Efficient Delivery

Shirley Janes

Neil Pace

Previous System

• 7 very different thoughts around DFG

• 7 very different systems in operation

• HIA’s weren’t monitored by District Council or SP Team

• No PI’s apart from SP softer targets

• Outcomes of OT assessments varied across the locality areas

Previous System

• Some OT’s requested estimates for stair-lifts and ramps

• Some OT’s wandered into technical side

• Miscommunication (or no communication)

• Heavy reliance on technical consultants for initial SOW

• Dominance of contractors in carrying out work

Previous System

• Lack of understanding of responsibilities AND lack of responsibility in some areas

• No help or support for people to move house

• Childrens OT’s new to pediatric Social Care with little or no support

• Many DFG’s ‘topped up’ with Home Repairs Grant or discretionary grants

• Adverse to challenge or complaints

Challenges

• People – resistance to change

• Perception of losing control

• Major misconception of responsibility

• Little or no understanding of legislative framework

• Attitude that DFG is panacea for ‘all things adaptation’

New System• HIT – TOR prior to referral, register referral,

determine application, make payments, provide advice, quality assurance role.

• HIA – Feasibility visit, Hand-holding role, application forms, TOR, survey, schedule of work, tender, supervise work on site

• Childrens Panel

• Regular meetings – CIT, HIA, OT’s, Managers

New System

• OT assessment and feasibility visit if required• Referral received by HIT, checked complete,

registered and sent relevant HIA• HIA contact within 21 days to arrange visit

- forms completed, survey completed, schedule of work prepared along with plans etc where required, tender, submit for approval, supervise work on site to completion

What’s Different?• Fully informed and knowledgeable staff teams

• Training, awareness raising and briefing sessions

• Greater understanding of legislative boundaries and funding frameworks

• Housing Options an integral part of process at assessment/feasibility

• Procurement

Procurement

• Single contract for all lifts

- 2 + 2 year contract

- 5 year warranty

- Ability to recycle

- Better managed performance

- Efficiency savings

- timescales for clients

- money

What Makes an Efficient System

• All electronic

• Decisions made early in process

• Regular multi-agency meetings

• Standard documentation designed by all

• Continually monitored and reviewed

• Bench marking

• Written Joint Working Protocol

Benefits

• Client Journey – waiting times

• Information and guidance at early stage

• No waiting list

• Ability to help more people through maximising DFG budget

• Continually Improving

DFG’s Since April 2009

  Referrals Completions Value Refusals2009/10 641 503 £2.6m 0

2010/11 730 639 £3.1m 2

2011/12 655 533 £3.3m 2