1. Vision of Adult Social Care
Please welcome our first speaker
Stephen Chandler, Director
Adult Social Services, Somerset CC
Vision of Adult Social Care

2. Service Transformation
“What does it mean for me?”
‘Doing the right things, well’
Stephen T Chandler
Director of Adult Services

3. Is it all about the money ?

4. Remember the analysis The inescapable truth… Outcomes Demand Cost
Budget
Social care the ticking time bomb at the heart of local government
ADASS suggesting a 25 billion pound funding gap
Barnet’s now famous graph of doom

5. “ADASS October 2016 financial review”
Somerset Council
Adult Social Care Budget
£ ,000 or £383,000 per day
“ADASS October 2016 financial review”
“74% of councils are now predicting an overspend within their Adult Social Care Services”

9. Are we doing the right things – and well?

10. Source: ASCOF 2014/15

11. Source: ASCOF 2014/15

12. Source: SALT 2014/15

13. But what else matters ? Personalisation Co-production Innovation
Technology enabled
Workforce
…………….

14. So what could it / will it be about ?
There must be a clear story line,
a clear strategy, a clear narrative

15. What will it all be about ?
Changing the expectation and understanding of ASC
Aspirational rather than paternalistic
Shifting from an “assessment for service” to “being part of joined up community based ‘system of support’ based on helping people to get on with their lives”
“at every interaction with a person, a local authority considers whether or how the person’s needs could be reduced or other needs could be delayed from arising”
Care and Support Statutory Guidance 1.14c p.3
A relationship that is co-produced, the council is the glue rather than the whole

16. What will the norm become ?
A good starting point for a discussion that helps develop resilience and promotes independence would be to ask “what does a good life look like for you and your family and how can we work together to achieve it?” Giving people choice and control over the support they may need and access to the right information enables people to stay as well as possible, maintain independence and caring roles for longer” Care and Support Statutory Guidance 2.21 p.13

17. Conversation 2:
Wider community resources are also expected to be part of the overall offer, “including local support networks and facilities provided by other partners and voluntary organisations”
Care and Support Statutory Guidance 2.27 p.14
Conversation 1:
It will require “consideration of the role a person’s family or friends can play in helping the person to meet their goals” Care and Support Statutory Guidance 2.5 p.8
Conversation 3:
..and the involvement of a wider range of services than adult social care alone, including “those responsible for public health, leisure, transport, and housing services…’
Care and Support Statutory Guidance 2.23 p.13

18. Conversation 2: Conversation 1:
When people are at risk – ‘What needs to change to make you safe?
How do I help make that happen?
What offers do I have at my disposal, including small amounts of money and using my knowledge of the community to support you?
How can I pull them together in an ‘emergency plan’ and stay with you to make sure it works’?
Conversation 1:
‘How can I connect you to things that will help you get on with your life – based on your assets, strengths and those of your family and neighborhood.
What do you want to do?
What can I connect you to?
Conversation 3:
What is a fair personal budget and where do the sources of Funding come from?
What does a good life look like?
How can I help you use your resources to support your chosen life.?
Who do you want to be involved in good support planning?

19. --Eligibility Assessment --
Offer 2
Help When You Need it
Immediate short term help,
intensive support
to regain independence, Minimal delays,
No presumption about long-term support, goal focused, integrated
Success = Regaining an
independent life
where possible
Offer 1
Help to help yourself
Accessible, friendly, quick, universal services,
connecting you to your community
Available to the whole community
Success = Enabling you to get on with your life
--Eligibility Assessment --
Offer 3
Ongoing support
for those that need it
Self-directed, personal budget based,
choice and control, highly invidualised.
Success = Helping you to get
on with your life,
with the support that
works for you
Safeguarding
We will enable as
many people
as possible
to live their lives
at offer 1 and 2

20. How will we get there ?

21. Performance Improvement
Place shaping
A systematic approach to managing both business and transformation
Performance management focused
Zero tolerance of poor practice
Outcome focused
Engaging the broader council and system

22. Questions