1. ‘Shifting the power’ – delivering choice and control through redesign
Les Billingham – Assistant Director of Adult Social Care and Community Development
Ceri Armstrong – Health and Social Care Development Manager

2. How do we use the challenges we face to make things better?

3. Start with an open conversation…
Offer real choice
Build a diverse market
Ensure the power shifts to the person
Place-based solutions
Keep bureaucracy to a minimum
Focus on strengths
Deliver outcomes not process

4. Our approach Stronger Communities Built Environment
Led by VCS
Focusing on the strengths and assets held by communities and individuals
Local Area Coordination, Community Hubs, Social Prescribing
‘What’s Strong’ rather than ‘What’s Wrong’
Stronger Communities
HAPPI Housing Schemes
Specialist housing for adults with learning disabilities
Influencing planning and development across the Borough
New residential care facility
Built Environment
Case for change – for system redesign (tested in one part of the Borough)
Integrated approach – e.g. single point of access
Better Care Fund = totality of health and social care budget for older people (£40m+)
Development of an Alliance
Health and Care System

5. Example - Reimagining Homecare

6. Example – Community-Led Support

7. Example – Micro Enterprises
18 months…
Over 100 referrals
52+ micros
300 people using
32 jobs created
Real choice

8. The impact of the change we’re making
Reduced isolation increased connectivity
Majority of support close to where people live
The ‘system’ treats people as ‘individuals’ – not by condition
People take responsibility for their own health
Support and care is provided at ‘right place and right time’
The ‘system’ focuses on solutions