The third/independent sector and   The third/independent sector and health, care & wellbeing services in Scotland Event on 4 Sept Around 80 delegates from over 50 organisations Collaborative – intermediaries working together ALLIANCE funded and chaired overall event – we are a key national delivery partner in the strategy @ALLIANCEScot @ccpscotland @scottishcare

The third/independent sector – a partner in delivery “…….delivery of the strategy needs to be a partnership endeavour, where we harness not only the collective skills, talents and capacity that exists within our public services, but also those of industry, academia, the third and independent care sectors and the wider public”

Some key stats on the third/independent sector 40,000+ voluntary sector organisations in Scotland (Source: SCVO) Some large organisations (who make up bulk of sector’s income and paid staff) although most charities are small Most charities are local, working deep within communities providing support that’s focused on wider/holistic needs and helping keep people well (prevention) A significant investor in health and social care services - on research, innovation and on thousands of care staff, as well as specialist nurses, support workers … Spent £1.64 billion on social services and £424M on health related activity in Scotland’s communities in 2016-17 (source: SCVO, OSCR) Provides around a third of registered social care services, supporting hundreds of thousands of people and their families Independent sector provides 83% of care home places and 55% of home care hours for older people in Scotland ….third sector also a major provider of social housing and related support services 40k includes those working in health and care

Organisations active in health related research / services… …and many, many more! ….. that are widening support to people

The third sector in community / social care CCPS membership includes over 80 of the most substantial care and support providers in Scotland’s third sector Working across the areas of community care for adults with disabilities and for older people,  youth and criminal justice, addictions, homelessness, housing support and care homes, and children’s services and family support Gartner research to benchmark digital development in the sector Now aiming to share best practice and support collaboration across membership based on a shared vision and focus on improving operational systems

The third sector in community / social care Wider common challenges for the sector include: Information governance Data collection and the problem of non-standard data sets Local government requirements (no consistency and time and task focused) How to move away from outputs and towards outcomes Knowledge, resourcing and capacity to implement digitally enabled care

The independent sector perspective Diverse Sector 36K care home 67K home care Increasingly Specialist Increased demand Workforce shortage New models of care Relationship with Acute Regulation Technology & Data Economic Value £3.4 Billion Politics Diverse statutory, private, charitable/voluntary sector Numbers - 36,000 people will sleep in a care home, over 67,000 being supported at home. In contrast, only 17k stay in a hospital. Changing reality of ‘mini-hospitals.’ 5 years ago people would walk to their care home, now they arrive in a wheelchair, usually at a point of crisis. Report - Care Homes, then, now and the uncertain future – Becca Increased demographics Workforce shortages Almost the same number of people work in adult social care in Scotland as in the whole of the NHS in Scotland New models of care – preventative, nursing role, technology intermediate care - assisted living - palliative care - day centres/ drop in centres - community hubs Data and Evidence ‘Revolving door’ pathway Data Lake Technology and Data – new ways of working - human rights charter tech, mobile phone student example, end of life example… Acute – increasing need to focus on preventative Impact on sector will impact on flow and delayed discharge

CCPS members’ digital journeys Digitising their operations – moving from paper based to digital systems for all operational requirements Developing digital outcomes measurement tools like Penumbra’s Iroc Developing innovative digital tools to manage care plans and to bring SDS alive, like the Blackwood Clevercogs or Carr Gomm’s ClickGo Using apps to engage young people in the children’s hearings system at Barnardo’s Trialling sophisticated sensors to reduce overdose deaths in homelessness shelters at Streetworks Using remote technology enabled care tools alongside predictive analytics to support independent living and anticipate changing needs like the SOL Connect service or work being done by Leonard Cheshire in Scotland Working with the Data Lab to make better use of internal and external data Joint research with the Edinburgh Robotics Centre A snapshot of the many different ways providers are using digital