Chairs –Tricia Pereira & Beverley Latania Vice chair – Frances Leddra Has the current model of social care reached its sell by date? I would leave out the context slide re demographics etc ...everyone know that. Etta to focus on old model deficits and possibilities for a new approach stuff. I think the key thing we want to get across is the ‘different conversation’ focus i.e. your strengths based practice framework approach to deliver personalised inclusive rights based outcomes for people. This is relevant to using a 1. assets based community focus (prevention) so the LAC / social prescribing etc and looking at what’s good in communities that can be built on to connect people. 2. Strengths based conversations and assessments with individuals and their families ..what matters, what’s possible and influencing more creative commissioning approaches to support people to design and shape their support arrangements. We could be radical and suggest that we do away with/focus less on eligibility and spend more effort on more on particioation /conversations and connecting with individuals and communities and the outcomes of enabling people to be part of things whatever their living arrangements 3. People value what goes on between them and the social care practioners engaging with them and the quality and impact of this needs to be understood and a driver for change etc Chairs –Tricia Pereira & Beverley Latania Vice chair – Frances Leddra 30th April 2019

What is the current model? Still renovating, re-designing & developing….there’s still a bit to do It feels as though we are still in transition, There are some very good emerging models or ways to deliver social care, that its ethos is grounded in solid social work values. @AdultPSWNetwork Health and Social Care system redesign

Innovative models New supporting roles ( Social Prescribing) Quality and productivity of services Financial and economic constraints How Housing can help prevent people from being admitted to hospital and support discharge How housing can support people to remain independent in the community @AdultPSWNetwork

The most frequent users of our services – whether acute, primary or community, mental health and social care – are older people…… those living with multiple long-term conditions, frailty, dementia or age-related disability. Getting their care right is crucial, especially with an ageing population, rising demand, and pressures on workforce and funding. Kings Fund 2018 @AdultPSWNetwork

Using research to inform us of what works Questions, Questions Using research to inform us of what works @AdultPSWNetwork

A little more conversation, a little more action please! Commissioners Health & Social care Professionals Strategic Leads Strength based approaches - working with individuals and communities by providing and handing over our professional knowledge and expertise at the disposal of people who may find it helpful and at the right time, rather than telling or directing people what to do Social Model of practice – rather than “fixing people” we should be supporting self management, helping people to identify And discover their own resources and resourcefulness, we are catalysts, -facilitators of change rather than creators or enforcers of change. Shared or joint decision making at an individual level –the expert person, and the professional should share their respective views and information and jointly determine collaboratively how to progress. In service design, delivery and development - Lead Members @AdultPSWNetwork

Challenges & Opportunities @AdultPSWNetwork

Current and proposed processes – streamlined, Easy? Documentation, Lengthy? Handoffs Key Performance Indicators Governance & oversight Workforce Roles, new hybrid Health & social care Transformation & Structures Skills & Training Behaviours IT Systems Agile working Social care is not out of date, its just got stuck and we need to This is good social work Social care compliments this. And include models FGC, work to People, process, systems operating model It almost feel as though the systems are driving Demographic and social changes Health and Social Care system redesign New supporting roles ( Social Prescribing) Quality and productivity of services Financial and economic constraints How Housing can help prevent people from being admitted to hospital and support discharge How housing can support people to remain independent in the community @AdultPSWNetwork

The Important Role of Social Work Integrated services Social Work play a vital role to deliver better, personalised outcomes with coordinated support. Practical, Solution Focused Prevention Social isolation reduced Emotional wellbeing enhanced Risk Enabling / Safeguarding Upholding individual rights Support independence Co-ordinate to keep people at home.

Life in the future Supported by social worker and housing officer to move into a ‘Assisted Tech Home’ specially adapted to reduce falls , be more efficient and safe Supported by a well being centre for all her health and social care needs . An integrated centre with all professionals in one place reducing hospital admissions and enhancing well being Reconnected with community via social prescribers, LAC’s, Social Workers Reducing social isolation and loneliness continuing to feel part of life.

What does a good life look like for Barbara? A strong, connected community Barbara is less isolated and has the opportunity to be well connected where she lives She has support, to meet her needs from within her neighbourhood and as a result will access health and care services less frequently; She will be enabled to live a healthy and happy life. Shared responsibility Barbara takes responsibility for staying as healthy as possible She will use health and care resources appropriately and responsibly for example “The New Medication Service) Holistic, integrated flexible and proactive care Our health and care system treats Barbara as an individual and does not define her by her illness or conditions; Barbara can get the support and care she needs at the right place and the right time; When she needs a health or care service, we will seek to integrate care around her , not require her to access lots of different services We will provide Barbara with a single named accountable person who coordinates her care and support By bringing health and social care services and resources together we will reduce duplication, improve efficiency and provide a better response to Barbara We act before Barbara reaches crisis point and reduce the number of times you need emergency health or care services

@AdultPSWNetwork