The%20Social%20Issues%20in%20South%20Lincolnshire:%20an%20Adult%20Social%20Care%20Perspective - PowerPoint PPT Presentation

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The%20Social%20Issues%20in%20South%20Lincolnshire:%20an%20Adult%20Social%20Care%20Perspective

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The Social Issues in South Lincolnshire: an Adult Social Care Perspective Pete Sidgwick Lincolnshire County Council Governance for Adult Care Key Decisions Pete ... – PowerPoint PPT presentation

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Title: The%20Social%20Issues%20in%20South%20Lincolnshire:%20an%20Adult%20Social%20Care%20Perspective


1
The Social Issues in South Lincolnshire an Adult
Social Care Perspective
  • Pete Sidgwick
  • Lincolnshire County Council

2
Governance 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
3
Adult 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)

4
Lincolnshire County Council Expenditure Budget
2012/13 (m)
5
Overview 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

6
Overview
  • East CCG
  • 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
  • South CCG
  • 15 GP practices covering Welland and South
    Holland
  • Supporting 157,000 people
  • Key challenges
  • Rural poverty

7
Adult 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
10
2013 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

11
2013 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.

12
For 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

13
Community 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

14
Lincolnshire 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

16
Adult Social Care Priorities
  • Prevention and Early Intervention
  • Intermediate Care
  • Integration with Health
  • Case Management Partnership Programme (CMPP)
  • Future Delivery of Support Services (FDSS)

17
Key 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
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