hertfordshire county council adult care services adult social care and health panel 17th april 2007...

Hertfordshire County Councilwww.hertsdirect.org

Adult Care Services

ADULT SOCIAL CARE AND HEALTH PANEL

17th April 2007

Supporting People Strategy

Consultation


Supporting People – what is it?

•National programme

•Commissions housing related support

•Implemented locally by County Council as Administering Authority

•Partnership – HCC, district/borough councils, PCTs and Probation


What is housing related support?

•Support which is provided to help people live in their own home•Not the housing itself and not care services•For example:•Support provided by wardens in sheltered housing•Community alarms•Staff in hostels for homeless people or in refuges for people fleeing domestic violence


Scope of Supporting People

£21million per annum

109 providers, 559 services

Mainly accommodation based

21 client groups

Preventative focus – should support all partners to achieve strategic aims


Audit Commission Inspection

•May 2006•Report November 2006•“Poor service with promising prospects”•Service Improvement Plan•Five year strategy inadequate•Eligibility•Value for Money•Re-inspection late 2007/early 2008


Strategy Consultation

•April & May 2007•Service users and carers through existing groups•Stakeholders•Providers of housing related support•Commissioning Body – sign off in June 2007•Cabinet – July 2007•Other partners’ formal processes July-September 2007•Action Plans•Risks


Older People•Sheltered accommodation – reduce spend by 10%

•Extra care – increase

•Continue to invest in community alarms and Home Improvement services

•Develop floating support

•This area will be a priority


People with mental health problems•More housing related support is needed

•More equitable spread across county required

•Joint commissioning approach required

•Cross-over with drug and alcohol support


•Key part of Investing in Your Mental Health


People with Learning Disabilities•HCC is a large provider of services in this area•Budget implications for ACS – SP eligibility criteria change•Joint commissioning approach required – address inconsistencies•SP strategy to work alongside ACS accommodation strategy – year on year growth in demand•Self-contained accommodation with support•Very close link to care services•Floating support especially for people with low needs•Plan for support needs of older people with learning disabilities


People with physical/sensory disabilities•Increase in housing related support required•Focus on suitable housing and promoting independence – self-contained accommodation•Continue to invest in Home Improvement services•All services need to be able to support people with sensory disability


Homeless People•Major cross-cutting issue, many people can become at risk of homelessness

•Need more housing related support

•Shifts in provision – hostels

•Large cross-over with young people’s services

•Developing floating support a priority


Substance Misuse•Drugs – need to increase housing related support

•Alcohol – need to increase housing related support considerably

•Overlaps with mental health

•Generic floating support less likely to be suitable


Offenders and those at risk of offending

•Ensure providers can respond to the needs of offenders/those at risk of offending


•Ensure a better spread of provision across the county


Young People•Accommodation Services for Young People project•Local Area Agreement – an agreed priority•Ensure services including floating support are available across the county•Develop high needs services in East Herts & Three Rivers•Increase crisis accommodation and support


People escaping domestic violence•Support provided in women’s refuges

•No current services for men

•BVPI – Hertfordshire has less provision that the target

•Increased housing related support required including floating support

•Local services are not the only factor since these are places of safety


Gypsies and Travellers•Increased housing related support required alongside increased site provision•HCC a provider of services•Access to housing related support is not currently equitable•Floating support required – some may need to be specialist•Regional work being explored


Other Vulnerable People•Refugees

•People with HIV/AIDS

•People who are socially excluded or otherwise vulnerable

•Floating Support critical to meet these needs


Summary – Clear Priorities

• Shift the pattern of services and spend on housing related support

• Develop floating support• Market test more services through

competitive tendering• Commission less housing related support in

sheltered accommodation for older people• Commission more housing related support

for frail older people (extra care)


Summary – Possible Next Steps?

• Mental health and young people’s work to continue as priorities

• Next priority areas (years 2 and 3) likely to be: people with alcohol problems, homeless people, offenders, gypsies and travellers, those with physical and sensory disability

• Then, years 4 & 5 – learning disability, people with drug problems, domestic violence


Responding to the Consultation

• HCC as a provider of housing related support

• HCC as the Administering Authority

• HCC as a commissioning partner

• Panel to comment on proposed consultation process and content of consultation document prior to Commissioning Body and Cabinet approval

hertfordshire county council adult care services adult social care and health panel 17th april 2007...

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