Councils in England are required to reduce their operating budgets by three percent per year between April 2008 and March 2011.
This equates to cashable savings of £500m in the region, 60% of which the Department for Communities and Local Government expects to be achieved through procurement.
Improvement and Efficiency West Midland’s (IEWM) is the RIEP for the West Midlands. Its purpose is to support councils and their partners to continually improve public services to meet customer needs and ensure they are more efficient.
IEWM assists local authorities in obtaining cost effective deals by sharing contracts and maximising their buying power by joint purchasing.
Since April 2008 IEWM has supported the region to deliver over £25m efficiency savings and predicts a total of £171m cashable savings from its current five year programme.
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Tuesday, 2 March 2010
How CSED works in the regions
The Care Services Efficiency Delivery (CSED) programme is run by regional implementation managers who offer advice, guidance and coaching to councils with responsibility for adult social care, on how to achieve efficiencies.
They work with Regional Improvement and Efficiency Partnerships (RIEPs), Joint Improvement Partnerships (JIPs) and Deputy Regional Directors.
Support in the West Midlands includes:
• expanding reablement services to help people with poor physical or mental health develop skills needed to remain independent for as long as possible. Effective reablement has been found to reduce hospital admissions and transfer to long term care following hospital discharge, resulting in greater independence for service users and minimising the cost of care.
• Introducing robust processes and systems for performance monitoring and achieving objectives.
Eleven of the 14 councils in the region are receiving support for their reablement work from CSED consultants Helen Miller and Simon Pickford. Consultant Bob Stanton is helping 4 councils in the region to identify alternative forms of supported accommodation for people with learning disabilities, and to develop greater control over pricing of residential placements.
Councils have found that many individuals with learning disabilities in residential care fail to live full lives or reach their full potential, and the cost of supporting them in residential accommodation is rising by over 7 percent a year.
Contact: Stephen Rea , email:stephen.rea@dh.gsi.gov.uk
They work with Regional Improvement and Efficiency Partnerships (RIEPs), Joint Improvement Partnerships (JIPs) and Deputy Regional Directors.
Support in the West Midlands includes:
• expanding reablement services to help people with poor physical or mental health develop skills needed to remain independent for as long as possible. Effective reablement has been found to reduce hospital admissions and transfer to long term care following hospital discharge, resulting in greater independence for service users and minimising the cost of care.
• Introducing robust processes and systems for performance monitoring and achieving objectives.
Eleven of the 14 councils in the region are receiving support for their reablement work from CSED consultants Helen Miller and Simon Pickford. Consultant Bob Stanton is helping 4 councils in the region to identify alternative forms of supported accommodation for people with learning disabilities, and to develop greater control over pricing of residential placements.
Councils have found that many individuals with learning disabilities in residential care fail to live full lives or reach their full potential, and the cost of supporting them in residential accommodation is rising by over 7 percent a year.
Contact: Stephen Rea , email:stephen.rea@dh.gsi.gov.uk
Providing tools and solutions
CSED offers a range of tools and approaches for making work practices, processes, commissioning and service planning more efficient.
These include:
• assessment and Care Management (e.g. electronic monitoring of homecare, effective financial assessment, improving processes)
• forecasting demand and planning capacity
• better buying (including a commissioning toolkit and TRACS – Tool for Rapid Analysis of Care Services)
• homecare reablement
• transforming community equipment services
• crisis response services
• integrated care and support pathway planning
• assistive technology
• supported housing
Read more
These include:
• assessment and Care Management (e.g. electronic monitoring of homecare, effective financial assessment, improving processes)
• forecasting demand and planning capacity
• better buying (including a commissioning toolkit and TRACS – Tool for Rapid Analysis of Care Services)
• homecare reablement
• transforming community equipment services
• crisis response services
• integrated care and support pathway planning
• assistive technology
• supported housing
Read more
Maximising benefits with CSED
The Care Services Efficiency Delivery (CSED) programme is designed to help councils identify and develop more efficient ways of delivering adult social care.
Set up by the Department of Health in 2004, the original aim was to assist implementation of recommendations in the report, Releasing resources to the frontline – the independent review of public sector efficiency. It centred on finding efficiencies in procurement, transactions and policy making functions; and identified opportunities for increasing the productive time of professionals working in frontline public services.
Since then the focus has moved to finding efficiencies to support the transformation of adult social care.
CSED seeks to help councils transform services in the most efficient way possible and ensure users get the maximum benefit.
Read more
Download the report here
Set up by the Department of Health in 2004, the original aim was to assist implementation of recommendations in the report, Releasing resources to the frontline – the independent review of public sector efficiency. It centred on finding efficiencies in procurement, transactions and policy making functions; and identified opportunities for increasing the productive time of professionals working in frontline public services.
Since then the focus has moved to finding efficiencies to support the transformation of adult social care.
CSED seeks to help councils transform services in the most efficient way possible and ensure users get the maximum benefit.
Read more
Download the report here
Drive for efficiency moves up a gear
Councils and partners across the region are developing new practices, procedures and services as part of transforming adult social care and improving efficiency.
Developments include:
• Warwickshire – with the help of the Care Services Efficiency Delivery programme (CSED), a new business model has been adopted to manage the flow of people seeking services by investing more in preventative measures. It entails updated techniques to baseline, monitor and evaluate existing services, and to make projections of future demands and resources
• Coventry – Contact and Connect helps people aged over 60 live safely and independently in their own homes, and improve their quality of life by connecting them to appropriate support services. Commissioned by the Older People’s Partnership and managed by Age Concern, the service is delivered by 10 local agencies working with West Midlands Fire Service, the Pensions Service and Coventry Carers Centre. It has led to increased take up of benefits, more people maintaining their independence at home, a rise in fire safety assessments, fitting of smoke alarms and a reduction of fires in the home; more safety checks and fewer falls.
• Telford& Wrekin – a single point of access for older people and individuals with physical disability has been set up, and commissioning is carried out jointly with the local PCT. The council is also working with CSED to set up a reablement support programme
• Coventry – provision of housing with care as a viable alternative to residential care. The purpose is to help older people live in their own homes and contribute to their communities and family life for as long as possible. Assessment for eligibility is carried out by a social worker. Between April 2005 and April 2007, seven percent of elderly people receiving care and support in the city moved into sheltered housing; 73 percent were able to die at home and only 17 percent went on to receive specialist care.
• Herefordshire – commissioning is carried out jointly by the PCT and the council. Intermediate health and care services are currently under review with an emphasis on reablement.
• Stoke-on-Trent – a telehealth care initiative between the NHS and council has resulted in over 100 people with long term conditions, and at risk of admittance to hospital, staying in their own homes supported by daily electronic contact with their clinician.
• Stoke-on-Trent – two integrated health and social care reablement centres have been set up to aid a speedy return home after discharge from hospital, and to prevent hospital admissions. The centres provide residential and day rehabilitation facilities including a fitness suite and telecare suite. Health and social care staff are based on site.
• Solihull – Solihull Care NHS Trust Reablement Service helps users learn or relearn skills impaired by illness and rebuild their confidence. Ninety percent of service users say they are able to do more for themselves as a result. The reablement team is made up of care assistants, occupational therapists and social workers.
Developments include:
• Warwickshire – with the help of the Care Services Efficiency Delivery programme (CSED), a new business model has been adopted to manage the flow of people seeking services by investing more in preventative measures. It entails updated techniques to baseline, monitor and evaluate existing services, and to make projections of future demands and resources
• Coventry – Contact and Connect helps people aged over 60 live safely and independently in their own homes, and improve their quality of life by connecting them to appropriate support services. Commissioned by the Older People’s Partnership and managed by Age Concern, the service is delivered by 10 local agencies working with West Midlands Fire Service, the Pensions Service and Coventry Carers Centre. It has led to increased take up of benefits, more people maintaining their independence at home, a rise in fire safety assessments, fitting of smoke alarms and a reduction of fires in the home; more safety checks and fewer falls.
• Telford& Wrekin – a single point of access for older people and individuals with physical disability has been set up, and commissioning is carried out jointly with the local PCT. The council is also working with CSED to set up a reablement support programme
• Coventry – provision of housing with care as a viable alternative to residential care. The purpose is to help older people live in their own homes and contribute to their communities and family life for as long as possible. Assessment for eligibility is carried out by a social worker. Between April 2005 and April 2007, seven percent of elderly people receiving care and support in the city moved into sheltered housing; 73 percent were able to die at home and only 17 percent went on to receive specialist care.
• Herefordshire – commissioning is carried out jointly by the PCT and the council. Intermediate health and care services are currently under review with an emphasis on reablement.
• Stoke-on-Trent – a telehealth care initiative between the NHS and council has resulted in over 100 people with long term conditions, and at risk of admittance to hospital, staying in their own homes supported by daily electronic contact with their clinician.
• Stoke-on-Trent – two integrated health and social care reablement centres have been set up to aid a speedy return home after discharge from hospital, and to prevent hospital admissions. The centres provide residential and day rehabilitation facilities including a fitness suite and telecare suite. Health and social care staff are based on site.
• Solihull – Solihull Care NHS Trust Reablement Service helps users learn or relearn skills impaired by illness and rebuild their confidence. Ninety percent of service users say they are able to do more for themselves as a result. The reablement team is made up of care assistants, occupational therapists and social workers.
Foreword JIP e-bulletin No.10 March 2010
With the end of the financial year rapidly approaching we take a closer look at the drive to make commissioning and the way we deliver adult social care more efficient.
The downturn in the economy has added to the pressure to deliver more and better quality services within tight financial constraints.
Nationally, councils will have to find £9 billion savings a year by 2013/14. This will be particularly demanding for health and social services with growing numbers of people needing care and support. It is estimated 1.7 million more will require social care by 2026.
Improving efficiency has never been just about saving money, it is also about using resources effectively and being more responsive in the services we provide. Implementing service reform, efficiencies, and cuts at the same time will challenge all of us for the foreseeable future.
Over the past year, the JIP, in partnership with Improvement and Efficiency West Midlands (IEWM) and the Department of Health, have helped councils across the region to work and provide services more creatively and efficiently.
This month’s bulletin gives an overview of the efficiency agenda and how it impacts on our region.
The downturn in the economy has added to the pressure to deliver more and better quality services within tight financial constraints.
Nationally, councils will have to find £9 billion savings a year by 2013/14. This will be particularly demanding for health and social services with growing numbers of people needing care and support. It is estimated 1.7 million more will require social care by 2026.
Improving efficiency has never been just about saving money, it is also about using resources effectively and being more responsive in the services we provide. Implementing service reform, efficiencies, and cuts at the same time will challenge all of us for the foreseeable future.
Over the past year, the JIP, in partnership with Improvement and Efficiency West Midlands (IEWM) and the Department of Health, have helped councils across the region to work and provide services more creatively and efficiently.
This month’s bulletin gives an overview of the efficiency agenda and how it impacts on our region.
Friday, 29 January 2010
Personal Care at Home
A consultation document containing proposals for regulations and guidance made under the Personal Care At Home Bill has been published by the Department of Health.
Read more
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