Registered Managers Care Conference 3 October 2018 Penny

Registered Managers Care Conference 3 October 2018 Penny

Registered Managers Care Conference 3 October 2018 Penny Southern Corporate Director Adult Social Care and Health Welcome everybody! Skills for Care NHS Specialist Teams Clinical Commissioning Groups Health Education England Care Quality Commission Royal College of Nursing Heart of Kent Hospice Kent Integrated Care Alliance (KICA) KCC Commissioners and Occupational Therapists Kent Fire & Rescue Sticky People Moving Memory Dance Co Cubbit-Artists National & Local Drivers Key policy documents Breaking barriers report took a systembased approach and highlighted pressures, challenges and areas for improvement Other policy documents on the recent horizon More about other policy documents on the horizon National Audit Offices Adult social care at a glance DHSCs forthcoming Green Paper on older people and parallel on working age adults CCNs Sustaining County Social Care A Green Paper that delivers a New Deal for Counties LGAs The lives we want to lead: the LGA green paper for adult social care and wellbeing Mental capacity Bill The introduction of the Bill marked the beginning of the replacement of the Deprivation of Liberty Safeguards (DoLS) with Liberty Protection Safeguards (LPS)

MHCLGs social housing green paper A new deal for social housing for consultation which closes on 6 November 2018 DHSCs Carers Action Plan 2018-2020 supporting carers today. A cross-government programme of work to support carers Kings funds population health systems Going beyond integrated care Appropriate Adult PCC- Local Authority Partnership Agreement England DfEs Working Together July 2018 to Safeguard Children A guide to inter-agency working to safeguard and promote wellbeing of children Emerging concerns protocol for regulators which help them to share information to share information with each other in a timely fashion Even more about other policy documents on the horizon KCCs Commissioning Success to replace the Commissioning Framework Forthcoming NHS 10 plan underpinned by five-year delivery plan Skills for Cares Size and structure of adult social care in England 2018 NHS Providers Key questions for the future of STPs and ICSs Adult social care is there to support people (adults, young people and Our strategy at a glance Purpose carers) who need help with daily living so they can live as independently as possible in the place of their choice. Context Strategic outcomes from our Strategic Statement Our vision for adult social care

Achieving our vision through three themes What will make it happen? Our values and principles Efficiency and finance Quality of care Outcomes and well-being. Strategic outcome 3: Older and vulnerable residents are safe and supported with choices to live independently. To help people to improve or maintain their well-being and live as independently as possible. Promoting well-being Promoting independence Supporting independence. Protection (Safeguarding) Workforce Commissioning Integration and partnerships. Person-centred care and support Supporting people to be safe Shared responsibility Prevention Quality of care Integration Answering for what we do Best use of resources. Adults we ASCH Business support

Assessment & Reviews Residential Services Disabled Children we support Care and Support in the Home and 1,183 0-18 year olds Community 34,641 people in Kent are supported by Adult Social Care 14,286 people aged between 18-64 are supported by Adult Social Care 20,355 people supported by Adult Social Care are over the age of 65 33,966 people received an assessment of their needs 17,693 people received a review of their needs 8,263 assessments were completed that took account of carers needs. 4,302 people in permanent residential placements 1,229 older people were resident in nursing care homes 1,102 residential placements were made for people with learning disabilities 588 suppliers provided services in relation to permanent residential placements 112 suppliers provide services in relation to nursing care homes. 5,879 people received a home care support service so they could stay in their home 7,706 people received an enablement service 81% of people could return home due to an enablement service 2,411 people received a day care service 1,244 supported living placements were made The Adult Social Care net budget is 379,789 million per annum, below is an illustration of how this is spent across all our client groups. Sesnory impairment (1864); 1,174 Other adult services Mental health (equipment etc); needs (18+)*; 19,750 12,631 Supporting people and social fund; Learning disabilities 19,900 (18+); 149,391 People with a physical disability;

32,034 Assessment and related services; 35,737 Older people 65+; 97,976 Management, commissioning and operational costs; 11,296 Disabled Children (0-18) 19.1m OPPD New Operating Model We know that a persons journey will not be smooth and will have fluctuations over time. Front Door Area Referral Management Team Info Advice Integrate d Triage Short Term Pathway Team Social Work Safeguarding & Specialist Social Work Safeguarding & Specialist Integrated Triage Direct Payments Purchased care OT, Enablement & Rehabilitation Purchasing Team Promoting Independence Team Face to Face Assessment Social Work Safeguarding

& Specialist Social Work Safeguarding & Specialist Social Work Safeguarding & Specialist Providers Quality Improvement Person Provider Promoting Independence or Supporting Independence Quality Improvement Social Work, Safeguarding and Specialist interventions sensory, OT can appear anywhere in the pathway Multi Disciplinary Working Supporting Independence Team Face to Face Review OPPD New Operating Model - Functions Promoting Independence-Locality Promoting Independence-Locality based. Short term/Integrated based. Short term/Integrated triage/Rehabilitation/Equipment/ triage/Rehabilitation/Equipment/ Assessment/Goal setting/Care Assessment/Goal setting/Care and Support planning. and Support planning. Supporting IndependenceSupporting IndependenceLocality based. Long term work based.

Long term withLocality providers to deliver gaolswork set with providers to deliver gaols set in care and support plan/ in care support Reviews/ Part and of Local Careplan/ teams Reviews/ Part of Local Care teams Social Work-County Social Work-County management. Short term management. Short for term specialist intervention specialist for Socialintervention Work Long-termSocial case Work holder for Long-term adult case holder vulnerable cases for vulnerable adult cases Safeguarding-County Safeguarding-County management with management locality teams with locality teams Case closed to Case closed to safeguarding when safeguarding statutory dutywhen statutory complete duty

complete Sensory and Sensoryage and Autism--All Autism--All Sensory age Sensory pathway/ ASC pathway/ ASC team integrated teamHealth integrated with with MDTHealth MDT Quality ImprovementQuality ImprovementPractice based to service Practice based to service providers to improve providers to improve immediate issues immediate issuesof identified or as a result or asenquiry a result of a identified Safeguarding a Safeguarding enquiry Purchasing and Resource Management Accountability (RMA) function-All purchasing activity Purchasing andofResource Management (RMA) function-All purchasing activity inclusive Domiciliary and CountyAccountability Placement Team/Authorisation/Financial inclusive ofassessment/Debt Domiciliary and County Placement management and Team/Authorisation/Financial finance issues assessment/Debt management and finance issues Integrated Multi Disciplinary Teams Adult Social Care Operating Model - 158 Social care

practitioners across Kent within Locality MDTs Social prescribing , Care Navigation 08.11.17 V4 Integrated Operating Model Mental Health 6 ways to wellbeing wh o Voluntary and Community Sector pl e Primary Care c ar ef or pe o Public Health GP ence Forensic Social Worker Episodic specialist inpatient care Planned and Emergency admission requiring hospital treatment ctiv ea nd Complex Care Response AMHP Occupational Therapist Pro a KERS Telehealth and Telecare

CPA in g Promoting Independ Occupational Therapist Psychology and Psychiatry c on t in u No decision about me, without me Pharmacy c oo ne rdina ed it ted Physiotherapist IAPT Peer Support KERS Optician Dental Recovery College Specialist MH Nurse Carers Support Speech and Language Physiotherapy Nursing Social Worker Arts & Culture Education & Employment Supported Living Shared Lives Residential Care Commissioning Team

KMPT KCHFT KCC Speech & Language Physiotherapy Health Checks Case Management Social Worker Social Work Assistant AMHP Service Administration Safeguarding Commissioning Managers Transforming Care Project Support Administration Psychiatry Psychology Nursing Occupational Therapy Administration 08.1117 V4 Integrated Operating Model Lifespan Pathway Alliance Roles 1) Provides commissioning and person centred planning to support people with a learning disability (18+) 2) Support generic services so that they make reasonable adjustments support people with a learning disability, independently of the Alliance wh o This aims to ensure that people with a learning disability access health and social care, regardless of whether they are known to the Alliance pe op le Voluntary and Community Sector car e for Primary Care Kent Learning

Disability Partnership Board GP Dental Psychology and Psychiatry Case Manager Social Worker ctiv ea nd Alliance Multi-Disciplinary Teams c on tinu in g Pharmacy Pro a Promoting Independen No decision about me, without me ce Optician coo ne rdina ed it ted Public Health Telehealth and Telecare Occupational Therapy IAPT Complex Care Response Care and Treatment Review OT

Specialist Nursing Physiotherapy Episodic specialist inpatient care Planned and Emergency admission requiring hospital treatment Speech and Language Nursing Physiotherapy Education and Employment Alliance Multi-Disciplinary Teams (AMDT) Supported Living KCC Integrated Commissioning Team Shared Lives KMPT KCHFT KCC Speech and Language Occupational Therapy Physiotherapy Sensory Services Nursing Administration Case Management Social Worker Administration Safeguarding Residential Care Commissioning Managers Transforming Care Project Support Administration Psychiatry Psychology Mental Health LD Nursing Administration Increasing Opportunities: Improving Outcomes

KCCs Strategic Statement Our focus is on improving lives by ensuring that every pound spent in Kent is delivering better outcomes for Kents residents, communities and businesses Outcome 2 and 3 Kent Communities feel the benefits of economic growth by being in-work, healthy and enjoying a good quality of life Older and vulnerable residents are safe and supported with choices to live independently Physical and mental health is improved by supporting people to take more responsibility for their own health and wellbeing All Kents communities benefit from economic growth and lower levels of deprivation Kent residents enjoy a good quality of life and benefit from greater social, cultural and sporting opportunities Those with long-term conditions are supported to manage their conditions through access to good quality care and support People with mental health issues and dementia are assessed and treated earlier and are supported to live well Families and carers of vulnerable and older people have access to the advice information an support their need More people receive quality care at home avoiding unnecessary admissions to hospital and care homes Residents have greater choice and control over the health and social care services they receive Governance and Delegated Authority Matrix Business Plan Priorities Commissioning Strategy Commissioning Plans Business Cases Procurement Strategy Sourcing Plan Market Sustainability Key Issues: We have sought to: Demography and geography Proximity to London Providers diverse provider base from small Kent based Small/Medium Enterprises, Voluntary Community Sector

Enterprises and national and global organisations Workforce pressures supply and demand issues Transforming health landscape (Delayed Transfers of Care) Understand the costs of care i.e. impact of National Living Wage and benchmark against similar Local Authorities and Health Recognise the business models of organisations one size doesnt fit all Economics of local workforce Work across public sector commissioners to integrate services and look at contract models and duration Invest the Improved Better Care Fund to support integration and sustainability Plan for future demand and demography pressures Recognise and mitigate the true cost of market failure What Have We Been Doing to Support the Sector? A pre-employment program (PEP) pilot in Dover to support new workers into social care roles The dedicated Hub area on the DLC website for registered managers A social media campaign for Homecare Free ESTHER training for all providers Contributing to the STP workforce Strategy and Action Plan for the Transforming Care cohort Secured KCC levy to pilot the role of Nurse

Associates in social care Training and information events for registered managers Transforming Integrated Care in the Community Buurtzorg Model What next? Future Activities include Continue the engagement with registered managers to hear their views on issues for the sector and explore how we can offer support and identify new approaches A Leadership and Management offer for registered managers and aspiring managers Digital Strategy including use of Assistive technologies and Artificial Intelligence opportunities that could provide potential solutions for our sector Ongoing partnership work with partners such as Kent Integrated Care Alliance, Skills for Care, NHS & Health Education England to further explore opportunities for integration, recruitment and retention solutions and identify career pathways Development of a training programme for the Mental Health providers to meet identified gaps. Training on Outcome focused Care to support new contractual obligations New contracts for 2019 And More.. Thank you Links to useful documents Your life, your well-being strategy for adult social care: https://www.kent.gov.uk/__data/assets/pdf_file/0017/12761/Local-account-for-adult-socialcare.pdf Local account for Kent Adult Social Care: https://www.kent.gov.uk/__data/assets/pdf_file/0017/12761/Local-account-for-adult-socialcare.pdf Kent County Councils Strategic Statement 2015 2020: https://www.kent.gov.uk/__data/assets/pdf_file/0005/29786/Kent-County-Council-StrategicStatement.pdf

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