1. Transforming Care finance workshop
Helen Toker-Lester
6th December London Workshop

2. LGA and ADASS Housing Quality Market shaping
Empowerment and involvement
Providing the LA perspective
Supporting change
Use of our regional structures
Influence and expertise in the wider arena

3. What are we trying to achieve?
The Centre for Welfare Reform identified Seven keys to citizenship that combine to show what a full life looks like.

4. From “Serviceland” to the real world

5. Transforming our market
Knowing how to have the right services in the right place at the right time
Being clear about disinvestment and undesirable activity
Choice for people who have personal budgets
Strong and confident leadership across the TCP

6. Commissioning Cycle Use and review of existing plans
Opportunities for collaboration
Evidence based approaches
Knowing your population now and in the future.
Understanding current provision.
Capacity analysis
Analysis
Planning
Implementation
Review
Establishing a feedback loop
Involvement of key stakeholders
Reflection
Learning
Useful information
Overcoming barriers
Emergent activity
Leadership
Creativity and innovation

7. Tools to help Redesigning specifications Incentivising “Progression”
Better data to create good information
Mature and trusting relationships with providers
Use of contingency funding (Draft NICE guidance)
Use of natural supports and communities
Support from wider council function and the “system”

8. Promoting “Home” as part of Citizenship

9. ? Importance of quality Readmission rates Safeguarding
Sustainability of the programme
Allows for longer term savings through person centred progression ?

10. Quality work- Key principles
Involvement of people who have a learning disability and/or autism and their families in the work.( workshops, empowerment group Ask ,listen, do project)
Personalised delivery, in line with BRS
Commissioning that also supports choice for people who have their own budgets
Utilising “Making safeguarding personal”
Integrating the “Quality Matters” priorities

11. The person Working around the person and their plan
Strategic and Operational Commissioners
Support Provider
The person
MDT and technical input
Working around the person and their plan

12. The support offer Regional advisor posts (LGA)
Housing support posts (NHSE)
Formation of Virtual teams to support TCPs
Finance advice
Provision of information ( data, toolkit)
IPC Oxford Brookes Market shaping action learning sets
Sector led offer ( peer review)
Communication links

13. Support activity
Clear prioritised quality workplan developed through stakeholder feedback ( Dec 2017)
Information to support commissioning, guide / toolkit, PQQ and core specification for community services- based on commissioning for outcomes and the progression model

14. Support activity
Exploring Sector led improvement ( Peer review, tailored around Transforming Care)
Market shaping action learning sets (Oxford Brookes)
Identifying opportunities for large scale strategic support such as ADASS regional commissioning approaches.

15. Any Questions ?