1. Early Intervention and Prevention Community Support for Vulnerable People and Carers
Provider Events 2016

2. Strategic Direction Care Act 2014 Wirral’s 2020 Pledges
Older People Living Well
People with disabilities living independent lives
Wirral’s Strategy for Carers 2014 – 2017
All Age Disability Strategy
National Carers Strategy – Call for Evidence
Consultation closes 31st July 2016

3. Care Act 2014 What the Care Act tells us about our responsibilities:
Wellbeing Principle Duty - In determining the needs of the Carer regards must be paid to the Welfare Principle, which would take into account not only the need for the Carer for a break, but also their physical, emotional, psychological wellbeing as well as their social and economic wellbeing. This could include information and advice, universal and preventative services.
Information and Advice Duty – An essential, ongoing requirement to provide information and advice for Carers.
Prevention Duty – A requirement to develop an approach to prevention for Carers. This may include working in partnership with statutory partners: health, housing and children’s services.
Personalised approach - a focus on helping Carers achieve their own goals and life aspirations. It should encourage people to take control which promotes resilience, self-reliance and independence.
Strengths-based approach – consider the individual person’s strengths and capability as well as any support which may be available from their wider network and in their community. Consider whether such networks have the capacity to continue to meet the adult’s needs on a regular basis.
Fluctuating needs – consider how a Carer’s needs may change over a given time to gain a complete picture of those needs.
Proportional and appropriate – an assessment needs to go as far as is necessary to establish a complete picture of the person’s needs. It must be carried out in a manner that has regard to the person’s wishes, preferences and outcomes, the complexity of the person’s needs and any potential fluctuations of those needs.

4. Setting the Scene
Early Intervention and Prevention services were re-commissioned in 2014
Day Services
General Support
Info & Advice - Moving to form part of the New Info & Advice Commission
General Advocacy – Moving to form part of the New Advocacy Hub Commission

5. Services Requested by Users
Support4All
Advice4All

6. Activity Type – Wellbeing4All

7. Carers Health & Wellbeing Commissioned in 2015
Carers Practical Support
Carers Grant
Carers Flexible Breaks
Short Break beds (Respite)
Early Onset Dementia Day Care

8. Carers Health and Wellbeing Service
Carers Consultation 2014
What we commissioned 2015:
Carers emotional support or counselling
Daytime activities for the person you care for
Each of the following scored the same:
Information and advice
Care support in the home for the person you care for
Carers support groups
Short breaks for the person you care for away from the home
Carers training
Activities for Carers
Carers Practical Support
Carers training and Carer awareness training for professionals
Identification of new Carers
Carers Grant
£100, or £200 in exceptional circumstances
Daytime activities for people with Early On-set Dementia
Care at Home and Outreach Service
For eligible Carers to provide flexible planned and unplanned breaks
Residential short break beds

9. Carers Grant

10. Emerging Themes from Carers and Service Users
From Carer and service user events:
Working Carers – flexibility of support
Contingency planning
Support at first point of diagnosis/ appropriate information
Respite / extended hours for day care
Training for Carers
Practical support – ‘odd job’ orientated support
Activities to do together
Development of Time Banking initiatives
Complicated Carers Grant process
GP’s & Hospital staff – Carers identification, involvement and appointments
Confusion around assessment process/ Carers Assessment
Benefits advice / confusion between DASS & DWP
Direct Payment issues!

11. Our Thoughts for the Future 1 Key Outcomes for Individuals and Carers
Improving health & wellbeing
Preventing, reducing or delaying needs
Encouraging self-help and access to community based services
Reducing isolation & loneliness
Improved understanding of Carers in Wirral
Facilitated planned respite

12. Our Thoughts for the Future 2
Information & Advice
Commission
August 2016
Advocacy Hub Commission
July 2016
Non-Therapeutic Interventions
Commission
Summer 2016
Community Connectors Commission Summer 2016
Early Intervention & Prevention Community Support for Vulnerable People and Carers
September 2016

13. Our Thoughts for the Future 3
Early Intervention & Prevention Community Support for Vulnerable People and Carers
Direct Access Services to DASS Assessed Services
Including:
Carers Practical Support
Carers Information & Advice
Carer Connectors
Carers Grant
Including:
Community Connectors linked to ICCH’s
Services/activities that encourage interaction, reduce isolation and help keep people independent
Including:
Frail older people
Dementia
Early On-Set Dementia
Stroke
Active Day Care
Including:
Residential
Residential EMI
Nursing
Carers Health & Wellbeing
General Support
Daytime Care
Short Break Beds
Carers Flexible Breaks

14. Service User and Carer consultations June 2016
Timescales
Service User and Carer consultations June 2016
Team & Provider consultation June/ July 2016
Out to tender September 2016
New services awarded December 2016
Transition period January – March 2017
New arrangements in place April 2017

15. Commissioning Information
Contract Length 3 Years option
70% Quality/30% Price split
Total Budget approx. £1,547m
Carers Health & Wellbeing approx. £447k
General Support approx. £300k
Daytime Care approx. £520k
Short Breaks Beds approx. £280k

16. The NW Procurement Chest
E-tendering portal run by Due North
Technical queries:

17. Provider Views
What are your views on the commissioning model? Lead Provider/Consortium/Alliance
How can Providers work together to achieve the outcomes?
How can you help individuals and Carers to find their strengths and assets?
What works well for Carers and individuals to achieve the outcomes listed?
What doesn’t work well for Carers and individuals when providing services?
Can you rank the current services in order of importance?