1. www.southwark.gov.uk Independent Living for Adults in Southwark The future of home care in Southwark Health Watch Forum June 10 2015 Andy Loxton Commissioning Manager Long term Conditions.

2. www.southwark.gov.uk Independent Living for Adults in Southwark

3. www.southwark.gov.uk Independent Living for Adults in Southwark Homecare take-up in Southwark

4. www.southwark.gov.uk Independent Living for Adults in Southwark Southwark Ethical Care Charter (SECC) Southwark recognised changes needed to help homecare workforce take on growing responsibilities Council agreed to Southwark Ethical Care Charter in July 2014. Payment of [at least] the London Living Wage (LLW) to homecare workers, the costs of travelling between clients and for workers to have the option of contracted hours – as opposed to zero-hour contracts. Applied to all main contracts providing homecare services.

5. www.southwark.gov.uk Independent Living for Adults in Southwark Integration of health and social care National and local drivers to align adult social care with health, as people are supported at home as opposed to institutional care Increasing move locally for locality working around GP clusters/networks

6. www.southwark.gov.uk Independent Living for Adults in Southwark Children Home care Approx £0.5 m p.a Around 60 children supported We currently commission both personal care and nursing led home care. Similar but not quite as marked distribution of take up across the borough.

7. www.southwark.gov.uk Independent Living for Adults in Southwark Ethical care charter; paying homecare workers for travel time, LLW etc Smaller number of providers with longer-term “partnerships” in the borough New Southwark homecare model Experience from elsewhere -Wiltshire model – outcomes-based approach Opportunities to work more closely with the NHS – including continuing care, hospital discharge Question - are our clients getting the quality of service we want for them for the amount we are spending? Question - are our clients getting the quality of service we want for them for the amount we are spending? Question – with more people taking up the offer of a personal budget, and choosing their own homecare provider – what should the Council be doing? Question - could homecare do more – for example, “early alerters” What are we exploring in the development of the Southwark homecare model?

8. www.southwark.gov.uk Independent Living for Adults in Southwark Commissioning Intentions –Ensure the continued implementation of the Ethical Care Charter to improve the quality of care provided –Align our home care services in relation to integration with health –A more fitting name may be “Care @ home” –Contracts based upon partnership and outcomes –Minimise the risk of provider failure –Most importantly responds to the needs of people who use the service

9. www.southwark.gov.uk Independent Living for Adults in Southwark Placing the user at the heart of home care We feel that “I” statements which put people at the heart of the service are important We have example on the stall Do these look right for Southwark ?

10. www.southwark.gov.uk Independent Living for Adults in Southwark What next… We would like to get a group of people together to work on these We will also include service users identified by Age Uk We will also be undertaking one to one meetings at home for people who may be too frail to attend a group – please speak to health watch for more details There will be a group discussion today after the presentation.