Presented to Committee on 26/11/2013
(Please state current position on recommendation or alternative action taken) / Savings/Costs to Date (please state whether actual or estimated) / Assessment of progress (Categories 1-4)
1 / Rec 1. Development of the learning disability strategy / Ian Ramshaw / David New / 30/01/14 / Strategy update is subject to ongoing work and further consultation / 2 – On Track
2 / Rec 2. Implementation of a single building based day service at Allensway / Liz Boal / David New / 31/05/14 /
- Care managers recruited to support the assessment and transition of service users and where identified
- From Allensway to community services,
- From Rievaulx to Allensway.
- Consultation on staffing model for inhouse day services to commenceNovember 2013.
- SLA currently in final draft
3 / Rec. 3
Clients who do not have complex needs should be supported to access services in the community settings, eg Central Stockton Day services, Brighter futures and new provision in Bilingham / Liz Boal / David New / 31/05/14 /
- CIC have developed a business model to implement services based on two hubs within the Billingham area, two prospective sites have been identified. Staff and carer engagement are ongoing.
- Identification of new premises is on- going. To be in place by January 2014
- Assessment and transition of clients prior to closure of Rievaulx
4 / Rec 4. Subsidy for meals in day service where currently provided to be discontinued / Denise McGuire / Liz Boal / David New / 01/12.13 /
- Inhouse services: Consultation with in-house kitchen staff completed 01/10/13 and staff affected placed in notice. Families have all been notified and provision of meals will be discontinued on 2nd December 2013.
- CIC staff consulted. Removal of subsidy agreed for 29/11/13
5 / Rec 5. Brighter futures to be reviewed to ensure service users move on from the service and the aim of the service is to enable young adults (up to 25 yrs old )to access community based services / Liz Boal / David New / 01.04.14 / Brighter futures concept to become part of one overarching, in house day service and reviewed to ensure equality of access and timely support to clients to move on to appropriate services.
Workshops booked for October 2013 to look at service delivery. / 2 – On Track
6 / Rec 6. Out of Borough care provision should not be commissioned unless the Council is satisfied that assessed need is not available in borough.
Rec 7.Clients in borough attending out of borough services
To be supported to receive services in borough and commissioners should look to assess need for additional provision / Ian Ramshaw / David New / 30/10/13 / Change of working practices to deliver recommendations has been implemented across operational and commissioning teams. Further development of in borough services especially autism services being captured in rec 18 / 1 – Fully Achieved
7 / Rec. 9. Subject to a successful outcome of the pilot, the Community Bridge Building to be rolled outon a permanent basis / Lynn Wightman / David New / 30/08/13 / Adult Programme Board agreed to mainstream this service following CBB Pilot being reviewed and reported to board. / 1 – Fully Achieved
8 / Rec 10, 11, 12,13,14 As a general principle the council should enable more people with learning disabilities to have access to more independent living opportunities and reduce the use of residential care . Residential care should be recommended when independent living would not meet assessed need / Sean McEneany
Liz Boal
Angela Connor / David New / Ongoing / Work is ongoing to move clients into independent living. 15 clients are currently being actively supported by care managers, housing team and commissioners to move into supported living using the Autism framework and the Independent living frameworks to commission care and support.
Clients are being supported to access independent living,moving from residential care, including out of borough placements, hospital setting and from living at home with carers. Oak road will deregister as a residential care home and move to become an independent living scheme December 13
Following successful HCA bid, Blenheim ‘extra care / supported living scheme will alsoaddan additional 24 supported living opportunities in the long term future. / 1 – Fully Achieved
9 / Rec 15 Increase capacity in respite care from 6,to 9 whilst making efficiencies / Sean McEneany Denise McGuire / David New / Redesign of service ongoing, staffing model being developed and consulted onalong with removal of meal subsidy / 2 – On Track
10 / Rec 16 & 17. Menu of options for short break services to be developed: these should be either commissioned by the council or be accessible via personal budgets: To explore with the NHS provision of joint respite facility for people with more complex needs / Sean McEneany / not yet commenced as the preceding actions are seen as the priority. Discussions on-going with TEWV and work schedule will be developed / 2 – On Track
11 / Rec 18 Explore the commissioning of new autism provision in the borough / Julie Nixon / David New / TBC / Preliminary work as to business case carried out, PID to be developed along with project plan / 2 – On Track
12 / Rec. 19. The improvements to care management and commissioners as outlined in the report and included in the working practices handbook, be implemented to ensure a successful implementation of the Committees’ recommendation and the proposed commissioning strategy / Sean McEneany/Ian Ramshaw / N/A / 30/09/13 / Revised working practices document has been completed and circulated. Successful workshop took place November 2013 with care managers and commissioners to embed and reinforce changes.
This document will continue to be updated on a regular basis to ensure continuous improvement. / 1 – Fully Achieved
Predicted savings of Review / Actual Savings of Review to Date
(including all recommendations) / £305k
Human Resources Implications
In 2012/13 £305k actual savings have been made through renegotiation of high cost packages with external providers, retendering of the Homecare contract and agreements of Ordinary Residence for 3 clients. This is partly offset by the cost of a commissioning post appointed to implement the recommendations of the Learning Disability EIT review £40k.
Work continues on the remodelling of the day services and any savings will be reported when work complete.
Total savings to date = £305k
Estimated savings for 2013/14 = £366k (excludes savings for day services as not yet identified)
Estimated savings 2014/15 = £476.5k (excludes savings for day services as not yet identified)
Estimated Savings 2015/16 onwards = £568k (excludes savings for day services as not yet identified)
EIT Review of Adult Service Structures
No. / Recommendation / Lead Responsibility / Finance Manager / Anticipated Completion Date/ Completion Date / Quarter 1&2 Evidence of progressPresented to Committee on 25/11/13
(Please state current position on recommendation or alternative action taken) / Q1&2
Savings/Costs to Date (please state whether actual or estimated) / Q1&2
Assessment of progress (Categories 1-4)
4 / Subject to Cabinet approval agreement to delegate authority to the Corporate Director for Children, Education and Social Care in consultation with the Cabinet Member (Adult Services and Health) to review Adult Mental Health/Learning Disabilities (MH/LD) Care Management arrangements following the outcome of the LD/MH Review of Resources. / J Humphreys / M Graham / Spring 2014 / Following final recommendations to Cabinet re LD/MH Review of Resources, an initial meeting has been set up for 24th October with colleagues in Tees, Esk and Wear Valley to begin discussion around Joint Care Management arrangements.
The Local Authority has taken back line management responsibility for the LD/MH Resources which were managed by TEWV following the Cabinet decision in September 2013. / 2
Predicted savings of Review. This will depend on proposals / Actual Savings of Review to Date
(including all recommendations) / £439k achieved
(March 2013)
Human Resources Implications