Carers Shaping Future Commissioning Intentions and the Role of the 3rd Sector

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Carers Shaping Future Commissioning Intentions
and the Role of the 3rd Sector

• Belinda Dooley, Project Manager, Business
  Transformation
• Jayne Ellis, Strategic Commissioner Carers
  Services
• John Sullivan-Blakeney, Strategic Commissioner -
  Dementia

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Profile of Birmingham

• Population, 1,001,000 - 2005 mid year estimate
• Population density 267.8 per square kilometre
• 23.4 under than 16
• 57.7 16 - 59
• 18.9 60
• Average age 36 (38.6 for England)
• 29.6 minority ethnic population (varying pattern
  across City)

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As at 31st March 2007, Adults and Communities
Directorate supported

• 1,936 clients aged 18-64 with physical
  disabilities (1,712 in the community and 224 in
  residential or nursing homes)
• 2,314 clients aged 18-64 with learning
  disabilities (1,542 in the community and 772 in
  residential or nursing homes)
• 2,185 clients aged 18-64 with mental health
  problems (1,927 in the community and 258 in
  residential or nursing homes)
• 12,705 clients aged 65 and over (9,179 in the
  community and 3,526 in residential or nursing
  homes)

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Why Does Birmingham need to Change?

• Greater independence and choice for service users
• Move away from large, institutional residential
  care
• Early and targeted support for older people in
  their own homes
• Adoption of total transformation and the move
  towards individualised budgets
• Need to rapidly improve services for carers
  currently 1 star
• Demographic trend in Birmingham

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Commissioning Strategies for Adult Care Groups

• Corporate Commissioning Strategies Approved
• Older People April 2005
• Carers June 2006
• Mental Health January 2007
• Physical Disabilities January 2007
• Sensory Impairment January 2007
• Joint Commissioning Strategies
• Learning Disability July 2006
• Older Peoples Mental Health
• Working Age Dementia

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Development of 3rd Sector Partnerships (1)

• Cabinet Member for Adults and Communities
  Champion for engagement with the third sector
• Birmingham Compact
• Beacon award for third sector partnerships
• Third sector prospectus
• Wellbeing agenda

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Carers Profile In Birmingham

• 100,000 Carers in Birmingham
• 28 provide care for over 50 hours per week
• Over 16,000 Carers are aged over 65
• 4,000 young Carers
• 10 of carers look after someone who is not a
  relative

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History of Carers In Birmingham

• Carers Unit established in 1987
• Citywide consultation leading to a 17 point
  action plan
• Setting up the infrastructure of Carer support
• Development of Carers Panels
• Establishment of a multi agency Strategy Group
• Carers Grant enabled Carers to run their own
  services
• Advocacy, information help line established
• Involvement and active participation developed

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Why A Carers Strategy Was Needed

• To respond to the changing needs of Carers
• To respond to the White Paper, Our Health, Our
  Care, Our Say
• Largest socially excluded group
• Carers are cost-effective
• Promote the well being agenda
• Long history of consulting with carers

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Key Principles

• Long term care planning
• Services that are timely, relevant and
  appropriate to carers individual needs
• Underpinned by prevention and well-being services
• Carers at the heart of the decision making process

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Development of 3rd Sector Partnerships (2)

• Carers Partnership Board
• Carers involved at every level
• 11 separate steering groups established
• Carers monitoring Service Level Agreements and
  Contracts
• Carers shaping designing and delivering services
  across the whole continuum
• Carers shape how resources are spent
• Carers services led by Carers

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Just Some of Our 3rd Sector Partners

• Birmingham Carers Association
• Rethink
• Crossroads
• Carers UK
• Birmingham Carers Support Services
• NCH
• Somali Elders Group
• Chinese Community Centre
• Alzheimers Disease Society
• Yemeni Carers
• Cruse Bereavement Care
• Connect

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Discussion (1)

• What is the range and scope of your partnerships
  involving carers and the 3rd sector?

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Discussion (2)

• What partnerships might there be?
• What are the barriers?
• What might be the solutions?

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Discussion (3)

• What outcomes can these partnerships deliver?

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Delivering Outcomes Our health, our care, our
say

• Improved health and emotional well-being
• Improved quality of life
• Making a positive contribution
• Choice and control
• Freedom from discrimination
• Economic well-being
• Personal dignity.

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Delivering Outcomes - Carers

• Cruse- pre bereavement
• Crossroads
• Carers Centre
• LGBT
• Yemeni Carers
• Chinese Community Centre
• Somali Elders Nomadic

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Delivering Outcomes - Commissioners

• Direct Payments and Individual Budgets
• Shaping an agile and flexible market
• Community inclusion making a contribution
• Delivering on the white paper
• Delivering

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Development of 3rd Sector Partnerships (3) -
Outcomes

• Commitment to partnership Risk
• Experts delivering services
• Listen Explore Invest
• Strong support
• Reality orientation works both ways
• Outcome funding - ROI

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Future Challenges

• Fragility of the market
• Further development of choice and voice
  mechanisms
• Joint Commissioning
• Cultural differences 1
• Cultural differences 2
• Cultural differences 3

People want a life not a service Person led
not person centred