Services which ensure people have the right support to stay independent for longer to be redesigned

8 December 2016

Proposals to change the way a wide range of community-based services which support keeping vulnerable adults as independent and as well as possible, for as long as possible, have been approved.  
    
Cabinet last week (Weds) gave the green light to recommendations to redesign the Council’s framework for commissioning early intervention and prevention services.
 
Early intervention and prevention services reduce demand on traditional social care services by ensuring that people have access to the support they need to stay independent and avoid long-term care for as long as possible.  
 
The council currently commissions a broad range of organisations to provide such services at a cost of over £2.5 million a year. The proposals would see efficiency savings of £300,000 found and an additional £775,000 invested in these support services for vulnerable adults - increasing the overall annual spend to £3m.

Executive Member for Adult Social Care, Councillor Paul Dolan, said: “One of the strongest messages that we received through the consultation process is that there is a lot of confusion amongst service users about when and who to contact when trying to access services. 
 
“We are predicting huge growth in demand for these services – by 2022 we expect the number of people in the borough aged over 65 to have increased by 44 percent, with 80 percent of residents over the age of 85 years having two or more long-term conditions. 
 
“These are stark figures and we have to act now to ensure that our services are ready and equipped to deal with the situation. Streamlining resources, providing one point of contact and reducing fragmentation will help to ensure that we deliver the best outcomes for our residents and 82 percent of respondents support the design of the new model.”  The new model will see a three -tiered approach:
  • Tier 1 - universal community wellbeing services for people with low level needs 
  • Tier 2 - targeted early intervention and prevention services for people identified as at risk to halt, or delay, deterioration and long term care 
  • Tier 3 - re-ablement services to minimise disability or improve the level of functioning, especially those which support rapid and safe discharge from hospital.
A lead agency will hold responsibility for each of the three tiers, which will ensure co-ordination and collaboration across services and one point of contact for referrals. 
 
Plans to develop specific activities by supporting local communities to provide flexible support within the community for vulnerable or at risk people will also now start to be developed.  

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