Recommendation

Activity / Action

Person

Responsible

Target date

Comments / Cross Reference

1.0 National Priorities and Strategic Objectives

1.1 Senior managers should identify new ways of involving staff and representatives of other agencies in further work on restructuring departmental services.

· Internal Older persons conference

· If any further restructuring takes place this recommendation will be considered in the project plan

· PMU evaluation of restructuring

· Lynn Waight

· Partnership and County Managers

· Karen Robinson

· 24/07/02

· Ongoing

· October 02

1.2 In planning future mental health services for older people, the department should:

· Identify desired health and social care outcomes;

· Benchmark good practice;

· Co-ordinate information systems;

· Consider the use of Health Act flexibilities

· Cross County joint planning forums

· Required outcomes identified in draft Commissioning Strategy

· Identify service Development priorities

· Use existing links with Dementia Voice

· Catherine Pascoe

· National Service Framework

· Commissioning Strategy

· Best Value review of residential care

· District Audit Joint reviews

1.3 Senior managers should promote the development of performance awareness throughout the organisation.

· IiP action plan

· Older Persons Conference

· Management briefing sessions

· Communications team briefing role

· Annual Performance Development Reviews take place for all staff

· Lynn Waight

· DMT

· Andy Gannon

· Line Managers

2.0 Effectiveness of Service Delivery and Outcomes

2.1 Strategic and commissioning managers should work with independent sector providers to enhance capacity and prevent further loss of resources.

· Cross cutting issue forums with nursing, residential and domiciliary care providers

· Local Implementation Teams include provider representatives

· Restructuring of liaison meetings with independent sector representatives

· Alan Edwards, Mary Downes, Chris Taylor

· Chris Taylor & Service Managers

· Alan Edwards, Mary Downes, Chris Taylor

· Commissioning strategy

· Cash for change plan

2.2 Fieldwork managers should ensure that older people are only placed in shared rooms if that is clearly their choice.

· Cash for change plan demonstrates commitment to increasing access to capacity and choice

· Chris Taylor & Service Managers

· Balanced with need to avoid delayed discharge

2.3 The department should work with health agencies to develop a common tool for evaluating intermediate care schemes

· Portsmouth University evaluation identifying common outcome criteria approach with view to use across Hampshire

· Lynn Waight, Karen Robinson

3.0 Quality of Services for Users and Career - Information and Care Management

3.1 The department should monitor the implementation of its care management guidance to ensure that older people:

· Receive timely information,

· Are given a document detailing the services to be provided, and

· Have reviews of their care packages

· Implement recommendations of Best Value Review of Care Management (completed 2002)

· Review compliance and usage of care management standards

· Chris Taylor

· Mary Downes and Strategic Service Managers

· Report of Best Value review of Care Management

3.2 The department should clarify the circumstances when it is appropriate to offer a carer a separate assessment of their needs.

· Implement recommendations of Best Value review of carers services

· Geoff Woollan

· Autumn 2002

· Carers (recognition and services) Act 1995

· Report of Best Value review of Carers Services

4.0 Fair Access

4.1 The department should encourage independent sector and in-house initiatives to improve the range of services for people from black and minority ethnic groups.

· Implement Remit plan

· Integration within contacting process

· Ensure training opportunities are maximised

· Strategic Service Managers

· Remit Plan

4.2 The department should ensure that any movement of people in residential care when they reach the age of 65 does not discriminate against them.

· Implement transitional policy

· Identify resource implications and budget accountabilities

· Strategic Service Managers & Adult Service Managers

· Policy exists

5.0 Cost and Efficiency

5.1 Strategic and commissioning managers should ensure that commissioning plans address all services purchased and provided by the department, both for older people with high levels of need and those requiring lower level interventions.

· Implement commissioning strategy

· Roadshow to area offices

· Presentations to locality managers and PCTs

· Draft Commissioning strategy exists

· Subject to available resources

5.2 Departmental managers should ensure that health agencies, housing departments and independent sector providers are involved in the development of the department's commissioning intentions.

· Carry out broad consultation in the development of the commissioning strategy

· Lynn Waight

·

· Consultation taken place

5.3 Senior managers and councillors should ensure that their commitment to retaining in-house services does not compromise their responsibility to ensure best value.

· Carry out Best Value review of domiciliary and home care

· Implement action plan of Best Value review of Residential Care

· Mary Downes

· Mary Downes

· Completion 2003

· Completion Sept. 2002

· Best Value Scoping documentation

· Best Value review report

5.4 Senior managers should ensure that the best value review of residential and nursing care for older people considers:-

· In-house and independent sector capacity to meeting the range of older people's care needs,

· Evaluation of the impact of NCSC standards,

· Comparable costs for providing care to meet different levels of need,

· Alternative providers of accommodation.

· See Best Value review report

· Needs and market gaps identified

· Carry out evaluation with PBRS

· Report underpinned by comparative data on cost and activity

· To be considered as part of supported housing review (02/03) covering older people living at home

· Mary Downes

· Best Value review report

6.0 Management and Resources

6.1 The departmental management team should clarify and co-ordinate the role of strategic staff in operational, strategic and partnership posts.

· Bi-monthly meetings have been established to monitor effectiveness post re-modelling.

· Regular locality based meetings to be established to include County and Partnership managers

· DMT

6.2 Senior managers should consider whether administrative and support staff should be more tightly integrated with other area-based staff.

· See above

· DMT

6.3 Senior managers and councillors should find new ways of involving service users, carers and other providers of social care services in democratic processes.

· Departmental strategy for user/carer involvement being revised

· Yvonne Le Brun

· 26/09/02 (DMT)