The Flexicare Grant aims to provide an integrated housing and care model that offers choice, control, and affordable services for older residents. It proposes funding housing providers through multi-year grants to coordinate housing, care, activities, and other services. This would replace the current block contract system and allow residents to choose their care providers. The grant is intended to maximize value and flexibility while regulating costs through fair charging and oversight conditions. It could help expand the extra care housing options available for older residents of the county.
In October 2016 Foundations ran a series of DFG-focussed events to highlight some of the difficulties of the DFG process and to share best practice on how this can be improved to deliver better outcomes.
In October 2016 Foundations ran a series of DFG-focussed events to highlight some of the difficulties of the DFG process and to share best practice on how this can be improved to deliver better outcomes.
Presentation delivered by Tim Anslee, The Wealth Care Partnership; Ruth Corden, West Sussex County Council and Lynda Ryan, Age UK West Sussex for TLAP's Information, Advice and Brokerage workshop for Care Act compliance.
Working in partnership to collectively campaign and influence CANorfolk
Our panel of guest speakers share their unique insights on how to work in partnership to collectively campaign and effectively influence.
Judy Dow (Head of Philanthropy, Norfolk Community Foundation)
Stuart Wright (Chair of the Living Wage Foundation’s Advisory Council and Property Director at Aviva)
Mike Barrett (FareShare East Anglia Development Manager) and Phoebe Sabin (FareShare East Anglia Community Coordinator)
Topic The Care Act: Implications for Homeless Health Care
Presenter Karl Mason
Social Work Lead - Trauma, Emergency and Acute Medicine Kings Lead KHP Homeless Pathway Team Kings
Presented by Kim Leach.
Responding to rural family homelessness is complicated by problems of identifying homeless families and allocating scarce resources across wide service areas. Rural communities across the country have made significant progress in reducing family homelessness and increasing the effectiveness of their Continuums of Care (CoC). This workshop will profile the strategies of effective rural programs and communities and identify how these strategies can facilitate successful HEARTH implementation.
EYHC 2011: Working Together for Better OutcomesYfoundations
Kings Cross attracts significant numbers of young people who are at risk of becoming entrenched in a high risk lifestyle involving long term homelessness; substance abuse issues; mental health; violence; problematic sex work; criminal activity and self harm.
The Inner City Youth at Risk Project was established in 2005 as a coordinated interagency early intervention strategy for young people. There are 15 partner agencies participating in the project.
The Project involves three key strategies including coordination by a project coordinator based in a health service who works with partner agencies; outreach sweeps conducted quarterly to collect data on the profile of young people; and brokerage available to support at risk young people in emergency situations and to support long term care plans and supported housing.
The project coordinator, Cindi Peterson, and her manager from South Eastern Sydney Local Health District, Amanda Webster, presented this presentation at EYHC 2011 in the Home & Place workshop stream.
NAWRA conference: Using data to inform work on povertyPolicy in Practice
In early June 2019 Policy and Practice was represented by Head of Policy, Zoe Charlesworth, at the National Association of Welfare Rights Advisers (NAWRA) conference at the Old Naval College, Greenwich. Zoe's presented on how data can be used to understand poverty and inequality, and how this data can feed into frontline support.
Zoe showed how self-employed households could be identified, those most at risk of application of the minimum income floor could be targeted, and households could be better supported to make decisions that were right for them. Zoe pointed to the case study of Greenwich who use frontline tools from Policy in Practice (the LIFT dashboard and Benefits Calculator) to identify, target and support those in need. Using data in this way provides the Greenwich Welfare Support team with the ability to offer pro-active and holistic support to residents and enables the council to make strategic decisions based on evidence-based trends and forecasts.
For more information please visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk
Tuesday 28 June, W7 - making the most of an older population - Michelle Atkinsonlgconf11
This workshop will explore innovative initiatives from councils who are harnessing the energies of older people and the wider community to address the opportunities and challenges of the ageing population.
Speakers:
Paul McGarry, Principal Programme Manager, Manchester Joint Health Unit, Manchester City Council
Ritchard Brazil, Stamford Forum, with colleagues from successful case examples of building community capacity in Leeds and Sunderland
Chair: Cllr David Rogers OBE, Chair, LG Group Community and Wellbeing Programme Board
Joint Strategic Commissioning is at the heart of the Public Bodies (Joint Working) Bill. JIT has recently issued guidance on what Partnerships need to do in order to develop Strategic Plans that incorporate a Financial Plan, relating to all integrated resources, by April 2015. This session provides an opportunity to further explore the scale and scope of what partnerships are required to do to deliver on the opportunities and ambitions of integrated health and social care. Contributed by: Joint Improvement Team
Presentation delivered by Tim Anslee, The Wealth Care Partnership; Ruth Corden, West Sussex County Council and Lynda Ryan, Age UK West Sussex for TLAP's Information, Advice and Brokerage workshop for Care Act compliance.
Working in partnership to collectively campaign and influence CANorfolk
Our panel of guest speakers share their unique insights on how to work in partnership to collectively campaign and effectively influence.
Judy Dow (Head of Philanthropy, Norfolk Community Foundation)
Stuart Wright (Chair of the Living Wage Foundation’s Advisory Council and Property Director at Aviva)
Mike Barrett (FareShare East Anglia Development Manager) and Phoebe Sabin (FareShare East Anglia Community Coordinator)
Topic The Care Act: Implications for Homeless Health Care
Presenter Karl Mason
Social Work Lead - Trauma, Emergency and Acute Medicine Kings Lead KHP Homeless Pathway Team Kings
Presented by Kim Leach.
Responding to rural family homelessness is complicated by problems of identifying homeless families and allocating scarce resources across wide service areas. Rural communities across the country have made significant progress in reducing family homelessness and increasing the effectiveness of their Continuums of Care (CoC). This workshop will profile the strategies of effective rural programs and communities and identify how these strategies can facilitate successful HEARTH implementation.
EYHC 2011: Working Together for Better OutcomesYfoundations
Kings Cross attracts significant numbers of young people who are at risk of becoming entrenched in a high risk lifestyle involving long term homelessness; substance abuse issues; mental health; violence; problematic sex work; criminal activity and self harm.
The Inner City Youth at Risk Project was established in 2005 as a coordinated interagency early intervention strategy for young people. There are 15 partner agencies participating in the project.
The Project involves three key strategies including coordination by a project coordinator based in a health service who works with partner agencies; outreach sweeps conducted quarterly to collect data on the profile of young people; and brokerage available to support at risk young people in emergency situations and to support long term care plans and supported housing.
The project coordinator, Cindi Peterson, and her manager from South Eastern Sydney Local Health District, Amanda Webster, presented this presentation at EYHC 2011 in the Home & Place workshop stream.
NAWRA conference: Using data to inform work on povertyPolicy in Practice
In early June 2019 Policy and Practice was represented by Head of Policy, Zoe Charlesworth, at the National Association of Welfare Rights Advisers (NAWRA) conference at the Old Naval College, Greenwich. Zoe's presented on how data can be used to understand poverty and inequality, and how this data can feed into frontline support.
Zoe showed how self-employed households could be identified, those most at risk of application of the minimum income floor could be targeted, and households could be better supported to make decisions that were right for them. Zoe pointed to the case study of Greenwich who use frontline tools from Policy in Practice (the LIFT dashboard and Benefits Calculator) to identify, target and support those in need. Using data in this way provides the Greenwich Welfare Support team with the ability to offer pro-active and holistic support to residents and enables the council to make strategic decisions based on evidence-based trends and forecasts.
For more information please visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk
Tuesday 28 June, W7 - making the most of an older population - Michelle Atkinsonlgconf11
This workshop will explore innovative initiatives from councils who are harnessing the energies of older people and the wider community to address the opportunities and challenges of the ageing population.
Speakers:
Paul McGarry, Principal Programme Manager, Manchester Joint Health Unit, Manchester City Council
Ritchard Brazil, Stamford Forum, with colleagues from successful case examples of building community capacity in Leeds and Sunderland
Chair: Cllr David Rogers OBE, Chair, LG Group Community and Wellbeing Programme Board
Joint Strategic Commissioning is at the heart of the Public Bodies (Joint Working) Bill. JIT has recently issued guidance on what Partnerships need to do in order to develop Strategic Plans that incorporate a Financial Plan, relating to all integrated resources, by April 2015. This session provides an opportunity to further explore the scale and scope of what partnerships are required to do to deliver on the opportunities and ambitions of integrated health and social care. Contributed by: Joint Improvement Team
Removing Obstacles for Cross border Cooparations Sergej Lugovic
Parallel session I: Ideas and plans for the development of joint study programmes (introduction: Sergej Lugović MSc. Polytechnic of Zagreb, moderators Jasmina Skočilić, Agency for Mobility and EU Programs, prof. Ranko Biondić, Ph.D., Faculty of Geotechnics, University of Zagreb , Vladimir Mrša Ph.D., Faculty of Food Technology and Biotechnology, University of Zagreb );
4° Levantamento da Safra 2016 de Café - DezembroLuiz Valeriano
Safra de café fecha o ano com produção recorde de 51,37 milhões de sacas, informa Conab
A produção brasileira de café chegou a 51,37 milhões de sacas de 60 quilos do produto beneficiado em 2016, somados arábica e conillon. Os números estão no quarto e último levantamento da atual safra, divulgado nesta quinta-feira (22) pela Companhia Nacional de Abastecimento (Conab). De acordo com o estudo, o volume representa um acréscimo de 18,8%, quando comparado com a produção de 43,24 milhões de sacas obtidas no ciclo anterior e representa recorde histórico. A maior safra até hoje havia sido registrada em 2014: 50,8 milhões de sacas.
A área total plantada no país teve leve redução, com decréscimo de 1,1% em relação à 2015, totalizando 2,22 milhões de hectares. No entanto, houve ganho representativo de produtividade. A média de 26,33 sc/ha é 17,1% superior à da safra passada. As condições climáticas favoráveis nas principais regiões produtoras de arábica, aliadas ao ciclo de bienalidade positiva, favoreceram as lavouras e justificam os ganhos de produtividade na maioria dos estados. Os maiores ganhos são observados em São Paulo, com 46,7%, Mato Grosso, com 39,4% e Minas Gerais, com 32,2%.
O café arábica ainda domina as lavouras de café no país, representando 84,4% da produção total do grão com uma produção de 43,38 milhões sacas. Esse resultado demonstra um crescimento de 35,4% em relação à safra anterior e se justifica pelo aumento de 46 mil hectares da área em produção, incluindo a incorporação de novas áreas que se encontravam em formação e renovação, além das condições climáticas mais favoráveis.
A produção do conilon, que representa 15,6% do total de café do país, está estimada em 7,98 milhões de sacas, com redução de 28,6% na comparação com a safra passada. Nesse caso, houve diminuição de 4% na área em produção e problemas climáticos pontuais, como seca e má distribuição de chuvas por dois anos consecutivos no Espírito Santo, maior produtor de café conilon no país. Em Rondônia e na Bahia, também produtores da espécie, ocorreu estiagem nas fases críticas das lavouras. No entanto, no caso de Rondônia, a quebra de produtividade foi amenizada pela entrada de novas áreas de café clonal, cuja produtividade é superior às tradicionais.
More presentations from the NCVO Annual conference: http://www.ncvo-vol.org.uk/networking-discussions/blogs/20591 will help you innovate in your work.
Fiona Sheil, Public Service Delivery Officer, NCVO
This expert-led workshop explores the future of contract design, what it means for funding public services and th e legal and cultural implications for organisations like yours. Public service contracting is becoming more diverse in both size and structure. With large contracts being broken up and work being passed down supply chains in sub-contracts, you see a number of challenges arising.
If you are involved in contracting , our panel of senior national charity finance directors and civil servants will help you navigate some of the key difficulties, including modelling cash-flows in supply chains and managing the sharing of risk between providers.
Universal Credit: how are frontline advisors responding?Policy in Practice
As Universal Credit rollout progresses from the live service to full service we asked what the changes mean and how frontline advisors are faring. In this webinar we also looked at what local organisations can do to prepare people now for managed migration.
Policy in Practice's Zoe Charlesworth and Peter Carter were joined by Darren Thomas, Senior Welfare Officer, Grwp Cynefin who will share how their tenant's journey compares under the legacy system and Universal Credit.
For more information visit www.policyinpractice.co.uk, call 0330 0889 9242 or email hello@policyinpractice.co.uk.
How landlords can prepare for managed migration workshopPolicy in Practice
Policy in Practice has teamed up with Bill Irvine, UC Advice & Advocacy, to help housing associations learn how to prepare for managed migration to Universal Credit. This workshop featured the following speakers and topics:
Background to Universal Credit managed migration by Zoe Charlesworth, Policy in Practice
The view from the frontline by Nadine Burns and Michelle Birley, The Guinness Group
Key challenges to smooth delivery of managed migration by Bill Irvine, Universal Credit Advice
Transitional Protection by Louise Murphy, Policy and Data Analyst, Policy in Practice
Best practice advice for preparing tenants by Bill Irvine, Universal Credit Advice
How Royal Borough of Greenwich is preparing for managed migration by Corin Hammersley, Royal Borough of Greenwich
Develop your own proactive action plan for managed migration
For more information please visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk
How data can help support vulnerable utility customersPolicy in Practice
Deven Ghelani spoke at Utility Week's #consumerdebt conference in Birmingham on 27 February 2018.
In his talk, titled The changing living standards of low income households and their ability to pay, he focused on:
- assessing the initial effect of universal credit on low-income households
- the impact of wider welfare reforms and
- how organisations can support vulnerable customers..
For further information contact hello@policyinpractice.co.uk or call 0330 088 9242.
View the slides from our webinar: 2018: A policy review of the year. We were joined by guest speakers Deven Ghelani and Paul Howarth, Policy in Practice.
We reviewed the social policy analysis we delivered for clients in 2018 and recapped on key findings we uncovered. We also discussed what this means for local organisations in 2019.
Find out what we learnt about:
Homelessness and housing
Changing living standards of low income households
Universal Credit's impact on people
Universal Credit's impact on frontline organisations
For more information please visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk.
Tadhg Daly, Chief Executive of Nursing Homes Ireland from The National Homeca...myhomecare
This slideshow is from Tadhg Daly, Chief Executive of Nursing Homes Ireland. Tadgh recently spoke at Irelands first ever National Homecare Conference which took place on 28th March in The Ballsbridge Hotel in Dublin.
3. Flexicare Objectives
• A service model which:
– can be consistently applied;
– provides the right services;
– offers appropriate choice and control;
– is affordable for people living in Flexicare and the County
Council;
– is viable for providers; and
– safeguards people.
6. Strategic Review 2009
• Block Contracts for Care:
– Does not allow for client choice / personalisation
– Bandings can be restrictive
– Can residents without care needs access unplanned care?
• Should the County Council commission services
separately?
7. Why provide choice / personalisation?
• Older adults generally report personal budgets as
having a positive impact on their lives, where there is:
– Self determination
– An adequate budget
– Help with support planning
• However, older adults more likely to have a ‘managed
budget’ and miss out on some of the positive impacts.
8. Outcomes of
personal
budgets
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Supported with Dignity
Getting Support you Need
Being in Control of Support
Being as Independent as you Want
In Control of Life
Your Mental Wellbeing
Your Physical Health
Choosing Where to Live
Feeling Safe
A lot better Better No Difference Worse A lot worse
Centre for Disability Research
Older people and personal budgets:
A re-analysis of data from the National Personal Budget Survey 2011
10. The Flexicare Strategy
• Recognised benefits of an ‘Integrated Service’
– Better services for residents
– Better value for money
• Impact 2020
– Flexicare housing will be seen as a positive, high quality,
affordable, value for money option
– People who live in flexicare housing will have choice and
control
16. Main
On Site Staff
24/7 Cover
Emergency Alarm / Assistive Technology
Emergency / Unplanned Support
Housing Related Support
Activities
?? Catering ??
£~?? per week
17. Extras
Personalised Care & Support, e.g.:
Home help
Shopping
Cleaning
Washing
Dressing
Going out
Leisure activities
Computer lessons etc, etc, etc
21. Who pays for unplanned care?
• Social Care in full?
– Can tender and have a contract
– Unaffordable for the Council
• Residents in full?
– No relationship with the Council
– Expensive for residents?
• Social Care and Residents shared?
– How?
22. Fairer Charging
• National Legislation on charging to meet assessed
care needs
• Must leave a person with pension credit + 25% to live
on
• Charge must be related to assessed care needs
• Can only have a flat charge in certain restricted
circumstances
25. Funding the Integrated Service
Flexicare Grant
Residents
Housing Benefit
Care Services
Housing Services
Grant to be around £50k pa
26. Cost per unit per week (not rent)
0 10 20 30 40 50 60 70 80
Avg Flexicare
Avg Existing
Service
Support
Other
£50k grant for a typical 60
unit scheme is worth £16
per week per unit
27. Value for Money examples
• Ways to take advantage of integrated service delivery:
– private arrangements with residents for shopping, preparation of
meals, cleaning, etc.;
– staff on call at night carrying out laundry and quiet cleaning;
– some parts of housing support being delivered as floating support;
– using care staff to provide housing support;
– using assistive technology to check on residents; or
– offering services to the wider community (e.g. day opportunities)
28. FLEXICARE
FLEXICARE
24/7 Care
• At least one person on site 24/7 who can provide ‘care’
• Can have more, dependant upon
– Care profile of residents; or
– Residents willing to pay
FLEXICARE
29. Grant Funding - benefits
• No contractual relationship, so Fairer Charging rules
don’t apply
• Housing providers can get on with providing a full
service in their scheme
• Share costs between Council & Residents
• Residents get a say on what is spent
• Maximise economies. Minimal procurement
30. Grant Funding – more benefits
• Grant conditions – can still monitor
• Bidding round for housing providers
• 3 year grants
• Potential for converting sheltered housing?
• Charge to residents may be partly covered by
proposed changes to Housing Benefits?
31. FAQs
• Who can bid for the grant?
– Only landlords of suitable accommodation
• So what is ‘suitable accommodation’?
– Self contained units of accommodation (‘own front door’)
– Generally for older people
– Access to communal facilities
– 24/7 CQC registered care service on site
32. FAQs
• Where would the grant be funded from?
– The existing SP and current waking nights funding
• What if I don’t bid for / secure grant funding?
– Council would then only pay for assessed care needs (fairer
charged)
33. FAQs
• How would flexibility in care needs be ensured
– Direct payments include a 4 week ‘buffer’ which allows for
week-by-week variations and short episodes of increased
needs
• What if I’m a landlord who doesn’t provide care
– Need to subcontract or arrange for CQC registered provider
34. FAQs
• Would this affect allocations?
– No, would still want to see balanced communities. SCC
would retain nomination rights where they exist.
Need minimum number of residents with care needs (20-25)
• What about charges to residents?
– For providers to decide in consultation with residents
– Maximum linked to Pension Credit Guarantee
– Unless residents agree otherwise
35. Current & Proposed Extra Care (Rental Units)
0
100
200
300
400
500
600
Cannock Chase East
Staffordshire
Lichfield Newcastle South
Staffordshire
Stafford Staffordshire
Moorlands
Tamworth
Proposed
Existing
2030_Needs
2020_Needs
2015_Needs
2010_Needs
36.
37. Extra Care Suitability
at LSOA
Seeking to encourage more
development –
Many providers told us that they will only
build if they can provide services too
39. The Flexicare Grant
• Giving providers the freedom to develop and deliver
excellent services to meet the needs of their residents
• Giving residents excellent services, transparent cost
structures and choice and control over the care they
need
• Giving the County Council a consistent approach to
commissioning, and a real alternative to residential
care
