EDMT update May 2019 Serving the people of Cumbria Past Rising - - PowerPoint PPT Presentation

Serving the people of Cumbria

Promoting Independence EDMT update May 2019

Historic legacy demand

Past

Rising each month

Historic legacy demand

£120m £45m

Reviews –

Mental health, learning disabilities, younger adults.

Reviews –

business as usual older adults, Children looked after, SEND

> Approaches to promoting independence Serving the people of Cumbria

Reviewing historic and legacy demand (existing clients ongoing commitments) Controlling new demand (decision making) Culture and practice change (strength based)

• Practice development – process implemented to Audit and gather customer

feedback.

• Project group setup to support strength based practice to develop practitioner

toolkit and customer charter.

• Development of reasonable offer
• Developed a new assessment tool to support strength based practice- to be

launched

• Improved financial gate keeping

Serving the people of Cumbria

Achievements To Date New Demand

Serving the people of Cumbria

Achievements To Date – Legacy Demand

• Identified cohort 500 + people to review
• changing packages of care so that support is more inline with level of

need

• Increase in NHS funding for those people with a primary health need
• Providing evidence to commissioning to assist in shaping the provider

market

• Improved financial decision making and management oversight for

those customers who have the highest level of needs

• Working with health colleagues to improve partnership working to

improve the outcome for those people who need to use our services.

Serving the people of Cumbria

Achievements in 2018 - 2019

• Significant financial savings towards the target of £12.5m
• Completed 167 reviews of the highest cost packages, with 231 ongoing
• Identified those cases which pose the highest risk to the Council in

terms of financial impact and or potential to cause harm to themselves

• r others.
• Continue to develop the Promoting Independence Team
• Developing future work streams that links to the wider Promoting

Independence Transformation Programme

• Addressing challenges of recruitment, retention, partners, policy,

procedures and systems

Serving the people of Cumbria

Next Steps- Phase 1

• Continue to identify and prioritise the review activity of the team to maximise

efficiencies and improved outcomes.

• Support the review and development of practice guidance and policies and

procedures to embed strength based practice as the norm.

• Progress and develop improvement plans from the action learning and skills gap

identified as part of the review activity with colleagues in Learning & Development.

• Explore opportunities to work with providers and partners to reshape and

commission services that promotes positive risk taking to prevent the likelihood

• f over provision resulting in efficiencies and cost avoidance.

Serving the people of Cumbria

Promoting Independence Phase 2 Culture and Practice

• Life expectancy vs health expectancy
• Increasing citizens independence

and resilience

• To provide an even better service to

the people of Cumbria

• Improve outcomes for the people of

Cumbria

• Financial sustainability

Why do we need to transform?

A new structure for ASC

Aim of the review:

• To create an Adult Social Care structure with capacity for transformation:

– Consistently promoting independence, ensuring best outcomes for all our people – Managing demand – Keeping our customers at the heart of everything we do – Working with stakeholders to support communities to thrive – Focus upon the most vulnerable – Embedding strength based culture and practice as the way we work in Cumbria – Adopting and embedding a ‘think family’ approach across People – Making best use of resources - financial sustainability – PREVENT, REDUCE, DELAY

STRUCTURE ALONE WILL NOT FIX CULTURE!

Mid-point Structure

What will it mean for Citizens?

The right services and support available when people need them Improved Lived experience

Experts by experience - what is good for you ? Choice and control

Adds to rather than replaces

Everyone can achieve their full potential whatever that looks like

There’s no bed like your own bed Strength Based

What will it mean for the workforce?

Better supported through improved supervision, peer support and appraisals

Valued and recognition of impact they have

Intelligent allocation and manageable case loads

Access to quality information, guidance and tools to do their job Strength based approaches – learning culture! Get involved in shaping the future

Reclaim Professional roles

Serving the people of Cumbria

Progress so far

• Genuine consultation – structure is evolving
• Mid- point meetings last week
• Over 100 1:1s
• 200+ separate feedback responses
• 1:1s this week
• Consultation window is open
• Aiming to have final structure by end of June
• Mental Health, Learning Disabilities and Support Services out of scope

Next Steps

• Complete restructure and join PI phase

1 and phase 2 together

• Redesign all age service, mental health

service

• Redesign front door
• Redesign support services
• Continue to work together to improve!

It’s about the people

• f Cumbria

Serving the people of Cumbria

Questions