1. Market Development Strategy & Market Position Statement Part 2 Vicky Smith, Head of Policy & Service Development Debbie Endersby, Head of Strategic Commissioning – Learning Disability

2. Last meeting (Part 1)... Feedback from Provider Survey Caretrak tool Developing the Learning Disability Market Position Statement Future demand and current supply –Round table discussion –Getting it right: Focus group Market Development Strategy for Personalisation

3. Market Position Statements The overall market direction the LA wishes to see taken The view and predictions of future demand, identifying key pressure points The current state of supply covering strengths and weaknesses of the market Gaps in the market, areas for development and areas of decline Identified models of practice the LA will support, and at what price The support the LA will offer towards innovation and development

4. Content of Market Position Statements Demand Supply Changing Practice Future levels of resourcing Support for innovation and development

5. UNDERSTANDING DEMAND

6. Feedback from the Focus Group Trends, prevalence, incidence – differences in classification can cause confusion! Providers want clear information about the people ASC actually work with Potential to overstate demand and need (low numbers) Messages within the Market Position Statement need to be given and read with care ‘Safetycheck’ statement needed; talk to the Commissioning Team first!

7. Future Demand – Key Messages Adult Social Care resources will be prioritised to support those people with the highest need. This may mean that some needs will have to be met in different ways in the future. Life expectancy is increasing for everyone. This means: –more young people with complex health needs survive into adulthood each year as medical care progresses. –Whilst numbers of people with learning disabilities in a population will remain relatively static; the numbers of people living into old age will increase significantly.

8. Future Demand – Key Messages ESCC’s commissioning intentions are underpinned by engagement with stakeholders, but we recognise that there will sometimes be different expectations and aspirations of care and support services, and a different understanding of best interests. It is a key priority to support young people coming through transition to access mainstream services, e.g. leisure centres etc. where possible, and be active members of their community. High quality, value for money, and personalised services will be required to achieve this.

9. Numbers Currently 1502 adults with a Learning Disability known to Adult Social Care. 1256 of these people are receiving a service funded through the Learning Disability Budget.

10. Table 1: Young people in transition who began using learning disability 2006/072007/082008/092009/10 27253538

11. Figure 3: % spend on residential care for people with learning disabilities

12. Figure 4: Trends in Commissioned Services 2009-11

13. UNDERSTANDING SUPPLY

14. Feedback from the focus group Improve presentation and refine the data Complex messages around current supply of residential care and supported accommodation Some times we are talking about very low numbers of people needing a service; talk to the Commissioning Team before acting Possible joint work on vacancies Market share data needs more research to be useful

15. Figure 5: Spend and activity in learning disability services

16. Figure 6: current spend on supported living

17. Figure 9: current spend on day opportunities

18. Figure 12: current spend on residential and nursing care

19. Key questions What sources of information can you as providers contribute to our understanding of the market? Where do you see your business being able to innovate and change to respond to changes in demand? How do services need to adapt as people get older? What three things could the LA do which would best help encourage the social care market in East Sussex? 15 minutes discussion and feedback…

20. Current Supply – Key Messages We will need more choice of accommodation based services – not more overall supply; We will seek to work in partnership with providers where they meet the following criteria: –Quality meets service user and ESCC expectations; –Demonstrate value for money in service provision and meeting service users’ outcomes; –Provide flexible service models in line with our commissioning intentions.

21. Current Supply – Key Messages We recognise the difficult market conditions and are clear that: –There will be some providers who do not meet these expectations, and we will not be working with those providers in future; –As such; some providers may leave the local market or fail. Businesses may pursue own business plans and commercial interests which are not always aligned to ours – collaboration is the ideal; We are working to establish the demand and viability of agency-managed Personal Assistant service delivery models.

22. Next steps and timescales Draft Market Development Strategy and Market Position Statements by New Year Bring back to the Learning Disability Provider Forum in February 2012 Publish for implementation from April 2012

23. Thank you Key Contacts: Vicky.Smith@eastsussex.gov.uk Debbie.endersby@eastsusse.gov.uk Bianca.Byrne@eastsussex.gov.uk