequently will be considered
following an evaluation report.
7. Voluntary Transport Facilities
Application is made for the continuation of the Joint Financing
support of the voluntary transport pool facilities provided by
local councils of community service. These are regarded as
fulfilling a vital part in the provision of community based
activities for many Health and Social Services clients. A Joint
Finance contribution of £38,000 is required to meet the vehicle
replacement costs of 2 buses serving the Southampton and
Waterside areas and one-third of the cost of a vehicle in
Eastleigh (the remaining two-thirds will be considered by the
Winchester Health Authority).
8. Long term care of the Elderly in Part III Accommodation:
Pilot Project at Nightingale Lodge, Romsey
At their meeting on 27th May 1988 the Social Services Committee
received a report of the District Care Planning Team for the
Elderly on the long term care of the elderly. The
recommendations of the report were accepted as the basis for
future planning between agencies involved in the provision of
such care within the Health District.
One of the recommendations of the report concerned the extension
and increase of Health Service inputs into Part III homes to
test whether a real alternative might be provided for more
dependent clients who would otherwise be accommodated in
hospital.
The Care Planning Team now propose a pilot project to provide a
bank of Care Assistant and Community Nursing hours at the
Nightingale Lodge Home for the Elderly. An additional 98 hours
per week Care Assistant and 15 hours a week Community Nursing
hours are planned but adjustments will be made according to
individual clients' needs. The cost would be funded through a
block Joint Finance allocation of £20,000 per annum for three
years. An evaluation at the end of the second year of operation
will form the basis of a decision regarding the future of the
scheme. The project is seen as a unique opportunity to explore
a new means of partnership between Health and Social Services in
the care of the most frail elderly people.
9. Social Work Support to Geriatric Services
Joint Finance is requested for the appointment of a full time
social worker at the Ashurst and Southampton General Hospitals
in support of geriatric services. A survey of patients has
shown that this extra input will enable a considerable number of
patients to be rehabilitated and returned home more quickly than
is presently the case. The costs concerned are as follows:-
£
Full time social worker 11,200
Part time clerical support 3,200
Travel 1,500
15,900
The long term cost of the social worker and travelling would be
met by the Social Services Committee and those of the clerical
support by the Health Authority.
10. Occupational Therapy Support in Day Centres for the Elderly
Mentally Infirm in Southampton
The Health Authority wish to extend their successful scheme of
occupational therapy inputs into day centres for the elderly in
Southampton. The existing support has been found to enable
elderly people attending Harefield Day Hospital and living in
the community to take part in local voluntary day care
activities where this would not normally be possible. The next
phase of provision would involve additional occupational therapy
inputs at a cost of £7,801 per annum. The long term costs would
be met by the District Health Authority.
11. St Dismas Alcohol Recovery Unit, Southampton
This project will provide detoxification, assessment and after
care services in a purpose built community setting. The annual
running costs are estimated at £160,300 per annum (August price
base) and will be met through a variety of sources.
The Social Services Committee have approved a contribution of
£28,705 per annum towards social work support and running costs.
The District Health Authority seek Joint Financing of £10,860
per annum on the normal five year tapering basis to enable them
to bring their own financial commitment to the same level.
Support in the long term will be made through the normal Health
Authority revenue funds.
12. Stonham Housing Association Group Home for ex Psychiatric
Patients, Northam
The Stonham Housing Association group home for four people
recovering from mental illness at Wilton Avenue, Southampton
will be transferred to Kent Street, Northam and request is made
for Joint Financing of £3,000 to provide for fire precautions,
carpeting and redecoration.
13. Day Services for Mentally Handicapped People in the West of the
Health District
The Committee at their meeting in May 1988 approved a Joint
Finance contribution of £21,650 to meet the capital cost of
refurbishing the Fernmount Training Centre at New Milton. This
will allow the accommodation of 9 whole time equivalent day
places to be provided for up to 25 clients attending on a part
time basis. The project forms the first phase of a programme
for provision being jointly developed with the District Health
Authority to accommodate people in Health Service residential
facilities and living in their own homes.
The revenue costs of this day provision are estimated at £74,961
per annum and it is proposed that this sum be met through Joint
Finance on the normal five year tapering basis and that
subsequently the cost be met equally by the Health and Social
Services.
14. Care Attendant Services for Physically Handicapped People
The District Care Attendant Service managed by the Health
Authority requires an expansion of services to help accommodate
present unmet levels of demand. A sum of £9292 per annum will
allow the provision of a further 54 hours care per week and it
is recommended that this be funded through Joint Finance on the
normal five year tapering basis. The long term costs would be
met equally by the Health Authority and Social Services
Committee.
15. District Young Disabled Register
The Rehabilitation Health Care Planning Team seek funds to
update the existing District Disabled Register for operational
and planning purposes. A research assistant would be required
for one year at a cost of £9,400 inclusive of travel and
administrative expenses. Following the completion of this
exercise it is anticipated that the register will be updated
biannually by the Care Attendant Scheme organisers.
16. Social Worker Obstetric and Gynaecological Services
Full time social work support is required to these services
based at Princess Anne Hospital. Rising demand is associated
with the increased number of cases needing statutory
intervention under child care legislation. The costs of the
appointment are £12,734 per annum at the May 1988 price base and
would be met in the long term by the Social Services Committee.
17. Rainbow Project, Southampton: Housing for Young Homeless People
This project offers short stay accommodation to young homeless
people in the age range 16-25 years. The residents are
supported during their stay which enables them to cope with
moving to normal accommodation. By December 1988 the scheme
will provide 16 beds in four houses. Young people leaving the
Social Services Department's care and that of the Department of
Psychiatry are assisted. The Southampton City Council make a
contribution of £9000 per annum and top-up funding of £6,000 per
annum is requested to meet the deficit. The long term costs
will be met through the Social Services Committee's grants
budget.
18. Southampton & District MIND Sitting Service for the Elderly
Mentally Infirm
This scheme enables families to continue caring for their
relatives at home by relieving them with paid sitters. The
development of this service was reported to the Social Services
Committee at their meeting in October 1987 when the second phase
of the scheme was approved bringing the total contribution of
the two Authorities to the scheme to £13,010 per annum. The
third phase covering those parts of the Health District outside
of Southampton was also reported as having been brought into
operation during 1987 through short term funding by the Health
Authority. This agreement had been reached on the understanding
that every endeavour would be made to replace these funds with
Joint Finance from 1989/90 onwards.
The District Joint Planning Group now recommend that a sum of
£28,000 per annum be approved from Joint Finance on the normal
five year tapering basis for this purpose, and as with the
previous phases of service development, the costs in the long
term be met equally by the Health and Social Services.
19. Joint Planner Mental Health Services
The present one year appointment of a Planner to the Joint
Mental Health Services Development Group has been funded through
Joint Finance and found to be extremely valuable in the
development of common objectives and programmes of provision.
In view of the significant planning input still required to
identify needs and options for meeting them, a request is made
for a further one year's funding to allow a continuation of the
appointment.
20. Home Help Personal Care Scheme For the Elderly in Southampton
West
Agreement has been reached with representatives of the
Southampton and South West Hampshire Health Authority with
regard to a proposed extension of these services in the
Southampton West Social Services Office catchment area.
Following the successful "piloting" of a similar scheme in the
Lymington area, the District Health Authority have recently
approved the joint development of a service comprising the
following inputs costed at the May 1988 price base:-
Capital
Office equipment £1000
Revenue
1 half time Organiser £4700
Half time Clerk £3600
4 Home Helps £25200
Travel, telephone, clothing,
postage etc. £5100
£38600
Less income £1900
Total cost £36700 per annum
The management of the scheme will be the responsibility of the Area
Social Services Manager (Southampton West) who will convene regular
meetings of a Joint Steering Group to monitor the operation and the
development of the service.
It is intended that the scheme commence as soon as possible and that
funding be provided initially through the allocation of Social
Services Committee funds set aside for this purpose. From 1990/91,
Joint Finance will meet the costs involved on the normal five year
tapering basis and thereafter costs will be met equally by the
Health Authority and Social Services Committee.
SOUTHAMPTON & SOUTH WEST AND SALISBURY HEALTH AUTHORITIES
1. Linked Family Scheme for Mentally Handicapped Children,
Lymington
A pilot project has been agreed with the Southampton Health
Authority to test the effectiveness of this model of care
involving the co-ordination of families willing to provide
respite care to parents of mentally handicapped children from
Lymington. Joint Finance funding of £6,780 per annum is
proposed to meet the cost of a part time co-ordinator and
sessional payments for two years. Further services will be
subject to joint evaluation.
The Salisbury Health Authority also wish to support the service
in that part of Lymington Social Services area which overlaps
with the Health Authority's catchment area and have allocated
the sum of £2,300 per annum on the normal five year tapering
basis for this purpose. The long term costs will be met equally
by the Health Authority and Social Services Department.
SALISBURY HEALTH AUTHORITY
1. Lymington Home Help Personal Care Service to the Elderly
The Social Services Committee at its meeting on the 11th March
1988 approved a sum of £5,700 per annum from Joint Finance to
provide 30 hours per week personal care services to the elderly
in the overlap area of Hampshire County Council and Salisbury
District Health Authority. The long-term pickup of these costs
were accepted by the Social Services Committee and on the
understanding that the subsequent development phase would be met
by the Health Authority.
A proposal has now been agreed with the Health Authority under
which a further 20 hours care, plus associated Organiser,
clerical and travelling costs totalling £3800 per annum, would
be provided. The costs following Joint Financing would be met
in full by the District Health Authority.
BASINGSTOKE & NORTH HAMPSHIRE HEALTH AUTHORITY
1. Basingstoke District Hospital Services for the Elderly:
Social Work Support
An additional full-time Social Work post is required to give
adequate support to the multidisciplinary team servicing these
clients and to meet the extra work associated with the
appointment of second Consultant Psychogeriatrician. The cost
is estimated at £13,000 per annum and Joint Finance is requested
on the normal five year tapering basis.
2. Orchard House, Alton - Category "2½" Sheltered Housing Scheme:
Laundry Facilities
The East Hampshire District Council have agreed to provide a
support laundry to the residents of this establishment and the
frail elderly in the local community. This facility would be
able to deal with personal incontinent laundry and would offer
assistance to carers and the Home Help Service.
The capital costs involved are as follows:-
£
Commercial washing machine 1,990
Installation/alteration 500
Electricity circuit 800
3,290
This scheme will require a 30 hour per week Laundress at an
estimated £5700 per annum. Costs following Joint Financing
would be met equally by the Social Services Committee and Health
Authority.
3. Hartley Wintney Day Centre for the Elderly
This Day Centre for 10-15 clients one day per week is situated
at St John's Church, Hartley Wintney, and has been supported
short term by the District Health Authority Community Unit.
Funds are requested for continuation during the present
financial year and during 1989/90. Subsequently it is
anticipated that the Centre will become part of the service to
be based at The Walpole Gardens Category 2½ Sheltered Housing
Complex. The funding required in the interim is as follows:-
1988/89 £2500
1989/90 £3500
4. Additional Community Psychiatric Nursing:
Child & Adolescent Services
The Health Authority request Joint Finance support in order to
extend their Child Adolescent Psychiatric Nursing Service to the
Alton, Whitehill and Bordon areas. A full-time Psychiatric
Nurse would have special responsibilities to liaise with both
Health, Psychiatry and Social Work Services in all aspects of
their work and to arrange joint visits and case conferences with
other care professionals. The cost of the appointment is
estimated at £14,700 per annum, plus £700 for setting up costs
and after the normal period of Joint Financing would be funded
by the Health Authority.
5. Community Rehabilitation Team: Superintendent Physiotherapist
This proposal concerns the appointment of a Superintendent
Physiotherapist as Phase 1 of the development of a
Rehabilitation Team which, it is envisaged, will eventually
include Occupational Therapy and Speech Therapy services. Close
liaison with the Social Services Department is envisaged in the
development of these services.
The estimated cost is as follows:-
£
CAPITAL
Medical & office equipment 4,000
REVENUE
Superintendent Physiotherapist 14,700
Travel, uniforms, etc 2,000
Recurring equipment 500
TOTAL 17,200 p.a.
It is recommended that these costs be met from Joint Finance on
the normal five year tapering basis and that the Health
Authority accepts the costs thereafter.
6. Care Attendant Scheme for Physically Disabled People
This service, managed by the Social Services Department, has
proved particularly important in the range of facilities
necessary to maintain severely disabled people in their own
homes. However, it is estimated that in order to meet the
rising requirements of clients within the District being
discharged from hospital or prevent their admissions to Health
or Social Services residential facilities, a further £20,000 per
annum is necessary. Joint Finance funds within the District are
insufficient to meet the total need and the Joint Planning
Group, therefore, recommend an allocation of £10,000 on the
normal five year tapering basis. The long term commitment will
be met equally by the Health Authority and Social Services
Committee
7. CHASE Children's Centre, Bordon
The CHASE Centre provides specialist nursing facilities for
children under three years of age from the Bordon district.
Based upon inputs from Health, Social Services and Education,
together with volunteer support, it provides therapy for
children with special needs, an opportunity for mutual support,
respite for parents and the provision of pre-school education.
The sum of £10,000 per annum on the normal five year tapering
basis was approved from Joint Finance by the Committee in
November 1987 towards and estimated £20,163 total costs once the
project was fully operational. The long term commitment was met
equally by the Health and Social Services.
A review of this scheme has resulted in the proposal that the
service be extended to provide the following:-
£
20 hours per week Health Visitor 6,500
30 hours per week Nursery Nurses 6,922
1 hour per week Occupational Therapy 7,000
TOTAL 14,122
It is further proposed that following the normal period of Joint
Financing, the Health Authority pick up the long term costs of
the Health Visitor and half the Occupational Therapist, and the
Social Services Committee accept the remainder. This would
result in an additional £2272 per annum commitment for the
Social Services Committee and £1850 for the Health Authority.
8. Part-Time Social Worker District Drug Advisory Service
This application concerns an increase from the existing
half-time Social Work post to full-time, and arises from the
recommendations contained within the report of the visit of the
DHSS Drugs Advisory Service to the District. Funding of £6500
per annum is required on the normal five year tapering basis,
the long term cost being met by the Social Services Committee.
9. Linked Family Scheme for Mentally Handicapped Children
in Basingstoke
This project forms a further phase of the Joint Health & Social
Services Strategy to provide respite care services to the
parents and families of mentally handicapped children. The
scheme's cost is estimated at £10,000 per annum and Joint
Finance is sought on the normal five year tapering basis, the
long term commitment being accepted equally by the Health
Authority and Social Services Committee.
10. Day Services for the Mentally Handicapped, Basingstoke and Alton
Joint Finance is requested to meet the rental cost of an interim
day service provision for 20 clients with special needs at
Limington House, Basingstoke. These facilities provided by the
County Education Department will be available between
November 1988 and April 1989 and will allow service provision
while long term arrangements are finalised. The cost involved
is £4000.
A further sum of £1000 is required to meet the cost of improving
toilet facilities at the Social Services Alton Day Services
Centre to provide for people with special needs.
WINCHESTER HEALTH AUTHORITY
1. Training for People with a Mental Handicap
A training course at the King Alfred's College, Winchester is
proposed to enable 15 people with a mental handicap to use
community facilities for leisure purposes. Students and clients
work on a 1:1 basis on a programme which helps the latter take
part in a range of hobby and leisure activities in communal
settings. The cost of the course, which takes place over 10
weeks, is £1650 and Joint Financing is requested in respect of
the total amount.
SECTION B: RATIFICATION OF ACTION TAKEN IN CONSULTATION
WITH CHAIRMAN & VICE CHAIRMAN OF THE COMMITTEE
PORTSMOUTH & SOUTH EAST HAMPSHIRE HEALTH AUTHORITY
1. Disabled Living Centre, Portsmouth
The extension of this centre was the subject of a major fund
raising campaign co-ordinated by the Portsmouth News, to which
the Policy & Resources Committee and Social Services Committee
each made a contribution of £10,000. Sufficient funds were
raised to meet the costs of building and interior decoration but
a sum of £2896 is requested through Joint Financing to enable
purchase of display units for the exhibition and demonstration
of equipment for the disabled. The exhibition has been
dismantled since November 1987 and cannot be re-opened until the
new equipment is obtained.
2. Care Attendant Services for Younger Physically Handicapped
People in Portsmouth
A sum of £5843 per annum is required on the normal five year
tapering basis to meet the costs of providing approximately
25 hours per week personal care services to a physically
handicapped person at present resident in Corben Lodge,
Portsmouth. The costs which cannot be met from within the
scheme's existing budget would be met in the long term equally
by the Health Authority and Social Services Committee.
3. Short Term Care for Younger Physically Handicapped People
within the Portsmouth Health Authority District
The local Joint Planning Team for services to younger physically
handicapped people recommend that funds be made available to
enable the short term care of Health Authority patients in
Social Services hostels or their own homes. At present a number
of people referred for respite care or assessment are unable to
be catered for within normal staffing levels. It is proposed
that part time agency staff at an annual cost of £12,780 be
employed for this purpose and that the long term costs after the
normal period of joint financing be met by the District Health
Authority.
4. Disabled Living Centre, Portsmouth: Occupational Therapist
The Centre's Exhibition and Information service on aids and
equipment for physically handicapped people is managed by a
qualified occupational therapist. The cost of this appointment
has been met by a number of short and long term financial
arrangements including the support by Marks & Spencer and
Frank Sorrell Trust. The latter arrangements will cease in
September and a sum of £3055 per annum is sought from Joint
Finance to meet this and the costs of regrading. The Social
Services Committee will be required to meet £2950 of the costs
in the long term, the remainder being met by the Health
Authority.
5. Stubbington Community Bus
This vehicle is managed by an independent committee for use by
groups in the Stubbington and Fareham Borough areas.
Discussions co-ordinated by the County Transport broker led to a
proposal that the bus which is now 16 years old be replaced with
the support of £5000 raised by voluntary effort and £11,000
Joint Finance on the following conditions:-
a) That the bus continue to be used mainly for elderly and
handicapped clients.
b) That the bus be available to serve future day care and
lunch club developments in the area.
c) That the use of spare capacity be co-ordinated with the
Fareham C C S voluntary transport pool.
6. Staffed Hostel Accommodation for Mentally Ill People in
South East Hampshire
The local joint planning team for this client group have
identified the provision of residential accommodation in the
area as a high priority and are currently investigating the
possibility of four staffed hostel projects for a total of up to
48 clients in Cosham, Southsea and Fareham. It is hoped to
attract Housing Corporation Grants or if necessary Housing
Association and Private Finance and the successful project would
be managed by a local Housing Association.
A Joint Finance grant of £100,000 is requested as a contribution
to either two hostels attracting housing corporation funds or
one hostel using housing association and private funds to allow
the necessary negotiations to continue.
7. Day Care for the Elderly, Locks Heath
The Locks Heath Day Centre Group was established in 1985 to
develop day care facilities for elderly people in the Western
Wards of Fareham and comprises representatives of many local
voluntary and statutory agencies. While funds for a larger
proposal are sought, an interim scheme has been developed to
provide a 12 place day centre for up to 3 days per week on the
Coldeast Hospital site. Joint Finance is requested in respect
of adaptations works and furnishings required at a cost of
£10,000.
8. Study of Dependency in Long Stay Private and Voluntary
Residential Accommodation in South East Hampshire
The District Health Authority propose a detailed investigation
of dependency levels of residents in local private and voluntary
rest homes with a view to producing guidelines for the
placements of clients and improvement in the use of available
facilities. The study will involve a contribution by the two
nurse advisers to these homes, funded through Joint Finance and
will form a database for the development of co-operation with
the private and voluntary sectors in the provision of these
services. Computer facilities and stationery costs are
estimated at £4000 and staff costs for the 6 month study a
further £6000. The results will be presented to the Joint
Planning Team for the Elderly.
9. The Old George Centre, Portsmouth: Extension
Age Concern (Portsmouth) provides a 'pop-in' and day centre for
elderly people and has offered a wide range of facilities since
its opening in 1985. Demand has increased progressively and an
extension is proposed to enable occupational therapy facilities
to be developed for the day care clients. When not in use for
these purposes, the extension will also be available for staff
training and use by the general public by arrangement.
The costs of constructing a conservatory at the rear of the
premises is estimated at £7245.
10. Linked Family Scheme for Mentally Handicapped Children, Havant
The local Joint Planning team for services to children have
agreed to recommend a two-year pilot project to develop respite
care for handicapped children in the Havant area. The scheme
would make use of the services of families willing to offer
sessional care and the scheme would be administered by the
Havant Area Social Services Office. The total estimated cost is
£10,000 p.a. inclusive of a part-time Co-ordinator and sessional
payments to carers. Long-term funding would be considered in
the light of a joint evaluation of the service.
11. Fareham Day Services for Mentally Handicapped People: Toilet
Facilities
The Social Services Day Services Unit for mentally handicapped
people in Fareham needs adaptation to provide a disabled
person's toilet and changing facilities for special care
clients. The required works will cost £3500.
12. Horizon Centre for Physically Disabled Clients, Cosham:
Equipment
A request for an allocation of £2500 from Joint Finance is made
to allow the purchase of 2 wheelchairs and a steriliser at the
above Centre in order to care for the increasing multiply
handicapped and severely disabled clients at the Social Services
Centre. A joint agreement with the Health Service to provide
additional care hours to meet the needs of the most dependent
clients makes the acquisition of such equipment essential.
13. Aids for Younger Physically Handicapped People
The joint planning group for services to younger physically
handicapped people recommend the approval of a £10,000
allocation from Joint Finance to meet the cost of independence
and nursing equipment issued by the Health and Social Services
stores in South East Hampshire. This sum would be divided
equally between the two authorities and be used to purchase
mangar baths and lifting equipment designed to eliminate the
need for manual lifting by carers and district nurses.
14. Services for Younger Physically Handicapped People:
Adaptations of Buildings
The Social Services Department local occupational therapy
services include the provision of minor building adaptations to
enable clients independence of care in their own homes. A
waiting list for these works exists at present in each of the
six local social services areas due to an excess of demand over
resources. It is proposed that a sum of £1000 be allocated from
Joint Finance to each Area Manager to reduce the backlog.
15. Aids for Deaf and "Hard of Hearing" Clients
The District Health Authority request an allocation of £2500
from Joint Finance to provide equipment to these clients through
the Hearing Therapy service. A variety of environmental aids
designed to maximise the use of hearing aids are issued but a
significant amount of unmet need has been identified and the
advent of new technology is stimulating additional demand. The
recipients are in many cases the joint clients of the Health and
Social Services.
16. Alzheimer Disease Day Centre, Southsea
The Alzheimer Disease Society operate a Day Centre for up to 20
people suffering dementia on a 5 day per week basis, at the
St Peter's Church Hall in Southsea. The withdrawal at short
notice of the MSC programme funding which supported this scheme
has created serious financial difficulties for the Society.
Despite receipt of support for staffing costs through the new
Employment Training Scheme and the use of volunteers, the
continuation of the service requires assistance through Joint
Finance. A sum of £9000 is needed to meet residual staffing and
other costs until the end of the current financial year. It is
anticipated that the Centre will then transfer to become part of
the range of services to be provided for the elderly mentally
infirm at the former Andrew Lodge Home for the Elderly and a
proposal for Joint Finance and long term funding will be
submitted to the Committee in due course.
17. Portsmouth Council of Community Service: Furniture Store
This project assists people in the community and returning from
hospital care to settle into their own accommodation by helping
to provide suitable furniture and equipment. Approximately 900
deliveries have been made in the past year.
This scheme has again relied on Manpower Services Commission
Community Programme funding which has recently been withdrawn.
A number of agencies have been approached in respect of
alternative funds and a one-off grant of £2000 from Joint
Finance is recommended while support in the long term is
considered.
18. MIND Development Officer Fareham & Gosport
The Joint Mental Health Services Development Group wish to
support the newly launched MIND Group in Fareham and Gosport
through the short term appointment of a Development Officer. A
contribution of £2500 is proposed from Joint Finance, the
remaining costs to be met by the voluntary organisation. It is
intended that the postholder concentrate initially on
researching the needs for local community based facilities in
consultation with professional workers and clients. The results
would be reported to the Joint Development Group referred to
above.
19. Care Enabler - The Horizon Centre for the Younger
Physically Handicapped, Cosham
A growing concern is shared by representatives of the Social
Services Department, Local Health Authority and voluntary bodies
in South East Hampshire regarding the needs of the profoundly
and multiply physically handicapped who are unable to obtain day
care services. It is hoped that the Department's proposals for
satellite day care units will in the longer term enable such
provision to be made. In the interim, however, an additional
full-time post at the above Centre is proposed to cater for five
additional people each week and enhance the care of a further
ten who already attend.
The cost of the appointment is estimated as follows:-
£
Care Enabler 9,796
Transport of Clients 2,400
12,196 p a
Joint Financing is required on the normal five year tapering
basis, the long term costs to be met equally by the Health and
Social Services, subject to a review at the end of the first
year of operation.
20. Tandem Project - Further Education for Physically Handicapped
People
Fareham & Gosport Institute of Adult Education has since
September 1986 operated a project through which disabled adults
are matched with trained volunteers able to support them in
attending Further Education classes. Many students are
multiply handicapped and the volunteer helps with transport to
and from the class, as well as assisting during classes. The
scheme organiser also arranges for specialised teaching methods
where this is appropriate.
The project caters for a minimum of twenty-five clients and has
been found to be a very valuable means of assisting in the
fulfilment of the County Council's responsibilities under the
Chronically Sick & Disabled Persons Act within the District.
The scheme which costs £1200 per annum was funded during the
second year through Joint Finance and it is now proposed that
this continue for the remainder on normal five year tapering
basis. The long term commitment would be met by the Social
Services Committee.
21. Care Attendant Services for Younger Physically
Handicapped People
The District Joint Planning Team for the Younger Physically
Handicapped have identified additional funding of Care Attendant
services for more handicapped clients as a priority for Joint
Financing. The sum of £15,774 per annum will allow adequate
services to be provided to six clients in their own homes who
would otherwise need to be accommodated in more institutional
forms of care. The Team are currently surveying the extent of
remaining need with a view to making further recommendations for
funding. The long term costs of the present proposal will be
made equally by the Health Authority and Social Services
Committee.
22. Day Care for Mentally Handicapped People
A sum of £67746 per annum was approved by Committee from Joint
Finance at its meeting on the 22nd January 1988 to meet the
costs of providing twelve special needs day care places for
mentally handicapped people in the community. A recent review
of the transport costs involved have shown the need for an
additional £2000 per annum to be provided. It is recommended
that this sum be met through Joint Finance, the long terms costs
being accepted equally by the District Health Authority and
Social Services Committee.
23. Portsmouth Rape Crisis Line
Portsmouth Rape Crisis Line (PRCL) is a confidential telephone
counselling support service offered to any woman or girl raped
or sexually assaulted, incest survivors and women sexually
abused as children. The organisation play a prominent part in
the development of services for this client group in South East
Hampshire.
An allocation of £9,000 from Joint Finance was approved by the
Committee in January 1988 to support the continuation of the
scheme's co-ordinator previously funded through the Manpower
Services Commission. Joint Finance is for the normal five year
tapering period and the long term costs are to be met equally by
the Health and Social Services Authorities.
The report to the Committee at that time also reminded members
that a request in respect of a second post remained on the list
of applicants for grant aid presented to the Committee in
November 1987. This bid was considered again at the Committee
meeting in April, it being noted that the Manpower Services
Commission funding for the current employee is due to cease on
31st May 1988. A sum of £7,500 is required to meet costs during
the remainder of the financial year. It was agreed by the
Committee that the one-off savings on the grants budget in
1988/89 of £13,565 be made available pro rata as a contribution
to the costs of this project and one from Age Concern,
Southampton requiring £13,050. The decision was made the
subject of a minority order which is being resolved by the
Council at its meeting on 26th May 1988.
Applications for support have also been made by the PRCL to the
Policy and Resources Committee and Police Authority but
decisions will not be available until late June and July
respectively. In view of the urgent need to secure short term
funding and the uncertainty of the outcome of the applications
already made, it is proposed to agree a sum of £2,000 from Joint
Finance as a one-off contribution, enabling a continuation of
services in the interim.
WINCHESTER HEALTH AUTHORITY
1. Stonham Housing Association Group Homes for Ex-Psychiatric
Patients in Eastleigh
At their meeting on the 11th March 1988, the Social Services
Committee approved the the Joint Financing of the deficit in
respect of bad debts and vacancy costs at two group homes to be
established in Eastleigh. The annual cost was £5000 per annum
to met jointly by Health and Social Services.
The Housing Association now requests a sum of £4386 to meet half
the costs of furnishing and equipping these properties. They
also request £3718 to meet the costs of improvements to the
accommodation. It is recommended that these costs be met through
Joint Finance funding.
2. Linked Family Scheme for the Care of the Elderly, Winchester
The aim of this scheme is to enable respite for carers of
elderly dependants through the development of a sitting service.
Sitters from families in the local community would receive
sessional payments for care of the elderly normally in the
recipient's own home. The scheme would be managed by a
part-time Co-ordinator based at the Winchester Social Services
Area Office. The annual cost is estimated at £10,000 and
following the normal period of Joint Financing, would be met
equally by the Social Services and Health Authorities.
3. Andover Day Service for Mentally Handicapped People
The local Joint Planning Group for services to people with a
mental handicap have developed a package of day care services
for three school leavers with special needs at a cost of £20,258
per annum and a further twelve client resident in Health
Authority accommodation at a cost of £18,934 per annum. The
provision in respect of the school leavers would be the joint
responsibility of the Health and Social Services, and that of
the other clients the sole responsibility of the Health
Authority. A sum of £1500 is also required for adaptations at
the Andover Day Service Centre.
Joint Finance is required on the normal five year tapering basis
as follows:-
£
Capital works 1,500
3 client service 10,129
12 client service 18,934
Total 29,063 p.a.
The long-term revenue commitment would be met by the Health
Authority. The remaining £10,129 per annum for the services to
the three clients can be met from within the Social Services
Committee's existing revenue funds for 1988/89.
BASINGSTOKE & NORTH HAMPSHIRE HEALTH AUTHORITY
1. Special Needs Day Care for the Mentally Handicapped
As a result of joint Health and Social Services planning of
services for this client group, it is proposed to extend day
services in Basingstoke to enable provision for four clients
with special needs living in Health Authority accommodation. It
is intended to transfer existing clients at the Basingstoke
Centre to a new satellite which will enable their participation
in a wider range of training opportunities, and thus vacate
places at the existing Centre for the use of the four special
needs clients.
The new facilities at Shera Hall, Dibley Close, Basingstoke will
provide for 12 clients and is leased by the local MENCAP
Society. This group have undertaken to meet the cost of rent,
rates, electricity, gas and telephone. They will also endeavour
to assist with some staffing costs.
A request for Joint Finance is made in respect of £5,000 to meet
furniture, equipment and fire precautions works and the
following running costs:-
£
2 Day Care Officers 21394
Transport 3000
Other costs exclusive of MENCAP contribution 5600
29994
RECOMMENDATIONS
SECTION A SCHEMES RECOMMENDED FOR APPROVAL
PORTSMOUTH & SOUTH EAST HAMPSHIRE HEALTH AUTHORITY
1. Contact Clubs for People Suffering from Mental
Illness, Portsmouth
That an allocation of £2000 be made from Joint Finance to meet
the first year rental costs of these services.
2. Psychogeriatric Services Andrew Lodge, Portsmouth
That a sum of £5682 be approved to meet the costs of rental and
security at these premises.
3. Category "2½" Sheltered Housing Scheme - Fareham
That a contribution of £97,750 be approved from Joint Finance
funds to meet the cost of enhanced facilities at this project on
the basis that negotiations on revenue funding will continue and
a joint operational policy for the unit will be agreed.
4. Alzheimers Disease Society Day Centre, Southsea
That a sum of £19,500 per annum be made available from Joint
Finance on the normal five year tapering basis in respect of the
continuation of this Centre's services and that these costs be
met in the longer term equally by the Health Authority and
Social Services Committee.
5. Guidepost Housing Association Hostel for People with
Long Term Mental Health Problems: Havant
An allocation of £10,000 per annum be approved from Joint
Finance on the normal five year tapering basis to meet the
additional staffing costs of this project, the long term
commitment being met equally by the Health Authority and Social
Services Committee.
6. Special Needs Day Services for the Mentally Handicapped People
in Fareham & Portsmouth
The sum of £30,000 per annum be made available from Joint
Finance on the normal five year tapering basis to meet the cost
described, the long term commitment being accepted equally by
the Health Authority and Social Services Committee.
7. Day Centre for the Elderly Mentally Infirm,
St Joseph's Church Hall, Havant
That
(a) a capital sum of £3000
(b) a revenue sum of £6500 per annum for two years
be approved from Joint Finance, the long term cost to be met by
the Social Services Committee as part of the planned Day Centre
for the Elderly in Havant.
8. Home Help Personal Care Scheme for the Elderly:
Winchester Social Services Area/Portsmouth & South East
Health Authority Catchment Area
That a sum of £7400 per annum approved from Joint Finance on the
normal five year tapering basis to meet the cost of this
service, the long term cost being met equally by the Health
Authority and Social Services Committee.
9. Linked Family Scheme for Mentally Handicapped Children & Adults
That an allocation of £11,240 per annum be approved from Joint
Finance on the normal five year tapering basis to allow the
continuation of this project, the long term commitment being met
by the Health Authority and Social Services Committee.
10. Children's Services Strategy
That a contribution of £7000 be made from Joint Finance towards
the administrative costs of developing a Joint Strategy for this
client group.
11. Occupational Therapy Technician
That
(a) a capital sum of £10,000 be approved from Joint Finance to
meet the cost of purchasing a van, and
(b) an allocation of £12,182 per annum on the normal five year
tapering basis to meet the salary costs of an Occupational
Technician, clerical assistance and vehicle running costs.
(c) the long term revenue commitment be met by the Social
Services Committee.
12. Voluntary Sector Care Attendant Services for Younger
Physically Handicapped People
That the sum of £17,818 per annum be approved from Joint Finance
on the normal five year tapering basis in respect of these
services, subsequent expenditure to be met equally by the Health
Authority and Social Services Committee.
13. Portsmouth Council of Community Service Furniture Store
That an allocation of £10,000 be made from Joint Finance on the
normal five year tapering basis in respect of this scheme, the
long term costs to be accepted equally by the Health Authority
and Social Services Committee.
14. Day Services for a Mentally Handicapped Person in Fareham
That a sum of £2549 be allocated from Joint Finance to provide
short term funding for the care of this client.
15. Day Centre for the Elderly, St Michael's Convent, Waterlooville
That
(a) a sum of £36,791 be approved from Joint Finance to meet the
cost of property conversion and equipment for this Centre.
(b) a sum of £27,000 per annum be approved from Joint Finance
from September 1989 - March 1991 and then tapering on the
normal three-year basis, the long term cost to be met by
the Social Services Committee
16. Fareham Horticultural Out-Group, Locks Heath: Toilet Facilities
That a sum of £2557 be allocated from Joint Finance to meet the
cost of these facilities.
SOUTHAMPTON & SOUTH WEST HAMPSHIRE HEALTH AUTHORITY
1. Additional support in Sheltered Housing for the Elderly
1) That the rearrangements for support in Category 2 sheltered
housing schemes throughout the district be noted.
2) That an additional Joint Finance sum of £45,000 per annum
on the normal five year tapering basis be approved for this
purpose, the long term costs being met by the Social
Services Committee.
2. Day Care for the Elderly in Lymington
That a sum of £11,000 per annum on the normal five year tapering
basis be approved from Joint Finance to allow the appointment
described, the long term costs being accepted by the District
Health Authority.
3. Southampton & District MIND Patient Support Councils
That an allocation of £2,375 per annum on the normal five year
tapering basis be approved in support of this pilot project, the
long term costs, subject to the results of an evaluation report,
being met by the District Health Authority.
4. The Welcome Club, Romsey - Day Services for the Mentally Ill
That an allocation of £1,500 be approved from Joint Finance in
1989/90 to allow continuation of this facility while long term
plans are confirmed.
5. Care in the Community for the Mentally Handicapped -
Specialist Social Worker
1) That an allocation of £400 to meet setting up costs and a
further £7,471 per annum on the normal five year tapering
basis be approved from Joint Finance funds for the
provision of social work support to this programme.
2) That the long term consequences be met by the Social
Services Committee.
6. Headway House, Southampton -Day Centre for Head Injured People
That an additional £6,733 per annum be agreed from Joint Finance
funds for the remainder of the two year pilot period of this
scheme to meet extra staffing costs.
7. Voluntary Transport Facilities
That a sum of £38,000 be approved from Joint Finance to meet the
vehicle replacement costs described.
8. Long Term Care of the Elderly in Part III Accommodation:
Pilot Project at Nightingale Lodge, Romsey
That a sum of £20,000 per annum be allocated from Joint Finance
for three years to meet the cost of this pilot project.
9. Social Work Support to Geriatric Services
That a sum of £15,900 per annum be approved from Joint Finance
on the normal five year tapering basis, the long term costs of
the social worker and travelling (£12,700) be met by the Social
Services Committee and that of the clerical assistance (£3200)
by the Health Authority.
10. OT Support in Day Centres for the Elderly Mentally Infirm,
Southampton
That a sum of £7,801 per annum be approved from Joint Finance in
the normal five year tapering basis to provide additional
occupational therapy services, the long term cost to be met by
the District Health Authority.
11. St Dismas Alcohol Recovery Unit, Southampton
That a Joint Finance allocation of £10,860 per annum on the
normal five year tapering basis be made in respect of this
service, the cost of the long term to be met by the Health
Authority.
12. Stonham Housing Association Home for ex Psychiatric Patients,
Northam
That a sum of £3,000 be approved from Joint Finance to meet the
refurbishment costs of this home.
13. Day Services for Mentally Handicapped People in the West of the
Health District
That a sum of £74,961 per annum be approved on the normal five
year tapering basis to meet the cost of the day services
described and that subsequently the cost be met equally by the
Health Authority and Social Services Committee.
14. Care Attendant Services for Physically Handicapped People
That a sum of £9,292 per annum be allocated from Joint Finance
on the normal five year tapering basis in respect of expanding
these services, and that the long term costs be met equally by
the Health Authority and Social Services Committee.
15. District Younger Disabled Register
That a sum of £9,400 be made available from Joint Finance to
meet the cost of updating this register.
16. Social Worker, Obstetrics and Gynaecological Services
That a sum of £12,734 per annum be allocated from Joint Finance
on the normal five year tapering basis in respect of this
appointment, the long term costs to be met by the Social
Services Committee.
17. Rainbow Project, Southampton: Housing for Young Homeless People
That a sum of £6,000 per annum be approved from Joint Finance to
support this project, the long term costs to be met by the
Social Services Committee.
18. Southampton & District MIND Sitting Service for the Elderly
Mentally Infirm
That a sum of £28,000 per annum be made available for Joint
Finance on the normal five year tapering basis to enable the
continuation of this scheme, the long term costs being met
equally by the Health Authority and Social Services Committee.
19. Joint Planner Mental Health Services
That an allocation of £16,000 be approved from Joint Finance to
meet the cost of this appointment for one year.
20. Home Help Personal Care Scheme for the Elderly in Southampton
West
a) That a capital sum of £1000 and a revenue sum of £36700 per
annum be approved from the Social Services Committee funds
allocated for this purpose to provide services during the
remainder of 1988/89 and throughout 1989/90.
b) That a Joint Finance allocation of £36700 per annum on the
normal five year tapering basis be agreed to meet the scheme's
costs to commence in 1990/91.
c) That the long term costs subsequent to Joint Financing be met
equally by the Health Authority and the Social Services
Committee.
SOUTHAMPTON & SOUTH WEST HANTS AND SALISBURY HEALTH AUTHORITIES
1. Linked Family Scheme for Mentally Handicapped Children,
Lymington
That
a) a sum of £6,780 per annum be approved from Joint Finance
for two years to allow a pilot project to take place in the
Southampton Health Authority part of Lymington Social
Services Area, and
b) a sum of £2,300 be approved from Joint Finance on a normal
five year tapering basis to meet the costs of these
services within the Salisbury Health Authority part of
Lymington Social Services Area, the long term costs being
met equally by the Health Authority and Social Services
Committee.
SALISBURY HEALTH AUTHORITY
1. Lymington Area Home Help Personal Care Service to the Elderly
That the sum of £3800 be allocated from Joint Finance on the
normal five year tapering basis, the long-term cost to be met by
the District Health Authority.
BASINGSTOKE & NORTH HAMPSHIRE HEALTH AUTHORITY
1. Basingstoke District Hospital Service for the Elderly:
Social Work Support
That a sum of £13,000 be approved from Joint Finance on the
normal five year tapering basis in respect of this appointment,
the long term cost being met by the Social Services Committee
2. Orchard House, Alton - Category "2½" Sheltered Housing Scheme:
Laundry Facility
That
(a) a Joint Finance allocation of £3290 be approved to meet the
capital costs of this scheme, and
(b) a Joint Finance allocation of £5700 per annum be made on
the normal five year tapering basis, long term costs being
met equally by the Health Authority and Social Services
Committee.
3. Hartley Wintney Day Centre for the Elderly
That the sum of £2500 in 1988/89 and £3500 in 1989/90 be
approved from Joint Finance to meet the running costs of this
Centre.
4. Additional Community Psychiatric Nursing:
Child & Adolescent Service
That a one-off sum of £700 and a further £14,700 per annum be
approved on the normal five year tapering basis, the long term
funding to be provided by the Health Authority.
5. Community Rehabilitation Team: Superintendent Physiotherapist
That
(a) a capital sum of £4000 be allocated from Joint Finance, and
(b) a revenue sum of £17,200 per annum be approved from Joint
Finance on the normal five year tapering basis in respect
of this scheme, the long term costs being met by the
District Health Authority.
6. Care Attendant Service for Physically Disabled People
That the sum of £10,000 per annum be approved from Joint Finance
on the normal five year tapering basis in respect of this
scheme, the subsequent cost to be met equally by the Health
Authority and Social Services Committee.
7. CHASE Children's Centres, Bordon
That
(a) an additional allocation of £4122 be made from Joint
Finance on the normal five year tapering basis in respect
of this scheme.
(b) the District Health Authority accept the long term cost of
the Health visitor and half the Occupational Therapy
service at a net extra commitment of £1850 per annum, and
(c) the Social Services Committee accept the remaining costs at
a net extra cost of £2272 per annum.
8. Part-Time Social Worker for District Drug Advisory Service
That the sum of £6500 per annum be approved from Joint Finance
on the normal five year tapering basis to meet the cost of this
appointment, the long term cost being met by the Social Services
Committee.
9. Linked Family Scheme for Mentally Handicapped Children,
Basingstoke
That a sum of £10,000 per annum be approved from Joint Finance
on the normal five year tapering basis in respect of the
service, the long term cost being met equally by the Health
Authority and Social Services Committee.
10. Day Services for the Mentally Handicapped, Basingstoke and Alton
That a) a sum of £4000 be approved from Joint Finance to meet
the rental cost at Limington House, Basingstoke and b) a sum of
£1000 be approved from Joint Finance to allow toilet
improvements at the Alton Day Services Centre.
WINCHESTER HEALTH AUTHORITY
Training for People with a Mental Handicap
That a sum of £1650 be approved from Joint Finance in respect of
this scheme.
SECTION B: RATIFICATION OF ACTION TAKEN IN CONSULTATION
WITH CHAIRMAN & VICE CHAIRMAN OF THE COMMITTEE
PORTSMOUTH & SOUTH EAST HAMPSHIRE HEALTH AUTHORITY
1. Disabled Living Centre, Portsmouth
That a sum of £2896 be made available from Joint Finance to
enable the purchase of display units.
2. Care Attendant Services for the Younger Physically Handicapped,
People in Portsmouth
That a sum of £5843 per annum be allocated from Joint Finance on
the normal five year tapering basis for the additional services
described, the long term costs to be met equally by the Health
Authority and Social Services Committee.
3. Short Term Care for Younger Physically Handicapped People within
the Portsmouth Health Authority District
That a sum of £12,780 per annum be allocated from Joint Finance
on the normal 5 year tapering basis to meet the costs of the new
service outlined, the long term commitment being met by the
Health Authority.
4. Disabled Living Centre, Portsmouth: Occupational Therapist
That an allocation of £3055 per annum be made from Joint Finance
on the normal five year tapering basis to maintain this service,
£2950 of the long term costs being accepted by the Social
Services Committee and the remainder by the Health Authority.
5. Stubbington Community Bus
That an allocation of £11,000 be approved from Joint Finance as
a contribution to the cost of replacing this bus.
6. Staffed Hostel Accommodation for Mentally Ill People in South
East Hampshire
That a sum of £100,000 be approved from Joint Finance as a
contribution to the provision of one or two hostels according to
the programme finally negotiated.
7. Day Care for the Elderly, Locks Heath
That a sum of £10,000 be approved from Joint Finance to meet the
cost of adaptations and furnishing required for this project.
8. Study of Dependency in Long Stay Private and Voluntary
Residential Accommodation in South East Hampshire
The allocation of £10,000 be made from Joint Finance in respect
of this study.
9. The Old George Centre, Portsmouth: Extension
That an allocation of £7245 be agreed from Joint Finance to
allow the extension of these premises.
10. Linked Family Scheme for Mentally Handicapped Children, Havant
That an allocation of £10,000 per annum for two years be
approved from Joint Finance in respect of this project.
11. Fareham Day Services for Mentally Handicapped People: Toilet
Facilities
That a sum of £3,500 be approved from Joint Finance to meet the
cost of these facilities.
12. Horizon Day Centre for Physically Handicapped People, Cosham:
Equipment
That an allocation of £2500 from Joint Finance be approved to
allow the purchase of equipment for this centre.
13. Aids for Younger Physically Handicapped People
That two block grants of £5000 be approved from Joint Finance to
allow the purchase of equipment by the Health & Social Services
Aids Stores in South East Hampshire.
14. Services for the Younger Physically Handicapped People:
Adaptations of Buildings
That a sum of £6000 be approved from Joint Finance to fund the
additional allocations described.
15. Aids for Deaf and 'Hard of Hearing' Clients
That a Joint Finance allocation of £2500 be agreed to enable the
provision of the aids described.
16. Alzheimer Disease Day Centre, Southsea
That a sum of £9000 to meet staffing and other costs be approved
from Joint Finance funds available during 1988/89.
17. Portsmouth Council of Community Services Furniture Store
That a contribution of £2000 be made from Joint Finance towards
the cost of maintaining this service in the current financial
year.
18. MIND Development Officer, Fareham & Gosport
That an allocation of £2500 be made towards the cost of this
appointment.
19. Care Enabler - The Horizon Centre for the Younger Physically
Handicapped, Cosham
That a sum of £12,196 per annum be approved from Joint Finance
on the normal five year tapering basis, the long term costs to
be met equally by the Health and Social Services, subject to the
results of a review at the end of the first year of operation.
20. Tandem Project - Further Education for Physically Handicapped
People
That the sum of £1200 per annum to meet to cost of this project
be approved from Joint Financing for the remainder of the normal
five year tapering basis, the long term costs being met by the
Social Services Committee.
21. Care Attendants Services for Younger Physically Handicapped
People
That an allocation of £15,774 per annum on the normal five year
tapering basis be made from Joint Finance in respect of these
services, the long term commitment being accepted equally by the
Health and Social Services Authorities.
22. Day Care for Mentally Handicapped People
That a further £2000 per annum be approved on the normal five
year tapering basis from Joint Finance to meet the additional
transport costs described, the long term costs being met equally
by the District Health Authority and Social Services Committee
23. Portsmouth Rape Crisis Line
That a sum of £2000 be approved from Joint Finance in 1988/89 to
allow continuation of services while funding from other sources
is considered.
WINCHESTER HEALTH AUTHORITY
1. Stonham Housing Association Group Homes for Ex-Psychiatric
Patients in Eastleigh
That the following sums be made from Joint Finance in respect of
this project:-
(a) £4386 to meet the costs of funishing and equipping the
homes described.
(b) £3718 to fund the reimbursement of costs to previous
tenants and new works at the same properties.
2. Linked Family Scheme for the Care of the Elderly, Winchester
That the sum of £10,000 per annum be made on the normal five
year tapering basis, the long-term cost to be met equally by the
Health Authority and Social Services Committee.
3. Andover Day Service for Mentally Handicapped People
That the following sums be allocated from Joint Finance:-
(a) Capital works £ 1,500
(b) Services for 3 clients £10,192 p.a. on the normal 5 year
tapering basis
(c) Services for 12 cleints £18,934 p.a. on the normal 5 year
tapering basis
The long-term revenue commitment will be met by the District
Health Authority.
BASINGSTOKE & NORTH HAMPSHIRE HEALTH AUTHORITY
1. Special Needs Day Care for the Mentally Handicapped
That the following allocations be made from Joint Finance in
respect of this project:-
(a) A capital sum of £5000 to meet the cost of furniture,
equipment and fire precautions works.
(b) A sum of £30,000 per annum on the normal five year
tapering basis to meet the revenue costs described, the
long term commitment being met equally by the Health
Authority and Social Services Committee.
84/R/401/11/88
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