Occupational Therapy in Health and Social Services

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Occupational Therapy in Health and Social Services
The Rep Birmingham 30 January 2008
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• Transforming Community Equipment
• Wheelchair Services
• Occupational Therapy in Health and Social Care
  Conference
• 30 January 2008
• Cliff Bush OBE
• Chair - Surrey User Network (SUN)
• Member - TCEWS Steering Board
• The Rep, Birmingham

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Background

• 'Three Sector Summit 2006 - PM launches the TCEWS
  Programme
• Object To design a collaborative model for new
  service delivery that puts users and carers at
  the heart of the service and leverages the
  strengths of the third and private sectors
• Programme carried out whole system examination of
  existing services
• Programme worked collaboratively with full range
  of stakeholders
• New conceptual retail market model published -
  May 07
• 18 road show events in each ADASS region - July
  07
• Shadow running launched in North West, Autumn
  07, Wirral Jan 08
• Putting People First Concordant committed to CE
  Retail Model Dec 07
• Minister to be presented with report on the
  outcome of shadow running Implementation plan
  being developed

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Policy Objectives

• Enabling people to live as independently as
  possible
• Enabling people to exercise choice and control
  over the support they receive
• The promotion of high quality safe services and
  
• Supporting equality, human rights and social
  inclusion
• Ministers have committed themselves to
• Personalised social care and health services,
• Giving power and control to people to shape the
  services they need
• Working with commissioners, providers and
  regulators of services to implement policy
• Improving the status of services and of the
  workforce in health and social care
• Developing and sustaining a vibrant and
  innovative third sector and
• Ensuring value for money

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Designing the Model

• CSED set about designing a model that
• Put community equipment users at the heart of
  services
• Improved quality of services for all users and
  their carers
• Empowered state services to focus on users with
  more complex conditions
• Maximised the skills of professionally qualified
  staff
• Was non-mandatory, but demonstrated a way of
  delivering personalised services, supported by
  either the state or self-funders
• Delivered on the prevention and personalisation
  agenda for the whole population, encouraging
  delivery of effective information to all

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Stakeholder Input

• Stakeholder research
• Desk top research
• Visited 11 Local Authorities and their PCT
  Partners
• 7 Listening and design workshops 266 attendees
• 2 Reference Groups cross stakeholder
• Cross Stakeholder Steering Group 30
  Organisations
• On-line Questionnaire
• 18 TCE road show events covering all ADASS region
  of England - opportunity for stakeholders to
  express views and for CSED to answer questions
  1400 attendees

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The Retail Market Model

• State bodies fund a prescription for
  users/carers for free equipment
• Users/carers visit approved retailer or order
  from a catalogue
• Retailers can be private sector or third sector
  organisations but are regulated by an independent
  regulatory function
• The prescription entitles the user/carer to free
  equipment but can be used in conjunction with a
  top-up payment to upgrade to a piece of equipment
  that they prefer
• Standard information to be clear and available
  across England to supplement particular localised
  information

a) State employed staff issue prescriptions,
against state funds, to state funded users
b) Independent Assessors deliver assessment and
therapeutic services for self funders
(recommended products issued by IAs)
OR
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How will the model work for state funded users?

• Current warehouse/logistics element closed
• Change to
• Retailers replace for ADL
• National contract for short term need

Prescription rather than requisition
No change to free provision of equipment to
service to state funded users
No Change proposed
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Shadow Running - We Are Working With

• Lead Partners
• Cheshire Oldham, Health and Social Care
• Detailed design, test and validate
• Shadow running commenced on 15th October 2007
• Micro Sites
• Manchester, Wirral and Lancashire
• Design development, test and validate
• Shadow running commencing during November
• Macro Sites
• Rochdale, Salford, Dorset, Trafford Sefton St
  Helens, Knowsley and Halton
• Review and verify design and support data
  validation
• Expressions of Interest
• 18 other councils and their health partners

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Opportunities exist in many areas..
A thousand blossoms blooming
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Reminders

• PM launches the TCEWS Programme June 06
• Programme carried out whole system examination of
  existing services
• Worked collaboratively with full range of
  stakeholders
• The national picture demonstrates the need for
  change
• The model has considered solutions for people who
  cant access the retail market
• The model is not mandatory
• The model is completely aligned to the outcomes
  of Government policy
• Opportunities exist in many areas
• Shadow running launched in Autumn 07
• Minister to be presented with data by the end
  April 08
• Wheelchair services work is ongoing

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• ANY QUESTIONS..?
• For more information contact
• harry.hadaway_at_dh.gsi.gov.uk