Adult Social Services Promoting Independence – How We Are Doing Janice Dane Assistant Director Early Help and Prevention 9 March 2016

Budget The Council’s budget will include a general Council Tax increase of 1.99% and a precept of 2% for Adult Social Care - overall increase of 3.99% Removed proposed Adults savings - Supporting People (ASC012) £5.100m Removed proposed Adults savings - Transport (ASC014) £1.000m Removed proposed Adults savings - Transport (ASC014) £3.780m

Budget Promoting Independence - Customer Pathway - the focus will be on connecting people with ways to maintain their wellbeing and independence thereby reducing the numbers of service users receiving formal care services. Saving of £26.869m. Promoting Independence - Reablement - expand Reablement Service to deal with 100% of demand and develop service for working age adults. Net saving of £5.158m Promoting Independence - Housing with Care - develop non- residential community based care solutions. Saving of £1m. Radical review of day care services – saving of £3.500m.

Budget Savings already agreed as part of previous year’s budget setting: - Changing how we provide care for people with learning disabilities or physical disabilities - Transport - Reduce funding for people receiving support from Adult Social Care through a personal budget including for wellbeing activities

Promoting Independence Involvement in your community Getting better after being ill Getting early help when you need it Getting support for your complex health needs Running your own life – making choices and decisions Looking after yourself Keeping well & recovering your health Living with complex health conditions Getting information and advice Managing your long term health condition Promoting Independence Living independently at home Excellent in education Real jobs Quality of life for vulnerable people Accountability and performance

Promoting Independence Involvement in your community Getting better after being ill Getting early help when you need it Getting support for your complex health needs Looking after yourself Keeping well & recovering your health Living with complex health conditions Getting information and advice Managing your long term health condition = Reduced costs of care packages Better use of other resources and assets Change the mix of: Care at home Housing with care Residential care Review personal budget process Transport review Review of the customer pathway Strengthen website Enabling communities Work with VCS = People find solutions in the community Fewer people come to NCC Fewer assessments Maximise impact of reablement Maximise use of equipment and adaptations Review N-Able = Reduced level of long term packages of care People can stay at home longer ACTIONS OUTCOMES

How We are Doing PBQ (Personal Budget Questionnaire) and RAS (Resource Allocation System) Review – first workshop to co-produce new PBQ being held on 10 March. Front Door and Customer Pathway. – First Community Link/Clinic will be in March. Review of Reablement - Recruitment of new reablement staff continues: 40 out of the 47 posts have been filled to date. Starting to work with locality LD teams on providing enablement.

How We are Doing Transport – Council made the decision on 22 February to not cut all of the ASS transport budget. Savings of £3.8m still need to be achieved from previous agreed budget plans. The majority of high cost transport packages are for people with Learning Difficulties. Funding agreed for development of new resource in Thetford for people with Learning Difficulties. Trusted Traders – some progress. Strengths based assessment workshops - being rolled out to staff, starting with Team Managers, following the initial successful training of the Practice Consultants.

How We are Doing Information and Advice - An Online well-being tool is being developed which will suggest useful information/resources to people based on their answers to questions. The Norfolk Directory is being widely promoted and new organisations are signing up Assistive Technology (AT) - Looking at social work practice to maximise opportunities for AT to be part of a wider package of care. Evidence from Learning Difficulties service that can be effective in reducing the need for waking night staff in supported living. New home support model. Greater focus on provider’s role in reablement and maximising opportunities for people to regain skills and reduce the need for/dependency on care and support and utilising assets and skills in local communities.