1. Social Care & Partnerships – London Region London Joint Improvement Partnership London Scrutiny Network Efficiency Programme Overview 3 rd December 2009 Ian Winter – Deputy Regional Director Social Care & Partnerships

2. Social Care & Partnerships – London Region

3. Efficiency Getting the right people, at the right time into the right part of the system (i.e. the right service response) in order to deliver the right outcomes at the best possible price.

4. Social Care & Partnerships – London Region People choose less dependent options: this is typically more cost effective Models of Support Planning Commissioning and Brokerage General Population Support At Home Low Level Advice & Support Institutional Care Acute Care Information Crisis Response Transforming Community Equipment Re-ablement/ POPPs Support Related Housing & Assistive Technology TRANSFORMING SOCIAL CARE Reducing dependence

5. Social Care & Partnerships – London Region Transforming Community Equipment – the retail model Cash savings of £2.88M made up of: –Delivery charges avoided (£1.58M) –Refurbishment costs avoided (£1.3M) Reduce waiting time for assessment by 40% Reduce time spent on low level needs assessment by OTs by 15% The benefits of implementing the SADLs solution in London are: The planned outcomes are: Increased choice, freedom and control for users Reduced culture of dependency on state Enhanced normalisation of stigmatised community equipment products Improved access to information and products by users A universal service delivery benefiting both state and self funded users Barking & Dagenham, Camden, Harrow, Havering, Lambeth, Bromley, Ealing, Hounslow, Redbridge Richmond& Southwark

6. Social Care & Partnerships – London Region Based on activity data for other CSSRs working at substantial and above 2.1% of >65 population could benefit from re-ablement. Note: For the 7 London authorities where we have data this was 2.28% of >65 population This equates to an average of 567 people per council per year Assuming national CSED case mix and £15 per hour rate the business case is around £650k for Y1 and £1.1m for Y2 per council Homecare Re-ablement – opportunity in London 6

7. Social Care & Partnerships – London Region Assistive Technology Survey of London boroughs – 22 returns 50% of respondents have a Telecare business case Often not refreshed as Telecare has developed 42% have a return on investment plan included 11 Boroughs state Telecare has enabled them to change / substitute services Difficult to quantify Very few can show value of savings Many felt health have mainly benefited from savings made JIP support Estimate potential 1% efficiency savings in mainstreaming AT Developed optimum delivery model tool & benefits tracking tool with10 boroughs. Jan to March 2010 – implementation support