the social issues in south lincolnshire: an adult social care perspective pete sidgwick lincolnshire...
TRANSCRIPT
The Social Issues in South Lincolnshire: an Adult Social Care
Perspective
Pete SidgwickLincolnshire County Council
Governance for Adult Care Key Decisions
Pete SidgwickAssistant Director (Interim)Transformation/Integration
Pete SidgwickAssistant Director (Interim)Transformation/Integration
Justin HackneyJoint Assistant Director Learning
Disabilities & Mental Health Commissioning
Justin HackneyJoint Assistant Director Learning
Disabilities & Mental Health Commissioning
Glen GarrodDirector of Adult Social
Services
Glen GarrodDirector of Adult Social
Services
ExecutiveExecutive
Adults ScrutinyCommittee
Adults ScrutinyCommittee
Health & Wellbeing
Board
Health & Wellbeing
Board
Informal ExecutiveInformal Executive
Executive CouncillorExecutive Councillor
Optional
Adult Social Care in Lincolnshire• We directly support
– 1,800 LD (all ages)– 1,000 MH (18-64)– 2,000 PD (18-64)– 12,400 OP (65+)– Overall 17,200 very vulnerable people across the County
• Council Expenditure £526m pa (net) gross is over £1.1 Billion– ACS Services £143m pa
• 4,600 Residential/Nursing Placements • 6,000 people receiving Domiciliary care (80,000 visits
a week)
Lincolnshire County Council Expenditure Budget 2012/13 (£m)
Overview of Health and Social Care demand in Lincolnshire
• A rise in the 65 – 84 age group of 31% by 2022• A rise in the 85 years of age group of 55% by
2022• A significant rise in the older population with
dementia• An ageing population with Learning
Disabilities
OverviewEast CCG
• 30 GP practices covering Boston, East Lindsey, Skegness and cost covering 1060 sq miles
• Supporting 241,246 peopleKey challenges- Large geographic, sparsely populated area- Significant health issues – health disease, cancer, diabetes and COPD - Lowest life expectancy for both men and women in Lincolnshire
South CCG• 15 GP practices covering Welland and South Holland• Supporting 157,000 people
Key challenges- Rural poverty
Adult Social Care Net Expenditure 2011/12
Spend and activity By CCG Area£m
£46.9
£42.9
£20.6
£18.7
Lincolnshire West
Lincolnshire East
South Lincolnshire
South West Lincolnshire
4261 clients
4974 clients
2174 clients
2008 clients
Source: www.apho.org.uk/PracProf/Profile.
Source: http://www.research-lincs.org.uk/, data as at December 2012
South Lincolnshire CCG
Source: www.apho.org.uk/PracProf/Profile.
Source: http://www.research-lincs.org.uk/, data as at December 2012
Lincolnshire East CCG
2013 A raft of welfare reforms
• Housing benefit reform- size criteria reductions ( bedroom tax)• Social Fund reform local welfare provision• Social Fund reform short term benefit advice advance• Localised Council Tax reduction scheme• Benefit cap • Benefits on line• Child maintenance reform• Universal job match• Personal Independence Payments (PIP)• Conditionality and sanctions• Employment and Support Allowance ( ESA)• Universal Credit
2013 welfare reforms introduced
• Universal Credit• Introduction from April 2013- 2017• Designed to always make work pay• Will introduce monthly payment and
a household payments• On line• Claimant Commitment• Payment to be based on Earnings
not hours worked• Housing Costs to be paid to Claimant
• Personal Independence Payments ( replacing DLA
• For people aged 16-64• Claims started by phone but
eventually online. Paper claims by exception only
• Special rules remain for terminally ill• PIP claims in Lincolnshire will involve
a face to face consultation with a health professional– Capita.
• 2 components ‘Daily Living’ and Mobility with 2 payment rates ‘standard or enhanced’ using a point score for each activity.
For people in Lincolnshire ( source DWP)
Overall figures•13.6% number 60,290 claiming benefits in Lincolnshire in November 2012•6% 26,500Job seekers allowance•1.1% 4,670 Employment and support allowance & incapacity benefits•1.1% 4,670 Lone parents•1.5% 6,470 Carers•0.4% 1,940 Other income related benefits•1.2% 5,540 Disabled• 0.2% 900 Bereaved
Existing people with Disability Living Allowance (DLA)
•South Holland 4.7% ( 4,200) of population•Boston 8.7% (3,540) •West Lindsay 5.2% ( 4,760)•East Lindsay 8.2% (11,250)•South Kesteven 4.7% (5,420)•North Kesteven 4.8% (5,270)•Lincoln 6% ( 5,700)•www.dwp.gov.uk/PIP
Community Care Grants and Crisis Loans
• Part of the DWP Discretionary Social Fund payments • Analysis of claims and payments made in Lincolnshire in
2011/12 shown below
Lincolnshire Analysis for 2011/12 Lincoln
North Kesteven
South Kesteven
South Holland Boston
East Lindsey
West Lindsey
Crisis LoansTotal Expend £ £142,100 £29,500 £80,300 £34,600 £46,400 £110,500 £67,600Number Of awards 2,470 510 1,390 510 820 1,860 1,180
Community Care GrantsTotal Expend £ £258,900 £62,400 £150,700 £67,500 £78,600 £295,200 £145,700Number Of awards 500 140 290 140 180 550 260
• Total spend in Lincolnshire in 2011/12 = £1.5m• Welfare Reform Act 2012 ceased these payments and passed
responsibility to upper tier LA’s to provide local assistance to vulnerable groups
• DWP continue to provide Budgeting Advances and Short Term Advances to benefit claimants
Lincolnshire Community Assistance Scheme (LCAS)
• DWP did not require LA schemes to try and replicate theirs• Lincolnshire’s Community Assistance Scheme introduced April
2013, providing assistance rather than loans• LA received a grant of £1.5m from DWP to deliver the scheme• Focus is on people in crisis being brought into getting support
to avoid future crisis, providing goods and services rather than cash
• Partnered with the Voluntary Sector to develop a delivery network of goods and services
• Working with Lincolnshire Credit Union and Citizens Advice Bureaux, to help people become more financially resilient
• Healthwatch Lincolnshire is the independent consumer champion created to gather and represent
the view of the public.
• Healthwatch Lincolnshire will represent the views of both health and social care for children and
adults living in Lincolnshire.
• Healthwatch Lincolnshire will play a role at both local and national level and will make sure that
the views of the public and the people who use the services are taken into account.
• Healthwatch Lincolnshire will have a countywide network of local groups for you to get involved in.
These groups will be there to support your local community in having a say and influencing
services.
• Contact email : [email protected]
• Next South Lincs Healthwatch Forum Tuesday 15th October 2013 at 12.30pm - 2.30pm - The
Woodlands Hotel, Pinchbeck Road, Spalding, PE11 1QF
Adult Social Care Priorities
• Prevention and Early Intervention
• Intermediate Care
• Integration with Health
• Case Management Partnership Programme (CMPP)
• Future Delivery of Support Services (FDSS)
Key drivers of change
• Care Bill• Social care funding• Increasing cost of care• Demographic growth• Comprehensive spending review & central
government settlement• Increased funding via the NHS • National policy developments supporting
integration between health and social care
The five principles set out for the Adult Care Directorate Change Programme are that:
Any development will maintain or improve the customer experience In developing new ways of working, reducing transaction and
operating costs will be central Appropriate services will be integrated with those commissioned by
the NHS Technology will be exploited to increase productivity and improve the
customer's experience, whether the service is directly provided by the council or by a third party supplier
Developments will reflect the strategic commissioning council ethos and Lincolnshire centric solutions