2. General overview
• Work together better
• Make communications easier
• Better outcomes for service users
• Generate ideas – change is necessary
• Care Act changes 2015 – impact and preparation
• Better Care Fund aims – reducing hospital admissions
• Questions and perceptions… take notes throughout of
whatever occurs to you.
3. Potential points of contention in this
market
• More for less
• Contradictory messages about managing demand and
investing less
• Communication & information
• Being clear about and measuring outcomes
• Timely messages
• Our expectations of joining up
• Procurement practice
4. Snapshot of the market
• 43 contracts
• £2.7m
• Isolated initiatives? Big picture context?
• The good news:
• Generally looking to maintain budgets for 15/16
• Budgetary pressures means sensible review of what
outcomes are being delivered and is the investment best
used
5. Voluntary Sector
• Housing Related Support services (old S.P services)
• S256 funded ‘pilot’ services
• Other voluntary sector provided services for
vulnerable groups identified as needing review as part of
a holistic review of the voluntary sector provision.
• The following services are likely to be be excluded from
the review: extra care housing, reablement, home care,
respite care, supported Living/ accommodation, advocacy,
community information and advice guidance service.
6. Our perceptions of market & its direction
• Drivers of demand need to be identified
• Our policy to manage demand means that we want
interventions that the voluntary sector can provide
• We have less money to directly fund the voluntary sector
• Pressures continue to grow
• Continue to try and maintain people at home – choice,
independence and cost (?)
• Incumbent on us to be clear about outcomes
• Demographics & Information:
7. Population of over 65s and 85s
Total population, population aged 65 and over and population aged 85 and over as a number and as a percentage of the total
population
2014 2015 2020 2025 2030
Total population 244,400 247,000 261,200 276,200 291,100
Population aged 65 and over 45,600 46,200 49,400 54,400 60,700
Population aged 85 and over 6,800 7,100 8,300 9,400 10,700
Population aged 65 and over as a proportion of the
total population 18.66% 18.70% 18.91% 19.70% 20.85%
Population aged 85 and over as a proportion of the
total population 2.78% 2.87% 3.18% 3.40% 3.68%
Table produced on 10/08/14 from www.poppi.org.uk version 9.0.
8. Population aged 85 and over as a proportion of
the total population (in rank order)
Newham 0.77%
Haringey 0.94%
Hounslow 1.27%
Brent 1.28%
Waltham Forest 1.38%
Ealing 1.44%
Barking and Dagenham 1.51%
Merton 1.64%
Croydon 1.70%
Enfield 1.74%
Hillingdon 1.75%
Redbridge 1.80%
Kingston upon Thames 2.00%
Harrow 2.02%
Sutton 2.16%
Barnet 2.21%
Richmond upon Thames 2.22%
Bexley 2.39%
Bromley 2.62%
Havering 2.78%
9. Information exchange
• What do you require and when? What would be helpful?
• What can we get from you? Do we ask for too much? Do
you get asked for same info from different places?
10. Our plans and initiatives that might impact
on the market
• Voluntary sector review
• Manage demand
• To approach social isolation as a specific issue
• To review the intermediate care pathway and connections
(BCF)
• Increased offer to carers (Care Act & BCF)
• Co-production
A commissioning strategy
11. Ideas and opportunities
• Issues with the pathway into and from hospital
• Services in place – coordination & integration
• Can you play a role in helping us to meet our agendas -
alignment of goals
• Carers assessments
• Prevention and lower level support
• Specialist provision
• Being clear about future design
• Can we keep people away from ASC and health – and
prove it? ££££
12. Discussion
• A response:
• Do your perceptions of the market coincide with ours –
what do you perceive and understand?
• How can our desire to see the voluntary sector manage
demand co-exist with reduced resources?
• How might we coordinate with health – what are your
experiences?
• How do we help you build a response to our wish for
outcome measurement and management?
13. End
• General feedback now on your perceptions and
responses…
• Will inform MPS – building initiatives – will be
communicated
14. Key objective for Havering: Tackling
Social Isolation
• Work in groups and discuss:
• 1. Where are we?
• What is the current provision in Havering? Is there
choice? Is there diversity in provision? How effectively
are we currently meeting our objective? What are the
successes? What are the pressures/issues?
15. Exercise
• 2. Where do we want to be?
• What are the gaps in Havering? What are the challenges
ahead? What are the business opportunities?
• 3. How are we going to get there?
• How can we better tackle social isolation? How can we
maximise social inclusion going forward?
16. Consider:
• • Prevention and universal offer (Culture
opportunities, Public Health etc)
• • Promoting independency and reducing dependency
• • Reablement
• • Carers
• • Innovation
• • Demand management
• • Efficiency
• • Those on Direct Payments, Personal Budgets and
Self Funders
