24.09.12 Prospectus final version

London Borough of Merton Adult Social Care Service

Ageing Well – 3 Year Preventative Grant Funded Programme

for the Voluntary Sector

1 April 2013 – 31st March 2016

1.Programme Aims

  • To help people live in their own home for as long as possible
  • To delay or reduce the need for council funded social care

2.Programme principles

  • Merton Compact
  • Borough coverage ( via one organisation or collaboration between organisations)
  • Building resilience (helping people to find own solutions and groups to manage their own networks)
  • Building connectedness ( helping people keep in touch with the local community and people who matter to them)
  • Recognise that everyone can make a contribution (whether this is financial or giving time to others)
  • Effective customer sign posting and follow up on process
  • Annual review to establish continuation of successful grant funded services and cessation of unsuccessful grant funded services

3.Background

There are a number of national drivers for changing the way in which adult social care services are commissioned. The messages in ‘Putting People First’ (2007), reiterated in ‘Building a Society for All Ages’ (2009) and ‘Shaping the Future of Care Together’ (2009) established the role of public services in helping people to live independent lives. The main themes include:

  • Making a strategic shift to prevention early intervention
  • Building on social capital within local communities
  • Ensuring people have greater choice and control over meeting their needs

Merton’s Draft Local Adult Services Commissioning Strategy (May 2010) is in line with this Government Policy and the increased focus on maximizing effective prevention. Essentially investment in preventive services is being protected for 2010/11 and re-focused while investment elsewhere is being reduced.

The programme will have a particular focus on preventing people from requiring social care. Some of the main trigger factors which make people require social care are as follows:

Wanless Report:

  • Mobility and rehabilitation problems
  • Lack, or breakdown of informal care, or stress for carers
  • Social reasons – lack of connectedness
  • Poor or inappropriate housing or environment

IPC Study of Care Pathways

  • Dementia
  • Urinary & bowel incontinence
  • Osteo Arthritis
  • Stroke
  • Depression
  • Diabetes
  • COPD (chronic obstructive pulmonary disease)

and

  • Unhealthy lifestyle, inactivity
  • Lack, or breakdown, of resilience
  • Learning disability (breakdown of supported living or ill-health of ageing parent carer)

Merton Adult Social Care Service is likely to invest in services that:

•Have an impact on trigger factors for admission to social care and therefore prevent or delay admission to social care

•Promote resilience and connectedness

•Enable people to contribute (their time towards service delivery,as well as a financial contribution)

•Take an inter-generational approach

•Make use of assets in neighbourhoods

•Demonstrate collaboration between organisations

•Facilitate borough wide access

Merton Adult Social Care Service is unlikely to invest in:

•transport costs

•Lunch clubs

•Activities that promote dependency and segregation

4.Target Area for Grant Funding – Level 3

5.Priorities for Investment

Categories / Key Preventative Areas / Funded by social care grant programme / Funded through other sources not social care grant programme / Outcomes / Examples of effective interventions
  1. Health Condition
/
  • Risk offalls
  • Incontinence
  • Dementia
  • Sensory impairment
  • Depression
/ √
√
√
√
√ /
  • Increased levels of self-management in order to mitigate this
  • Improved levels of resilience & connectedness
  • Reduced levels of dependency
  • Reduced feelings of isolation
  • Increased capacity to deal with crisis
/
  • Technology solutions
  • footcare
  • Holistic self-management and exercise programme

2. Isolation /
  • Connectedness
  • Making a contribution
  • Learning & problem solving
  • Money matters
/ √
√
√ / √ /
  • Increased levels of contact with people who matter to them
  • Increased levels of activities and participation demonstrating a positive contribution
  • Increased capacity to problem solve and find solutions
  • Increased levels of activities promoting mental wellbeing, motivation and resilience
/
  • Hospital discharge support
  • Road map/plan for the future
  • Intergenerational
  • Volunteering
  • Self-managed Peer support
  • Coaching/mentoring
  • Technology solutions

3.Physical Environment /
  • Home safety & suitability
  • Property maintenance
  • Neighbourhood safety
  • Things to do locally
/ √
√
√
√ /
  • Home adapted and maintained to be safe

4. Carers /
  • All the areas as in 2. & 3 above.
  • Breaks from caring role
  • Advice & planning
/ √ / √
√ /
  • Carers have own time to spend as they choose
  • Carers supported to resolve crisis
/
  • Hospital discharge support
  • Crisis support
  • Road map/plan for the future
  • Intergenerational
  • Volunteering, e.g. using time banking systems
  • Self-managed Peer support
  • Coaching/mentoring
  • Technology solutions, e.g. phone networks, Skype

6.Metrics

Funded groups will be required to use of a set of tools for monitoring the effectiveness of the programme, as follows:

  • Individual wellbeing index – to enable people to identify their individual goals and the benefits they receive from the programme
  • Use of other organisations’ services – to record the range of different services used by people on the preventative programme.
  • Risk assessment tool– to help target services at those who need and can benefit from a preventative programme (level 3 of the social care triangle)
  • Organisation monitoring form – to record activities and wider benefits.

More guidance will be available to funded groups on the use of these tools

7. Timetable

  • The programme will be launched on 26th September 2012.
  • The closing date for grant applications will be noon on Monday 3rd December 2012.
  • Organisations will be informed of decisions during December 2012.
  • New grant-funded activities will begin on 1st April 2013

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