1. NHS Lanarkshire Winter Plan 2009/10 Joint working with Social Work Departments – Built upon previous close working arrangements North Lanarkshire Council South Lanarkshire Council

2. NHS Lanarkshire Winter Plan 2009/10 Generic Monthly meetings in preparing plan Fortnightly meetings in monitoring/flagging up issues Daily conference calls which Social Work Department could join as required Agreed contacts for escalation of issues Additional funding for SWD activity – e.g. care home placements, additional PH cover Access to aids/equipment

3. NHS Lanarkshire Winter Plan 2009/10 South Lanarkshire Reablement team working from Hairmyres (HCSWs) –Routinely 15-20 patients –30% reduction in home care package Social Work staff in Public Holidays Christmas and New Year –Impact Christmas low –Impact New Year good

4. NHS Lanarkshire Winter Plan 2009/10 North Lanarkshire Intermediate Care Beds – residential homes Social Work staff in Public Holidays Accepting NHS assessments for direct access to home care.

5. NHS Lanarkshire Winter Plan 2010/11 Issues 2 x 4 day periods Potential shut down of services 24/12 to 5/1 (11days) Financial constraints in all sectors

6. Challenges for Winter 2010/11 Confirmation of Service Availability –Assessment Capability –Home Care Packages –Care Home Places –AWI Calculation of Impact Escalation of any perceived difficulty – early November Joint NHSL/SWD CE/ED sign off of plans? Challenges for Winter 2011/12