East Midlands Efficiencies ProjectEast Midlands Efficiencies Project

£260K invested in consultancy£260K invested in consultancy 200 days delivered200 days delivered Required to deliver 500K in year 1Required to deliver 500K in year 1 90k Forfeiture agreed by DAAS90k Forfeiture agreed by DAAS Significant gains anticipated in years Significant gains anticipated in years

2 - 42 - 4

WorkstreamsWorkstreams

ReablementReablement Assessment and Care ManagementAssessment and Care Management Business process mappingBusiness process mapping Design and implementationDesign and implementation Quantifying cashable gainsQuantifying cashable gains

SavingsSavings

£1.9m in year 1£1.9m in year 1 £14.7m years 2 - 5 £14.7m years 2 - 5

Projected Cashable SavingsProjected Cashable Savings09/10 10/11 11/12 12/13 13/14

Derbyshire (12,000) 257,000 533,000 809,000

Nottinghamshire 1.282.000 2,416,000 3,582,000 4,780,000 4,780,000

Leicester City 65,000 1,121,000 3,021,000 4,968,000 6,969,000

Derby (Reablement) 299,910 539,352 539,352 539,352 539,352

Derby City(FOH) 272,784 562,310 859,798 1,165476 1,165476

Nottingham 15,000 32,000 33,000 34,000 35,000

Cumulative Totals 1,934694 4658662 8292150 11,480,476 14,778,304

National ThemesNational Themes

ReablementReablement Crisis InterventionCrisis Intervention Extra Care / Supported HousingExtra Care / Supported Housing Tele-care Tele-care

Regional PrioritiesRegional Priorities

High use of residential careHigh use of residential care High cost of care managementHigh cost of care management High cost of LD placementsHigh cost of LD placements High Cost of in-house servicesHigh Cost of in-house services

Next StepsNext Steps

Ensuring re-ablement services are as Ensuring re-ablement services are as effective as possible (working alongside effective as possible (working alongside Jan Clark)Jan Clark)

Preventative strategies (working alongside Preventative strategies (working alongside Margaret McGlade)Margaret McGlade)

Assistive technology (developing regional Assistive technology (developing regional work initialised by CSED)work initialised by CSED)

Tools to assist accurate costings of Tools to assist accurate costings of services to inform commissioning services to inform commissioning decisions and strategiesdecisions and strategies

How is the money spent in the East MidlandsHow is the money spent in the East Midlands

56%23%

10%6% 5%

Over 65 Learning Disability Physical Disability

Mental Health Other

Services for Older PeopleServices for Older People

54%35%

11%

Res and NH Domiciliary and Day Care

Care Management

Physical DisabilityPhysical Disability

19%

67%

14%

Res and NH Domiciliary and Day Care

Care Management

Learning DisabilityLearning Disability

52%41%

7%

Res and NH Domiciliary and Day Care

Care Management

Mental HealthMental Health

36%

31%

33%

Res and NH Domiciliary and Day Care

Care Management

Cost per AssessorCost per AssessorPSSEX1 2008/9 - Assessment & Care Management Costs / Number of Assessor Staff

(WTE)

0

10

20

30

40

50

60

70

80

90

510-

Rut

land

UA

**

506-

Der

bysh

ire

504-

Nor

tham

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shire

503-

Linc

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512-

Not

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A

509-

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sG

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508-

Leic

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511-

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£'00

0

Assessment & Care Management Costs / Number of Assessor Staff (WTE) Average

Output per AssessorOutput per AssessorAssessments Per WTE Assessor Per Week

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

Leic

este

r

Not

tingh

am

Der

by

SfC

Eas

t Mid

land

s G

roup

Linc

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hire

Not

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ire

Der

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ire

Leic

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Nor

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shire

Assessments Per WTE Assessor Per Week Average

Trends in Home CareTrends in Home Care

Households Receiving Intensive Home Care (10 hours or more, 6 or more visits per week) for People Aged 65 and Over

0

500

1000

1500

2000

2500

Authority

Nu

mb

er

of

Pe

op

le

2008 643 1,629 1,153 66 598 1,368 720 479 1,837

2009 642 1,670 1,191 68 598 1,408 741 484 1,889

2010 636 1,713 1,230 70 600 1,451 765 494 1,940

2011 636 1,754 1,270 73 600 1,492 790 498 1,992

2012 643 1,821 1,329 77 609 1,556 829 512 2,073

2013 647 1,880 1,381 79 617 1,615 863 523 2,147

Nottingham Nottinghamshire Lincolnshire Rutland Leicester Leicestershire Northamptonshire Derby Derbyshire

Trends in Care Home PlacementTrends in Care Home Placement

Older People Aged 65 or Over Admitted to Permanent Residential and Nursing Care During the Year, and Financially Supported by the Council, Projected to 2025

0

200

400

600

800

1000

1200

1400

1600

1800

Number of People

2008

2010

2015

2020

2025

2008 258 1,075 1,002 40 312 817 726 301 1,019

2010 255 1,130 1,068 43 312 867 771 310 1,076

2015 262 1,301 1,273 51 333 1,020 926 336 1,255

2020 271 1,428 1,434 59 363 1,134 1,047 359 1,383

2025 291 1,570 1,612 66 405 1,253 1,181 391 1,527

Nottingham Nottinghamshire Lincolnshire Rutland Leicester Leicestershire NorthamptonshireDerby Derbyshire

Authority