Title: The%20Social%20Issues%20in%20South%20Lincolnshire:%20an%20Adult%20Social%20Care%20Perspective
1The Social Issues in South Lincolnshire an Adult
Social Care Perspective
- Pete Sidgwick
- Lincolnshire County Council
2Governance for Adult Care Key Decisions
Executive
Informal Executive
Health Wellbeing Board
Adults Scrutiny Committee
Executive Councillor
Glen Garrod Director of Adult Social Services
Pete Sidgwick Assistant Director
(Interim) Transformation/Integration
Justin Hackney Joint Assistant Director Learning
Disabilities Mental Health Commissioning
3Adult Social Care in Lincolnshire
- We directly support
- 1,800 LD (all ages)
- 1,000 MH (18-64)
- 2,000 PD (18-64)
- 12,400 OP (65)
- Overall 17,200 very vulnerable people across the
County - Council Expenditure 526m pa (net) gross is over
1.1 Billion - ACS Services 143m pa
- 4,600 Residential/Nursing Placements
- 6,000 people receiving Domiciliary care (80,000
visits a week)
4Lincolnshire County Council Expenditure Budget
2012/13 (m)
5Overview of Health and Social Care demand in
Lincolnshire
- A rise in the 65 84 age group of 31 by 2022
- A rise in the 85 years of age group of 55 by
2022 - A significant rise in the older population with
dementia - An ageing population with Learning Disabilities
6Overview
- 30 GP practices covering Boston, East Lindsey,
Skegness and cost covering 1060 sq miles - Supporting 241,246 people
- Key challenges
- Large geographic, sparsely populated area
- Significant health issues health disease,
cancer, diabetes and COPD - Lowest life expectancy for both men and women in
Lincolnshire
- 15 GP practices covering Welland and South
Holland - Supporting 157,000 people
- Key challenges
- Rural poverty
7Adult Social Care Net Expenditure 2011/12
2008 clients
4261 clients
2174 clients
4974 clients
8 South Lincolnshire CCG
Source www.apho.org.uk/PracProf/Profile.
Source http//www.research-lincs.org.uk/, data
as at December 2012
9 Lincolnshire East CCG
Source www.apho.org.uk/PracProf/Profile.
Source http//www.research-lincs.org.uk/, data
as at December 2012
102013 A raft of welfare reforms
- Housing benefit reform- size criteria reductions
( bedroom tax) - Social Fund reform local welfare provision
- Social Fund reform short term benefit advice
advance - Localised Council Tax reduction scheme
- Benefit cap
- Benefits on line
- Child maintenance reform
- Universal job match
- Personal Independence Payments (PIP)
- Conditionality and sanctions
- Employment and Support Allowance ( ESA)
- Universal Credit
112013 welfare reforms introduced
- Universal Credit
- Introduction from April 2013- 2017
- Designed to always make work pay
- Will introduce monthly payment and a household
payments - On line
- Claimant Commitment
- Payment to be based on Earnings not hours worked
- Housing Costs to be paid to Claimant
- Personal Independence Payments ( replacing DLA
- For people aged 16-64
- Claims started by phone but eventually online.
Paper claims by exception only - Special rules remain for terminally ill
- PIP claims in Lincolnshire will involve a face to
face consultation with a health professional
Capita. - 2 components Daily Living and Mobility with 2
payment rates standard or enhanced using a
point score for each activity.
12For people in Lincolnshire ( source DWP)
- Overall figures
- 13.6 number 60,290 claiming benefits in
Lincolnshire in November 2012 - 6 26,500Job seekers allowance
- 1.1 4,670 Employment and support allowance
incapacity benefits - 1.1 4,670 Lone parents
- 1.5 6,470 Carers
- 0.4 1,940 Other income related benefits
- 1.2 5,540 Disabled
- 0.2 900 Bereaved
- Existing people with Disability Living Allowance
(DLA) - South Holland 4.7 ( 4,200) of population
- Boston 8.7 (3,540)
- West Lindsay 5.2 ( 4,760)
- East Lindsay 8.2 (11,250)
- South Kesteven 4.7 (5,420)
- North Kesteven 4.8 (5,270)
- Lincoln 6 ( 5,700)
- www.dwp.gov.uk/PIP
13Community Care Grants and Crisis Loans
- Part of the DWP Discretionary Social Fund
payments - Analysis of claims and payments made in
Lincolnshire in 2011/12 shown below
- Total spend in Lincolnshire in 2011/12 1.5m
- Welfare Reform Act 2012 ceased these payments and
passed responsibility to upper tier LAs to
provide local assistance to vulnerable groups - DWP continue to provide Budgeting Advances and
Short Term Advances to benefit claimants
14Lincolnshire Community Assistance Scheme (LCAS)
- DWP did not require LA schemes to try and
replicate theirs - Lincolnshires Community Assistance Scheme
introduced April 2013, providing assistance
rather than loans - LA received a grant of 1.5m from DWP to deliver
the scheme - Focus is on people in crisis being brought into
getting support to avoid future crisis, providing
goods and services rather than cash - Partnered with the Voluntary Sector to develop a
delivery network of goods and services - Working with Lincolnshire Credit Union and
Citizens Advice Bureaux, to help people become
more financially resilient
15- Healthwatch Lincolnshire is the independent
consumer champion created to gather and represent
the view of the public. - Healthwatch Lincolnshire will represent the views
of both health and social care for children and
adults living in Lincolnshire. - Healthwatch Lincolnshire will play a role at both
local and national level and will make sure that
the views of the public and the people who use
the services are taken into account. - Healthwatch Lincolnshire will have a countywide
network of local groups for you to get involved
in. These groups will be there to support your
local community in having a say and influencing
services. - Contact email info_at_healthwatchlincolnshire.co.uk
- Next South Lincs Healthwatch Forum Tuesday 15th
October 2013 at 12.30pm - 2.30pm - The Woodlands
Hotel, Pinchbeck Road, Spalding, PE11 1QF
16Adult Social Care Priorities
- Prevention and Early Intervention
- Intermediate Care
- Integration with Health
- Case Management Partnership Programme (CMPP)
- Future Delivery of Support Services (FDSS)
17Key drivers of change
- Care Bill
- Social care funding
- Increasing cost of care
- Demographic growth
- Comprehensive spending review central
government settlement - Increased funding via the NHS
- National policy developments supporting
integration between health and social care
18- The five principles set out for the Adult Care
Directorate Change Programme are that