Agenda Item No
The Vale of Glamorgan Council
Cabinet Meeting: 12 May, 2014
Report of the Leader
External Funding Applications
Purpose of the Report
1. To inform Cabinet of external funding awarded through the Cardiff and Vale Integrated Care Fund 2014/15 which will support integrated working between the Vale of Glamorgan Council, Cardiff & Vale UHB and Cardiff County Council; and
2. To seek Cabinet authorisation for the acceptance of Capital Grants, which will improve energy efficiency of the housing stock and support the Council to meet the Welsh Housing Quality Standard.
1. That Cabinet notes the proposed use of the Intermediate Care Fund Grant 2014/15 awarded to support integration between local authorities, health and education and authorises the £557,000 Capital scheme for Development of Reablement Units (£500,000) and for Telecare Equipment (£57,000) to be included in the authority's Capital Programme and funded from the capital grant.
2. That Cabinet authorises acceptance of the grants and inclusion in the Capital programme of £57,400 for the Social Landlord Renewable Heating Scheme and £100,000 for Green Deal Energy Efficiency Measure, funded from capital grant.
Reasons for the Recommendations
1. To ensure Cabinet is aware of how the Intermediate Care Fund grant 2014/15 available is being deployed and the inclusion of the Capital grant in the Capital programme.
2. To enable acceptance of the Social Landlord Renewable Heating grant and the Green Deal Energy Efficiency grant; and their inclusion in the Capital Programme.
3. Corporate Management Team previously agreed new procedures to improve the way in which the Council assess and co-ordinates its bids for external funding.
4. An 'External Funding Framework' covers the practicalities of maximising external funding opportunities to meet corporate objectives. The framework highlights the criteria that potential applicants must address and those applying for external funding to minimise the risk to the Council.
Relevant Issues and Options
Intermediate Care Fund 2014/15
5. The aim of the Welsh Government's Intermediate Care Fund grant is to encourage integrated working between local authorities, health and education. The one year fund includes £35 million revenue funding and £15 million Capital funding to support older people, particularly the frail elderly, to maintain their independence and remain in their own home. The funds can be used to build on existing good practice and to increase the scale of provision of integrated services across Wales.
6. Bids for the funding have to be made on a regional basis, which required a joint submission from Cardiff and the Vale. £1,849,000 Capital funding and £3,703,061 Revenue funding was allocated to the Cardiff and Vale region, of which the indicative allocation for the Vale of Glamorgan is £557,000 Capital funding and £1,119,800 Revenue funding.
7. It is proposed the regionally allocated grant is utilised to help people stay in their home by:
· Joining up services;
· Preventing the need for care and hospital admissions;
· Reducing time spent in hospital;
· Reducing the need for ongoing care;
· Providing flexible services that develop as the needs of the individual change; and
· Establishing a coherent and cost effective strategy for the provision of housing.
8. In the Vale of Glamorgan the indicative grant available will be utilised to develop a range of services as indicated below (Copy of application appendix A):
9. As part of further development of the Communications Hub, the Vale Locality developed a business case to fully integrate locality social care, housing and health teams/services. The proposed new model builds on the existing joint working across health and social care which already exists at the Council's 'first point of contact' centre, ensuring all locality health and social care enquiries and services go via the Communications Hub (C1V).
10. The bringing together of District Nursing triage and housing at the communications hub will be a significant step in managing demand for services and ensuring patient and service users are directed to the right service first time. Additionally a focus on reablement and the use of other services such as Telecare and equipment will help to manage growing demand and support build resilient communities. Officers from the housing department will offer advice and assistance on waiting lists and supported housing options.
11. The development of a specialist accommodations team will work closely with health and social care professionals in developing appropriate housing responses for older people at the point of hospital admission and discharge. The team will provide a 'hub and spoke' approach working predominately out of the hospitals in Llandough and Princess of Wales and also out of the Communications Hub enabling joined up arrangements associated with health, housing and support.
12. The provision of a respite bed will help support discharge and prevent admission.
13. The reconfiguring of existing sheltered accommodation as 'very sheltered', will cater for the spectrum of current older people's accommodation options. Floating support to be allocated via the Supporting People Team for the units. Two further ground floor flats to be redeveloped as reablement units in order that residents of the Vale can be discharged from hospital more quickly, reducing delayed transfer of care caused by a lack of intermediate accommodation.
14. The application includes the further development of reablement services which includes a pilot scheme to extend the provision of reablement services to individuals through the Community Resource Service via a tender for provision from the independent or voluntary sector.
15. The grant will enable the provision of Outcome focussed care packages for older people with long term care needs. This involves piloting a trial of outcome focussed care with a small number of older people who have complex long term needs. The project would make use of the new streamlined unified needs assessment process by ensuring that a creative and flexible approach could be taken to delivering outcome focussed care. This would encourage service providers to offer a block of hours to a small group of service users to be used in a much more creative way. The care would be 'flexed' to meet individual needs and offer an opportunity to provide more support if required to avoid unnecessary hospital admissions.
16. The transformation of Dementia services will focus on reviewing existing dementia services across the Vale of Glamorgan with a view to developing more of a reablement ethos to link with the implementation of the draft Cardiff and Vale Dementia 3 Year Plan.
17. The promotion and delivery of assistive technology will be enhanced through the purchase of additional Telecare services.
18. Support to be provided for the third sector through developing third sector partnerships and social enterprise opportunities and there will be an enhancement of Quality Assurance capacity.
Grants to Implement Renewable Heating Systems
19. The DECC Social Landlord Renewable Heating Scheme is delivered by the Department for Energy and Climate Change (UK Government) and the Green Deal Energy Efficiency Measures is delivered by Welsh Government. As the grants have compatible aims but derive from different funding bodies this enables them to be drawn down holistically to support the Council improve sustainable heating solutions to meet Welsh Quality Housing Standards whilst minimising the match funding required from the Council.
20. The DECC Social Landlord Renewable Heating scheme will support the installation of renewable heating systems to a number of off gas properties in the rural Vale. The two types of renewable heating measures are ground source heat pumps and solar thermal. Eleven properties have already been identified and consultation has taken place to ensure tenants are agreeable.
21. The Council was awarded £57,400 against an estimated project cost of £117,000. As the project is due to end on 30th June 2014 emergency powers has been gained to allow a contact to be awarded to enable the drawdown of grant.
22. The aim of the green deal energy efficiency project is to encourage the greater uptake of green deal and ECO within Wales. The original project proposed was to run from April 2014 until October 2015 and included measuring the effectiveness of measures and taking on a member of staff dedicated to the promotion work. However, the £100,000 awarded was for the period 1st April 2014 to 31st March 2015. Due to the limited timescale to spend the grant, following discussions with Welsh Government officials it has been agreed at least some of the funding can be used towards the Ground Heat Source Heat Pump Project that has recently been tendered. .
Resource Implications (Financial and Employment)
23. Bids for the Intermediate Care Fund have to be made on a regional basis and Cardiff County Council is the applicant for the joint submission. The total submission for Cardiff and Vale for the period 1st April 2014 to 31st March 2015 was £1,840,000 Capital funding and £3,703,061 Revenue funding. The indicative allocation for the Vale is £557,000 Capital, £1,119,800 Revenue Funding,
24. A £57,400 Capital grant was awarded under the Social Landlord Renewable Heating Scheme against a project cost of £183,331. The grant is due to end on 30th June 2014. A £100,000 Capital grant was awarded for the period 1st April 2014 to 31st March 2015 by Welsh Government against an estimated total project cost of £213,000. Match funding for both the Social Landlord Renewable Heating Scheme and Green Deal Energy Efficiency Measures is from the Capital Housing Improvement Programme.
Sustainability and Climate Change Implications
25. The Intermediate Care Fund grant will enable the use of technology and the joining up of services to maximise efficiency which will support the sustainability of services. The Capital investment will improve operational efficiency and capacity to expand the integrated working with Cardiff and Vale UHB which will improve services for older people and prevent the need for/reduce time spent in hospital.
26. Funding has been allocated from the Cardiff and Vale Intermediate Care Fund 2014/15 grant to review the specific projects to be supported including the impact on costs and outcomes. Monitoring will form part of the individual business cases to ensure services can be mainstreamed when the funding ends.
27. The DECC Social Landlord Renewable Heating Scheme and green deal energy efficiency project will enable the installation of Renewable Heating Systems to a number of off gas properties in the rural Vale. Homes which are not connected to mains gas are extremely difficult to improve to meet minimum energy efficiency standards required by WHQS.
Legal Implications (to Include Human Rights Implications)
28. The accountable body for the Cardiff and Vale Intermediate Care Fund 2014/15 is Cardiff County Council. The Capital funding of £557,000 and Revenue funding of £1,119,800 allocated for specific projects in the Vale will be managed and monitored by officers in the Vale of Glamorgan Council following the corporate project management methodology. Detailed financial breakdowns of spend and progress reports will be used to monitor and report on progress on internal projects
29. The Cardiff and Vale Intermediate Care Fund 2014/15 projects will be reported via existing collaborative governance arrangements to the Integrated Health and Social Care Strategic Implementation Group, Joint Local Service Board/LSBs in Cardiff and the Vale of Glamorgan, Cabinet, Cardiff and Vale University Health Board and Scrutiny Committees.
Crime and Disorder Implications
30. There are no crime and disorder implications
Equal Opportunities Implications (to include Welsh Language issues)
31. The grant available from the Intermediate Care Fund 2014/15 will enable additional support to some of the most vulnerable older people in our community. Services will be improved and be bi-lingual.
32. The grants available to implement renewable heating solutions were targeted at those in high need such as older tenants and tenants with a disability using coal fired solutions that were not fit for purpose.
33. The funding will be used to support the project named Improving Access to Health and Social Services, which is part of the Integrated Health and Social Care Programme. The work is aligned to the Older People's Commissioning Strategy and the Director of Social Services Annual Report 2011/12. The project delivers the objectives within the Corporate Plan 2013/17 by supporting older people to maintain their independence through increasing the availability of reablement and rehabilitation services, assisted technology, providing targeted preventative services locally via our working with health and third sector partners.
34. The Social Landlord Renewable Heating Scheme and Green Deal Energy Efficiency Measure delivers the objectives within the Corporate Plan 2013/17 to improve the local housing stock through utilising funding opportunities to improve the energy efficiency of the housing stock and reduce fuel poverty.
Policy Framework and Budget
35. This is a matter for Executive decision.
Consultation (including Ward Member Consultation)
36. The Intermediate Care Fund 2014/15 application was developed through the Integrated Health and Social Care Strategic Implementation Group which brings together key officers from across the Vale of Glamorgan Council, Cardiff Council, Cardiff and Vale University Health Board and lead representatives of the third sector.
37. Consultation with tenants was undertaken at the start of the process to determine participants that were enthusiastic about using renewable heating solutions and measures were targeted at properties that were most appropriate. Measures are also targeted at those in high need such as older tenants and tenants with a disability using coal fired solutions that were not fit for purpose.
Relevant Scrutiny Committee
38. The Intermediate Care Fund application covers under the consideration of the Social Care and Health Scrutiny Committee
39. Both the Social Landlord Renewable Heating Grant and Green Deal Energy Efficiency Grant come under consideration of the Housing and Public Protection Scrutiny Committee.
Intermediate Care Fund 2014/15 Application
External Funding proforma - Intermediate Care Fund 2014/15
Award of Funding in relation to Intermediate Care Fund for the 2014/15 Financial Year - 1st April 2014
External funding proforma - Welsh Government Award to encourage greater take up of Green Deal Energy Efficiency Measure
Award of Funding in relation to match funding to local authorities to encourage green future take up of energy efficiency measures and green deal - 10th February 2014
External funding proforma - DECC Social Landlord Renewable Heating scheme
Mike Jones, Business Manager (Partnerships)
Lance Carver, Head of Adult Services/Locality Manager
Carys Lord, Head of Business Management and Innovation
David Powell, Energy Manager
Rob Lucas, Asset and Improvement Manager
Operational Manager, Legal Services
Carolyn Michael, Principal Accountant
Tom Bowring, Business Improvement Manager
Huw Isaac, Head of Performance and Development