Agenda Item No 9
The Vale of Glamorgan Council
Scrutiny Committee (Social Care and Health): 19th May, 2014
Report of the Director of Social Services
Collaborative Planning Older People's Services
Purpose of the Report
1. This report provides an update for Elected Members on the work being undertaken by the Integrating Health and Social Care Services Programme with regard to planning Older People's Services.
1. That Scrutiny Committee notes the progress of the Integrating Health and Social Care Services Programme in developing new strategic approaches to meeting the needs of older people for care and support services.
Reason for the Recommendation
1. To ensure that Elected Members exercise effective oversight of an important local
authority function undertaken by the Social Services Directorate.
2. The Integrating Health and Social Care Services Programme is in place to increase the scale and pace of work to join up health and social care services across the Cardiff and Vale region where there are clear benefits to service users and patients. The Programme includes the following partners:
· the Vale of Glamorgan Council;
· Cardiff Council;
· Cardiff and Vale University Health Board;
· Vale Centre for Voluntary Services; and
· Cardiff 3rd Sector Council.
3. In July 2013, the Kings Fund and the Welsh Institute for Health and Social Care were asked to work with the Programme partner organisations to review integrated working and to assist in determining priorities. A key part of the task was to develop better structures for working together and an agreed vision for Older People's services.
4. In May 2013, the Welsh Government introduced the third phase of its Strategy for Older People in Wales, to cover the period 2013-2023. Called 'Living Longer, Ageing Well', the document outlines the following vision for Older People:
· That people in Wales feel valued and supported, whatever their age; and
· That all older people in Wales have the social, environmental and financial resources they need to deal with the opportunities and challenges they face.
5. The challenge for the next ten years is described as:
· to create a Wales where full participation is within the reach of all older people and their contribution is recognised and valued;
· to develop communities that are age-friendly, while ensuring older people have the resources they need to live;
· to ensure that future generations of older people are well equipped for later life by encouraging recognition of the changes and demands that may be faced and taking action early in preparation.
6. This report to Scrutiny Committee outlines the work undertaken by the Programme partners to progress the strategy in the Vale and Cardiff areas.
Relevant Issues and Options
7. A Statement of Intent has been prepared in response to the Welsh Government’s Framework for Older People’s Services. The Statement has been endorsed by the local authorities in the Vale of Glamorgan and Cardiff, the Cardiff and Vale UHB, Cardiff Third Sector Council and the Vale Centre for Voluntary Services. The document also contains details of the governance arrangements to manage the joint working. A copy of the Statement of Intent is attached at Appendix 1.
8. It commits the organisations to 'increasing the scale and pace of our work together so that:
· Older and disabled people within our community receive high quality, integrated services that respond to their needs;
· Quality and equity of access underpin services which are sustainable, focused on outcomes and deliver best value.’
9. The Statement of Intent details that work will be taken forward across five specific areas:
· Joint planning for Winter pressures;
· Delivering the Framework for Older People's Services;
· Providing an accountability structure;
· Ensuring compliance with the Social Services and Well-being Act; and
· Project management of health and social care partnership working.
10. The partnership has also developed its own Framework for Older People; it outlines the agreed vision for older people's services over the next five years. The document is based upon the fundamental principle that services should be planned around the needs of the individual in such a way as to prolong their independence and wellbeing within their local community for as long as possible. A copy of 'Meaningful and Purposeful Lives: A Framework for Older People in Cardiff and the Vale of Glamorgan between 2014 to 2019' is attached at Appendix 2.
11. The Framework identifies the following key themes for ensuring that older people:
· Live as healthy and fulfilling a life as they can in old age, at home wherever possible, with a range of services supporting them to do this;
· Along with their carers, know where they can receive information, support, resources and advocacy in the community to live independently at home for as long as possible;
· Have timely assessment, including access to a GP or assessment for social services and housing to promote independent living;
· Receive informed and guided care about services that may be received, so that the different steps of treatment and care (where appropriate) are clearly understood and shared decisions made;
· Receive co-ordinated Health and Local Authority services that are integrated to minimise duplication of assessment and provide 'joined-up' care; and
· Be given information about quality assured, value-for-money long term care and support options and alternatives should these services be needed.
12. The Older People's Commissioner for Wales has offered to arrange a Reference Group to test out the extent to which these principles are applied in practice.
13. The Framework builds on the Wyn Campaign, which pioneered locally greater integrated working between the partner organisations in respect of services for older people. The Campaign has sought to promote healthy ageing and person-centred models of care and support. The work of this programme is now embedded in the way this Council and the UHB collaborate in the provision of services. For example, in the past year, all members of the Community Resource Teams have been co-located within three separate sites across the Vale of Glamorgan and Cardiff, providing a more consistent and co-ordinated reablement service. This has been supported by ongoing work to develop an effective information sharing system. Other schemes underway include a pilot to signpost people to appropriate services that support independent living and wellbeing.
14. Short-term funding has been made available by the Welsh Government to develop new models of service for older people in order to achieve the vision outlined above. This money has been awarded via the Regional Collaboration Fund (RCF) and the Intermediate Care Fund (ICF). Within the Vale, this money is funding the following initiatives.
· Enhancement of the Community Resource Team: the additional funding is providing additional staff, input of services from the third sector and the development of a mobile working solution to enhance the effectiveness of the service;
· Revision of the Unified Assessment Process: work is being done to simplify the process of assessment in accordance with recent Welsh Government guidance;
· Joint Commissioning: we are looking for opportunities to commission jointly services across the Vale, Cardiff and the UHB;
· Assistive Technology: We are assessing current use of assistive technology and ways in which this can be improved; and
· Occupational Therapy Service: additional resources have been made available to improve the response times for people requiring the service
· Communications Hub: development of a fully integrated locality social care, housing and health team to deal with initial enquiries;
· Accommodation with care: establishment of a specialist accommodation team for older people, together with the creation of reablement units;
· Expanding the range of reablement services available ;
· Developing quality assurance systems to monitor standards across all service providers and to support them by sharing best practice ;
· Implementing the Dementia Plan.
Resource Implications (Financial and Employment)
15. The funding available from the RCF across the region is £785,000 in 2014/2015 and the Vale of Glamorgan is the lead authority for this project.
16. The ICF fund has awarded the Vale £1.1m revenue and £557,000 capital funding to be spent during this year. Cardiff Council is the overall lead authority for this funding stream.
17. Improved service delivery and financial savings from collaborative working are the key drivers for engaging in these initiatives.
Sustainability and Climate Change Implications
18. The proposals included within the Older People's Framework will enable individuals and families to access timely information regarding services which can support them to remain within their own communities.
Legal Implications (to Include Human Rights Implications)
19. There are no direct legal implications associated with this report. Governance arrangements have been agreed for the management of the collaborative work and these are contained within the Statement of Intent.
20. Under the Local Government (Wales) Measure 2009, the Council is obliged to consider from time to time whether the exercise of any of its powers of collaboration would assist it in the discharge of its duties :
· To secure continuous improvement in the exercise of its functions;
· To secure achievement of its improvement objectives; or
· To meet performance standard required to be met by an order made by the Welsh Ministers
Crime and Disorder Implications
21. There are no specific crime and disorder implications associated with this report.
Equal Opportunities Implications (to include Welsh Language issues)
22. The service planning issues outlined in this report relate specifically to older people.
23. Key objectives of the Council addressed by this report are:
· "Citizens of the Vale of Glamorgan are healthy and have equality of outcomes and, through appropriate support and safeguards, the most vulnerable members of our community maximise their life opportunities";
· "People of all ages are actively engaged in life in the Vale and have the capacity and confidence to identify their own needs as individuals and with communities";
· "The diverse needs of local people are met through the provision of customer focused, accessible services and information";
· "Older people are valued and empowered to remain independent, healthy and active. They have equality of opportunity and receive high quality services to meet their diverse needs."
Policy Framework and Budget
24. The report is in accordance with the Council's policy framework and budget.
Consultation (including Ward Member Consultation)
25. The key themes within the Framework have been informed by consultation with older people.
Phil Evans, Director of Social Services