Agenda Item No
The Vale of Glamorgan Council
Cabinet Meeting: 30 June, 2014
Report of the Cabinet Member for Adult Services
Services for People with Learning Disabilities: Commissioning Strategy 2014 - 2017
Purpose of the Report
1. To secure Cabinet approval for the Services Commissioning Strategy 2014 to 2017 in respect of Adults with Learning Disabilities'
1. That Cabinet notes this report.
2. That Cabinet approves the Services Commissioning Strategy 2014 to 2017 for Adults with Learning Disabilities.
3. That Cabinet refers this report to the Corporate Resources and the Social Care and Health Scrutiny Committees for information.
Reasons for the Recommendations
1. To provide Cabinet with an opportunity to consider the way in which the Social Services Directorate is responding to changes in the pattern of demand for services and in the expectations of service users.
2. To ensure that service commissioning arrangements for people with learning disabilities are grounded in an agreed social care service model and enable the Council to provide effective care and support within the resources available.
3. To ensure that the Scrutiny Committees are able to exercise effective oversight of this key area of activity.
2. The Services Commissioning Strategy for Adults with Learning Disability has been developed by Vale of Glamorgan Council’s Learning Disabilities Service in partnership with service users, carers and the third and independent Sectors. This document, attached at Appendix 1, provides the Council with strategic commissioning priorities that will enable it to improve, plan and develop services for adults with a Learning Disability in the Vale of Glamorgan.
3. The Strategy takes into account the Welsh Government's 'Learning Disability Strategy - Section 7 Guidance', which sets out the service principles and responses that local authorities should adopt across a range of issues affecting adults and older people with learning disabilities. In 2007, in the â€˜Statement on Policy and Practice for Adults with a Learning Disability’, it confirmed a vision for the future of Learning Disabilities services based on a recognition that all people with a learning disability are full citizens, equal in status and value to other citizens of the same age .
Relevant Issues and Options
4. It is estimated that, for the period 2013 - 2026, there will be a sustained growth in the need for social care for adults with Learning Disabilities, ranging from 1.0% to 7.9% per year and with an overall average rate of 4.2%.
5. The proposed Services Commissioning Strategy for People with Learning Disabilities 2014 to 2017 identifies how the Council will respond to rising demand and changing expectations on the part of adults with learning disabilities and their families within the resources available to the Council. Production of the strategy has been used as an opportunity to further the Council’s overall programme for improving and modernising the social care services it provides. We sought also to engage as much as possible with stakeholders, to ensure that the strategy has been co-produced with service users and carers, drawing on their experiences and opinions about how to bring about improvement. A summary of the consultation events that were held is appended to the Commissioning Strategy.
6. The strategy contains an analysis of demand, supply and service gaps together with a commissioning plan which sets out the operational tasks needed to ensure that commissioning priorities are achieved. The strategy will assist the Council in working in partnership with Cardiff Council and the Cardiff and Vale University Health Board to commission jointly services that deliver high quality care and support and that are based on people’s needs and preferences. There is a commitment to explore opportunities for working even more collaboratively in the future, with the intention of producing a joint strategy for the period beyond 2017. The Council will also work in partnership with relevant Health Boards to deliver the recommendations of 'Transforming Care in Wales for People with Learning Disability and Challenging Behaviour' (2012).
7. The strategy sets out five priorities for the Vale of Glamorgan Council when commissioning services.
· People with a Learning Disability are supported to maximise their independence.
· People with Learning Disabilities are supported to play an active role in society and engage in meaningful day time activities and employment or volunteering.
· People with a Learning Disability are valued and included within their own communities.
· People with Learning Disabilities are enabled to stay healthy and feel safe.
· People with Learning Disability are supported to become lifelong learners.
Each of these priorities is then articulated in terms of the service implications,
where are we now?, what will we do next?, timescales and responsibilities.
8. In addition to social care and support, there are responsibilities for other parts of the Council in helping to provide wellbeing services and seeking opportunities for people with learning disabilities to access mainstream Council services such as Housing. We will also work with other Welsh local authorities during the assessment process to commission individual services on a regional scale where necessary, especially in respect of high cost and low volume placements through the SEWIC procurement hub.
Resource Implications (Financial and Employment)
9. There are no direct financial implications of this report, although it should help ensure that the Council's assets are managed efficiently and effectively. Improved commissioning practices will make certain that the right services are available, for the right people at the right time and that best use is made of the resources available for social care services. The documents make explicit the fact that the Council and its partners face an exceptionally difficult financial climate over the next few years, coupled with increasing demand for services. In these circumstances, it is essential that commissioning strategies for social services establish financially affordable models of assistance and support as well as contributing to the most appropriate ways of meeting the needs of vulnerable people.
Sustainability and Climate Change Implications
10. There are no direct sustainability or climate change implications, although effective implementation of the strategy should help to reduce waste.
Legal Implications (to include Human Rights Implications)
11. Commissioning practice should not place constraints on people's statutory rights to have their need for social care met by the services which the Council makes available under the relevant legislation.
Crime and Disorder Implications
12. There are no crime and disorder implications as a direct result of this report.
Equal Opportunities Implications (to include Welsh Language issues)
13. Commissioning of care services has to ensure that they are accessible to all those eligible to receive them and the Equalities Impact Assessments have been carried out required to the impact of the Commissioning Strategy.
14. Community Leadership:
CL2 – Increase customer satisfaction and improve how customers access services by developing more integrated service delivery with our partners and being more innovative in how public buildings are used.
CL4 – Explore opportunities for working collaboratively within the Vale and regionally which will lead to improved services for customers, support innovation and deliver savings.
Policy Framework and Budget
15. This is a matter for executive decision.
Consultation (including Ward Member Consultation)
16. There are no implications for individual Wards as a direct result of this report.
Relevant Scrutiny Committee
17. Social Care and Health.
Cabinet 8th May 2013: Day Services for People with a Learning Disability - Minute No C1324
Cabinet 16th November 2011: Social Services Commissioning Framework 2011 and the Social Services Commissioning Strategy for Older People's Services 2011 to 2018 - Minute No C1517
Lance Carver, Head of Adult Services
Corporate Management Team
Amanda Phillips, Operational Manager (Learning Disabilities)
Philip Evans, Director of Social Services