Tuesday4 April 2017

Who was here:

Ian Penfold (co-chair, carer rep) / Marcia Lawman (co-chair, PB rep)
Linzi Holt (Liaise Loddon) / Geoff Belsham (Basingstoke Mencap)
Simon Cartland (HCC) / Donna Harrison (HCC)
Fi Biggs (Hampshire Watch) / Alison Cooper (Parity for disability)
Ann Barker (Parent/carer) / Mo Rowe (parent/carer)
Helga Firth-Bernard (parent/carer) / Tania Peckham (HCC)
Bernard Pearcey (parent/carer) / Carrie Moorhouse (BSL interpreter)
Marion Quenby (BSL interpreter) / Susan Jackson (Bishopstoke Community link and Audleys)
Jo Hooper (MYLW, HCC) / Lee Dauscha (rep co-worker)
Leon Major (LIG rep) / Nikki Bishop (Speakeasy)
Florence Garland (minuting)

Apologies:Hayley Bishop, Laura Timms, Rosemary Goodrich, Marta Coates, Cathie Marshall, Lakshmi from

Dayout.

Notes of the last meeting and matters arising

T17/T19/council tax- no further update at present.

My Life My Way – Jo Hooper

What is My Life My Way?

In July 2014, the head of the National Health Service (NHS) England, Simon Stevens, said that there would be a new way of working together for health and care services. This is called Integrated Personal Commissioning, sometimes shortened to IPC.

Simon Stevens

IPC expects everyone to work closely together and agree how people can have greater choice and control over their own lives. Some choices people make will not cost anything.

Funding is provided if a person is assessed as having eligible needs, which can’t be met in any other way. If there is a need for funding from different organisations, like adult social care, children’s services and health, this will be paid as a single personal budget.

In Hampshire we have called IPC: ‘My Life My Way’

What have we done?
  • In December 2015 we started working with 8 young adults and their families
  • From these families we learnt what worked well and what didn’t work well, which meant we could make changes
  • We are now starting to work with more people, for example, people who have lots of health needs, young children and people who have been in hospital because they have been mentally unwell.
  • We are working hard to try and find a way to pay people personal budgets, (see later notes called “What is a personal budget?).This is particularly hard when people have more than one organisation that are paying for their services, for example, health and education
  • So far 136 people have a Personalised Care and Support Plan (see later section on “Personalised Care and Support Planning and “A Different Conversation meeting”) and 78 have a Personal Budget
  • In order to help staff to help people have a Plan, 15 people are doing training to become Champions. These staff come from different teams
  • We are working hard to make sure that people only have one plan
/
What is working well?
 Advocates have helped lots of people create their own plans
 People with lived experience, parents and carers have helped us co-produce information and have their own “Co-production Group” which feeds directly into the Programme Board
 The first families we worked with have told us they feel good about the planning process /
 We have just started a new piece of work, which our NHS partners are leading on, with people who live in care, for example, young adults who are living with a Foster Carer
 People are really enjoying the Champions training and are beginning to see how this can help them and their teams to change their practice.
 We are starting to work a lot more closely with our partners in health and education /
What is not working so well?
 Calculating and then paying a personal budget, especially where there is more than one agency who are paying towards the person’s plan
 Finding enough people who would like to be paid to provide support to individuals; sometimes these people are called Personal Assistants
 Because there are lots of different forms and lots of different ways of writing plans, it is difficult to find a way to bring all these together into one plan /
Personalised Care and Support Planning
This is where individuals, with the help of their families, can create their own plans. The plans will show things like what is working well for them, and not working well, as well as what they would like their future to look like and the types of support they will need to achieve these things.
What is a Different Conversation?
After some preparation, individuals will have a meeting called a Different Conversation meeting to help them look at all the information that is important to know about them. This meeting will be led by a Facilitator; currently this is usually an Advocate. From these discussions a plan will be written, which will include what is going to happen, who is going to do each action and when they will do it by. /

What is a personal budget?
  • A personal budget is an amount of money identified by social care, children’s services or health, to support people to do some or all of the things in their support plan.
  • By having a say in the way this budget is used, a parent or young person can have more control over their support.
  • People taking part in the project will not get more money. It is about services working better together to put the money for their support together into a personal budget if people wantit, so that they can choose how best to spendit.
  • Some choices may not cost anything
/

Points also discussed:

PA’s: can be self employed or employed but if self employed, cannot be restrictive to one employer.

Simon Cartland is looking at issues, challenges and different models.

Education: we need to make social care attractive for people to go into the profession.

Transforming care programme: CCG working on workforce development. Engaging with schools/college and raising awareness of social work and PAs. Donna said that HCC has engaged with Basingstoke College and some people are currently shadowing some staff.

Ian said it would be good if we could have a My Life My Way newsletter.

Caroline’s video:

Individual service fund: no practical work yet and more needs to be done. It is usually paid to the provider not the person.

Direct payment and PA’s:

Independent lives can help with loads of information and telephone support. Simon is also looking at encouraging social firms to recruit and manage PAs but it is early stages.

The personal care and support plan is unique to the person so as such there is no template.

Strength Based Approach looks at what is working well for the person and builds on that.

Yes, we have some champions who ca support professional colleagues and families.

Are health checks included? Jo said they are working with Health to develop more options and opportunities.

Education is involved to make sure that Education Health and Care plans work with the support plan.

LIG rep elections

We will be electing 2 service user reps and 1 parent carer rep, at the June meeting (one for Basingstoke and one for Farnborough and Rushmoor). The parent/carer rep will cover the whole area, will have a range of contacts and will be able to travel in Hampshire.

This is giving us approximately 2 months to advertise and recruit new members. The deadline for all applications is Thursday 25th May - 12 noon. This will include a small statement and a photo to be sent to me via email. Current service users and current carer rep are very welcome to re-apply for the role.

The reps will be voted in for 2 years and need to be able to commit to a minimum of 10 monthly LIG meetings, 4 Partnership Board meetings and other meetings with advocacy support as and when necessary. Service user reps will be supported by advocacy. The parent/carer rep should have a wide range of contacts and be able to travel.

Anyone interested who does not normally attend LIG meetings should consider coming along in May (as well as the June meeting).

Theelections will be publicised in local advocacy groups and day services so anyone could put themselves up for the Rep role as well as current LIG members.

All candidates will give a statement and have a chance to talk about themselves on the 20th June. You must be available on the 20th June. All regular members of the LIG can vote.

Voting is confidential and votes will be counted confidentially by the Admin Officer and the LIG Chair.

You might find this link useful.

Restructure – Simon Cartland

North and South team:

Main hubs: Basingstoke with an office in Eastleigh as well.

Farnborough and Poles Copse in Winchester – local offices.

One short term team will deal with short term queries of less than 6 weeks duration (CART Team Fareham) and one long term team will deal with eligibility and commissioned services (over 6 weeks) as well as reviews and assessments. CART stands for the contact assessment and resolution team.

Please ring the new number for all enquiries: 0300 555 1386

What kind of case load will social workers have? Long term case worker will have 18/22 cases and short term case worker will have 6 cases.

What response can people expect? Time frame for responding on the new single phone number?

Expect minimum standards. 60% of calls answered within 30 seconds but you will have to wait at busy times.

How many staff will be on the phone in the contact centre?

About 70 people are working in adults services at Hants Direct. They are all being trained now and should be all ready by end of May.

Will the email address remain? No, all enquiries to be made to 0300 555 1386. There will be no email.

Is the new telephone number general or just LD? It s a general number for all adult services.

Are we going to be sat on the phone for ages? We hope not!

Safeguarding? Same number? Yes,please. If at risk, please ring 999.

How many staff will be on the phone in the contact centre? About 70 people. Recruitment and training are on going.

Is it children services as well? Children services will be separate.

Where is personalisation in all of this? knowing the person is really important- Simon said that we will try and make it as individual as possible but we do have 3000 people on our books. Reasonable adjustments should be in place.

Direct contact telephone numbers with existing social workers will remain providing the case is open.

Other things:

Good news stories: building of new flats has started by Tesco in Chineham. Aldershot flats have opened and people are moving in. 18 people have moved in at Emsworth. We are currently focussing on people with complex needs. Helga said that she was disillusioned with the accommodation and it is always for people with complex needs. Simon said to get people’s names on the local housing register.

Link from Ian: Housing and support options (HAS/LD England)

The old Aldershot day services site will be started next year. It will be for people with moderate and complex needs.

Simon said that they are also deregistering homes for people to have their own tenancy in supported living schemes.

Maybe Partnership Board members and LIG members should write to their district council to see how you get on the register.

Ian said that he is working with the local CCG and GPs to improve the flaggingof people with disabilities which might have been missed. Simon Stevens (head of the NHS) said it is a priority.

Geoff said that Mencap has received funding from Sports England for keeping fit (with Weight Watchers). We will send the link when we have it. Royal Mencap in Basingstoke Travelling the world”. Watch the space.

Fi said that she gave feedback at NHS England conference last week about “My Face My Story”. More accessible information is needed.

More information:

Dates for your diaries

The next meeting will be on 23 May2017Elizabeth Hall, Hook, 10.30 am to 12.30 pm latest

2017

23 May

20 June (amended)

18 July (amended)

12 September

10 October

14 November

12 December

Elizabeth Hall, Raven Road, Hook RG27 9HH (room 4).
10.30 am to 12.30 pm
free parking

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