Challenges of Reshaping Care Dumfries & Galloway Council John Alexander Director Social Work Services

Context Policy and legislative developments reflecting changing demographic, changing expectations and financial climate Key drivers: Commission on the Future Delivery of Public Services (Christie report) Changing lives,21 st century review of SW New/Emerging Legislation - Welfare Reform, Self- Directed Support, Integration of Health and Social Care

Key messages from policy, legislation… More of the same won’t work No one organisation has all the answers We need to involve public and people who use services people in the design and delivery of services We need to use all of our resources and assets – people, communities… Importance of prevention and early intervention Focussed on outcomes Accountability …Best value

Council Values Putting the customer first Continuous improvement Equality and diversity Local decision making and service delivery Openness and communication Teamwork and partnership Trust and honesty

Council priorities We will provide a good start in life for all our children We will prepare out young people for adulthood and employment We will care for our older and vulnerable people We will support and stimulate our local economy We will maintain the safety and security of our region We will protect and sustain our environment

Challenge of the reshaping care agenda for the council Financial Doing more with less Best value - Commissioning /procurement What we provide Demographic Age profile; complexity of health and social care needs; growth in people aged +85 years = Demands on services Balance working age-non working = Workforce issues capacity to provide care

Personalised approaches Developing and implementing personalised/personal outcomes approaches supporting people to have choice and control over their care challenges for practice, commissioning, purchasing and provision of care Community Engagement Community capacity building – community resilience Co-production

Welfare reform Impact on individuals and families Impact on communities Supporting people and communities facing poverty and deprivation by targeting resources including debt services and maximising benefits take up Services in rural communities Services closer to home Delivery of home care in rural areas: workforce, costs

Prevention and early intervention Focus on independence Telecare Reablement Housing Technology In mobile working practice In delivery of care

Core Business Adult Support & Protection Continuing to care for our older and vulnerable people Maintaining good quality services in the face of change

Partnerships with –Carers –People who use services –Communities –All Council –Other Agencies - statutory, voluntary, independent & third sector