1. Can we build a more sustainable adult social care system?
Professor John Bolton
May 2019

2. Approaches to better outcomes, managing demand -

3. Adult Social Care
The way in which we help someone when they approach us (often in a crisis) makes a significant difference to the outcomes for the customer.
We need to have a menu of help available that includes:
Diversion to community for support
Reablement/ Recovery/ Rehabilitation / Recuperation
Social Care needs to help people to maximise their progress towards independence
Significant variations between councils in the UK as to the outcomes they achieve from their arrangements leading to much higher “demand” in some places than others

4. Managing demand in social care –Progression Model
Diversion – Community
NHS

6. Tackling Frailty In Older People – ADL SMARTCARE
Re-able
Activities of Daily Life Hierarchy
Compensate
Care

7. What might ADASS/LGA do?
Defend the traditional approach and continue to argue for more money in line with demographic trends (which we are unlikely to get) Or
Build a consensus on a transformational approach to adult social care that is lower cost (more sustainable) and improves outcomes for customers (Learn from Coventry, Thurrock, Somerset etc)

8. Contact us
Visiting Professor at Oxford Brookes University
hospital-transfers-of-care-for-older-people.html
Papers examine:
Emerging practice in outcome-based commissioning for social care
Predicting and managing demand
Six steps to performance management
Commissioning Domiciliary Care
Commissioning for Outcomes in Wales
Commissioning and planning out of hospital care
New Developments in Social Care