1. What is happening to social care and support in Norfolk?
James Bullion
Assistant Director, Community Services
Norfolk Council on Aging 13th April 2011

2. Norfolk Community Services
‘Working with People to achieve their potential and to build strong communities.’
Health and Well-being approach
A prevention approach is ‘wider than care’, across age groups - using culture, leisure, learning, housing, employment, safeguarding and safety services as a means of improving individual well-being and stronger communities

3. Vision for adult social care: ‘capable communities and active citizens’ (DH 2010).
‘..a Big Society approach to social care, in which care is transformed not by looking to the state, but to active citizens and strong communities. The role of local authorities, with partners such as community groups, is to establish the conditions in which ‘the big society can flourish’ through ‘stimulating’, ‘inspiring’ and ‘unlocking’ the potential of communities and neighbourhoods, particularly in areas where social networks are poorly developed through deprivation or rural geography..’

4. A plural market of providers
A related priority is ‘a changing offer’ from a ‘plurality’ of providers:
small-scale voluntary and independent sector ‘microproviders’ and social enterprises provide community-based, affordable and niche support to individuals or small groups
larger providers are encouraged to offer more flexible community options
care homes will be increasingly operate as community facilities.

5. Local community & voluntary Sector
Promoting health, wellbeing, social involvement and access to information in local areas across the authority through ‘neighbourliness’, informal resident collaboration, and running local services.
The first response to social care needs to be met by the voluntary and community sector.
Councils to focus on high-end, complex cases and statutory duties as well as encouraging and enabling the network on an authority-wide basis.

6. Four key themes
More personalised services through self directed support
Being commissioning led
Working locally
Integration between care and health services

7. The future of social care
in Norfolk
Personalisation
Co-production
Integration
Localisation
Information
Have the views of people who use services, or are affected by this change, influenced the shaping of any proposals, plans, or delivery?
Does it recognise service users and carers as the experts on their lives?
Is it supportive of addressing peoples’ needs in terms of both health and social care?
Can the approach taken be an integrated one?
Are there opportunities to work in partnership with others?
Is it supportive of people being able to exercise choice and control over the services they receive and tailor their support?
Is it supportive of people finding their own solutions where possible?
Is it supportive of services and solutions being available to people locally?
Is it supportive of building capacity in local communities and other sectors?
Does it support services or solutions without providing them directly?
Does it support informed decision-making?
Is it supportive of ensuring access to good information and advice for everyone?
Making a change?
Then ask these questions….

8. In one year… Single NHS and Social Care Commissioning
Local Commissioning Plans ££
Single care and health services team around GP surgeries
Single route of advice services to people
Budget reductions of £14m
Changes to direct service provision such as day activities

9. Our transformation Improved Universal Services
New pathways into integrated services
‘Updated’ care models
Self Directed Support Plans with people
New technology

10. The problem with language
Amount of transformation and complexity
Big conversation consultation
Unresolved and uncertain positions on some issues
Professional language
Technical project language
Commitment to ‘co-production’

11. shared language ..we can only bring change about if we
Speak the same language as you…