Project 2

Excerpt from Report:

OLDER PEOPLE'S COMMISSIONING STRATEGY 2005 – 2008

for Oldham Metropolitan Borough Council Social Services Department

This strategy sets out the key commissioning intentions for Social Services over the next 3 years, linked to action by other departments in the Council, in particular housing, and other key partners including health, and provider and community organisations. The strategy is in Four Parts.

Part 1 - Purpose, Vision and context

Part 1 provides the context for what commissioning is, sets out a local vision and programme for change in line with government policy direction, including desired outcomes. It then goes on to summarise the national and local context.

Part 2 - Needs, Supply, Resource and Market Supply Analysis

Part 2 highlights the growth in the older population over the next 20 years, including in the numbers of older people from black and minority ethnic (BME) communities, and looks at other demographic, health and economic factors. It then provides information on current supply of accommodation and other services for older people, together with the resources which underpin these services. Finally it provides a market supply analysis.

Part 3 – Current Developments

Part 3 summarises current and planned developments based around the aim of shifting the balance of support. Primary, secondary research and statistical modelling is used to model the actual capacity requirements for each of the service areas set out including models of implementation. It looks at: fair access to care and addressing diversity; housing and supported accommodation; home care; day care; prevention; adaptations; health related developments; and commissioning arrangements.

Part 4 – The Way Ahead

Part 4 summarises the strengths and areas for development and sets out the emerging priorities. It then goes on to set down the commissioning intentions, built around three phases for change and development. Phase 1 covers the next 12 months; Phase 2 goes from 2006-2008. Phase 3 then looks forward, beyond the 3 year timescale of this commissioning strategy.

Joint Partnership Arrangements, Adults and Older People's Health and Social Care Services August 2005 for T rafford North PCT , T rafford S outh PCT and Trafford Metropolitan Borough Council

Trafford North and Trafford South PCTs and Trafford Metropolitan Borough Council are taking forward their joint partnership arrangements for local Older People's, Learning Disability, Mental Health and Community Equipment services. In particular, they want to develop and implement arrangements for these services that modernise and rationalise current partnership working arrangements.

There are already agreements in place between the PCTs and TMBC, through the use of Section 31 of the Health Act 1999, for the pooling of funds for Learning Disability and Community equipment services and with Bolton Salford and Trafford Mental Health Trust for the provision of an integrated health and social care service for adults including older people's mental health. Therefore partnership working is already significant in terms of the joint working and this project seeks to build on this work and expand it to include a joint executive commissioning framework within which the partnership's effectiveness can be increased to highest level in the organisations within a set of rationalised business processes.

Project Aim and Scope

The main aim of the project is to design an agreed ‘fit for purpose' Partnership for Adults and Older People's Services in Trafford that meets the requirements of the Local Authority and the PCTs, based on best practice nationally and best fit locally. The services to be included within the scope of these arrangements are: Older People's, Learning Disability, Mental health and Community Equipment.

The scope of the project is to address a number of issues related to effective partnership arrangements as follows:

• Joint commissioning architecture and provider arrangements within that
• Governance and management arrangements for the partnership
• Clarity about which Health and Council services are within the scope of the joint partnership arrangements
• The tools to be used within the joint partnership arrangements to take the commissioning and management of the services forwards
• Effective clinical governance and professional arrangements secured within joint partnership arrangements

The project has involved extensive consultation with key stakeholders from agencies and user / carer representatives from Trafford alongside an analysis of existing partnership arrangements and the strengths and weaknesses.

This document is divided in to two sections:

PART A : Context, findings and recommendations of the project

This section includes national and local policy context and an analysis of the strengths and areas for development of existing partnership arrangements.

PART B : A toolkit for use within the partnership arrangement including the necessary action points

This is a stand alone section that contains practical items fundamental to effective partnership approaches including agenda items and meeting arrangements.

DERBY SUPPORTED ACCOMMODATION STRATEGY –October 2005 for Derby City Council

The Supported Accommodation Strategy was jointly commissioned in April 2005 by Derby City Council's housing, social services and community policy Departments and Central Derby and Greater Derby Primary Care Trusts in partnership with Derby Hospitals NHS Foundation Trust and Derbyshire Mental Health Services NHS Trust. The strategy will contribute towards and inform the commissioning of health, social care and housing services for older people, the development of a Housing Strategy for Older People, the City's Vision for Ageing and the developing neighbourhood agenda.

The drivers for the strategy are to:

•  Shift the balance of care in order to reduce the number of admissions to long-term care, and support more older people at home

•  Diversify specialist accommodation away from reliance on long term residential/nursing home care into housing models such as extra care

•  Develop a whole system approach for planning and commissioning housing, health and social care

•  Explore the potential to invert the triangle of care – see Figures A and B below - and shift towards prevention and promotion of well-being

•  Strengthen the neighbourhood approach to service planning

•  Inform the Vision for Ageing in Derby and a quality of life approach

This approach is in line with the national context. The government is developing a cross departmental strategy for an ageing population, which recognises the changing population pattern and the need to challenge ageism and consider the contribution that older people make to society.

This same approach is also reflected in the recent Department of Health Green paper on Adult Social Care, which is built around a social inclusion approach for vulnerable older people. The starting point for the vision “is the principle that everyone in society has a positive contribution to make to that society and that they should have a right to control their own lives. Our vision is to ensure that these values will drive the way we provide social care”.

Figure A - Support for People Today Figure B - Support for People Tomorrow

DAY SERVICES IMPROVEMENT & MODERNISATION STRATEGY August 2005 for Bolton Social Services and Bolton Primary Care Trust

Bolton Social Services and Bolton Primary Care Trust are taking forward plans to modernise the day care and day hospital provision in Bolton on a joint agency basis as part of the ‘Older People's Service redesign Project'. SINEAD BROPHY CONSULTING LTD was commissioned to undertake a review of Day Service provision for Older People across the whole system of Health and Social Care to enable the Social Services and PCT to modernise their current day service supply in the context of the Service Redesign Strategy, the Better Bolton for Older People Strategy and the recently published Green Paper, Independence, well-being and Choice, which sets out the vision for the future of social care for all adults including Older People.

Day Service provision is the only remaining part of Older Peoples community services that has not yet been reviewed. The Service Redesign Impact and Implementation Assessment (August 2004) confirmed the need to initiate a joint Health and Social Services Best Value Review of Day Services.

Assignment Aim and Scope

The main aim of the assignment is to formulate a Day Services Improvement and Modernisation Joint Commissioning Strategy for Bolton PCT and Bolton Social Services based on a comprehensive assessment of current provision across the whole system. The services included within the scope of this review are Social Services day service provision and Local Authority funded voluntary and independent sector provision, NHS provision specifically Minerva Day Hospital and BST Mental Health Trust provision at Belmont Day Hospital .

The objectives are to:

•  Identify the role and function of current day services and the populations they serve;

•  Undertake a needs analysis to identify the types and levels of day services required for the future;

•  Develop a bespoke audit tool for Bolton Day Services to assess the strengths and areas for development in the current service provision with reference to:

•  Best practice nationally and locally

•  New and expected policy, guidance and legislation

•  Level of fit with Bolton strategic direction for Older People's services

•  Service users' and carers' requirements

•  Value for money

•  Undertake a strategic analysis of resources available within the whole system, identifying opportunities to achieve economies of scale, efficiencies and strategic resource shifts.

Approach to the Review

There have been three key strands of activity contributing to this review of day services.

•  Analysis of local and national need and performance data;

•  Qualitative research into the views, experiences and requirements of service users, carers and their representatives, operational staff involved in the delivery, assessment and management of services, commissioners and providers and staff representatives from allied support services;

•  Investigation and review of the local and national context and service models and their applicability and relevance to Bolton .

Content of the Report

This report:

•  Details the relevant national and local legislation, policy and guidance;

•  Provides an evaluation of the current position through analysis of needs, supply and fieldwork findings;

•  Presents the bespoke Bolton Day Services Audit Tool;

•  Sets out conclusions, recommendations and an improvement plan.

SUPPORTING PEOPLE HOME IMPROVEMENT AGENCY SERVICES FOR OLDER PEOPLE THEMATIC REVIEW August 2005 for Bolton Metropolitan Borough Council – Supporting People Team

Sinead Brophy Consulting have been commissioned to carry out a strategic relevance exercise assessing the HIA service delivery against the Bolton Vision for the Future and key Bolton partnership organisations and strategies including the borough Housing Strategy, the Black & Minority Ethnic Housing and Housing Related Support Strategy, A Better Bolton for Older People, the Private Sector Housing Renewal Policy and the Neighbourhood Renewal Strategy

•  To show the benefits of the Home Improvement Agency Service (including value for money) for service users and the partnership organisations and to highlight the potential of HIA services to further meet the needs of older people and those with disabilities in Bolton.

•  To examine the overall models of HIA, DFG /DFA, social services granted adaptations, handyman and other similar services and to consider more efficient ways of working.

•  To work with all key stakeholders (service users, strategic leads, Foundations etc) to gain feedback on services and consult on options for change.

•  To benchmark the performance of the service against other similar services

•  To carry out a quality assessment based on ODPM and Foundations guidelines

•  Identify models of best practice nationally/regionally

•  To undertake an assessment of demand/need from existing data/information sources.

•  To write a report incorporating the above and to make recommendations for the overall HIA arrangements and produce a draft action plan in line with key Housing, Health, Social Care and Supporting People strategy objectives

For further information on how Sinead Brophy Consulting can assist with your requirements please contact Sinéad Brophy directly at:
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