Professor John Bolton part 1

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Professor John Bolton part 1

  1. 1. Building sustainable social care – reducing demand and lowering costs John Bolton - Consultant JRFB Ltd
  2. 2. 31 ways to save money Reablement/ Intermediate Care Telecare and Equipment Direct Payments (PAs) Reduce use of residential care Citizen contributions Housing with care models (housing advice) Employment and Training Work with Health Lean process Better commissioning Externalise services – PVC, social enterprise Mobile Working Reviews Procurement (collaborative) Skills Mix including volunteering Big Society – community capacity Screening Continuing Health Care Targeted prevention - falls Stricter eligibility Management and Team structures Customer contact Sickness absence Electronic Care Records Productivity Management Changing culture Administration/ IT solutions Personalisation – (RAS and PBs) Job carving Children's Transitions Patient self-management
  3. 3. The Birmingham Ten (Health Services Management Centre – University of Birmingham) (Kerry Allen and Jon Glasby) <ul><ul><li>Promoting healthy life styles </li></ul></ul><ul><ul><li>Vaccination </li></ul></ul><ul><ul><li>Screening </li></ul></ul><ul><ul><li>Falls prevention </li></ul></ul><ul><ul><li>Housing adaptations </li></ul></ul><ul><ul><li>Telecare and Technology </li></ul></ul><ul><ul><li>Intermediate Care </li></ul></ul><ul><ul><li>Re-ablement </li></ul></ul><ul><ul><li>Partnership Working </li></ul></ul><ul><ul><li>Personalisation HSMC Policy Paper 8 </li></ul></ul>
  4. 4. The Oxford seven (The Institute for Public Care – Oxford Brookes University) <ul><ul><li>The most common health reasons why an older person might need residential (intensive) care </li></ul></ul><ul><ul><li>Dementia </li></ul></ul><ul><ul><li>Incontinence </li></ul></ul><ul><ul><li>Urinary Tract Infections/ Hydration </li></ul></ul><ul><ul><li>Strokes </li></ul></ul><ul><ul><li>Podiatry </li></ul></ul><ul><ul><li>Dental </li></ul></ul><ul><ul><li>Falls </li></ul></ul>
  5. 5. <ul><ul><li>That builds on keeping people out of social care – lower demand </li></ul></ul><ul><ul><li>That builds on interventions at a time of crisis </li></ul></ul><ul><ul><li>That focuses on non-institutional solutions </li></ul></ul><ul><ul><li>That builds on health and social care interdependence – focus on health solutions </li></ul></ul><ul><ul><li>That challenges people to be responsible for managing their own care </li></ul></ul><ul><ul><li>That uses the money more effectively </li></ul></ul><ul><ul><li>That is evidence based </li></ul></ul><ul><ul><li>BUT that does not meet the current requirements of government policy and regulation </li></ul></ul>A new model of social care
  6. 6. People choose less dependent options: this is typically more cost effective 10 February 2011 Models of Support Planning Commissioning and Brokerage General Population Support At Home “ Low Level” Advice & Support Institutional Care Acute Care Information Crisis Response Community Equipment Re-ablement Support Related Housing & Assistive Technology TRANSFORMING SOCIAL CARE

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