CARE AND HEALTH

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CARE AND HEALTH

• Commissioning and Providers
• Facing the Impact of Self-Directed Support
• John Dixon, Director of Adults Services, West
  Sussex and Co-Chair, ADSS Disabilities Committee

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Adult Services 3 Roles
Commissioning Health Joint Commissioning
Intensive Social Care Current role

• Preventative Services, well-being, public health,
  ensuring access to mainstream service

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Infrastructure for citizens to support informed
safe choices to help providers

• Housing/Accommodation/Supporting People
• Public Health
• Community Health
• Transport
• Access to Employment/Workforce
• Social Inclusion
• Lifelong Learning
• Community Safety
• Regeneration
• Leisure Recreation opportunity

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The Big Picture for West Sussex
Primary Care (GPs, HVs, DNs)
Work/employment/Economic Well-Being
Schools/Adult Learning
ACCESS WhereVia Contact Centre WhatTriage,
local sign-posting or referral
LOCALITIES Where? A number of localities Whatass
essment to agreed care options .
SERVICE DELIVERY WhereVariable WhatDom Care,
Day Activities, Respite, Adult Protection etc etc
Referral from customer or other e.g. GP
Social activities/Leisure
?? A new Brokerage Service for those able to pay
for their care
High St/Shops/Banks
Key
Transport
Key
Accommodation/housing
Well-being
Connection to or move back to well-being is
always important
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Issues

• Transfer of control from professionals to service
  users
• Transfer of risk
• Supporting decision making by service users
• Mental Capacity
• Future of eligibility criteria
• Independent brokerage
• Co-production and co-payment

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Issues

• Local Authorities new role to place shape
• Local Authorities responsibility for the
  infrastructure to support
• Individuals and families
• Social enterprise
• Businesses
• The NHS
• Local Authorities responsibility for
  sustainability of providers
• Shared Intelligence on Commissioning intentions
• Shared work on keeping costs down
• Incremental approach to changes
• Supporting local and small providers

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Commissioners, Regulators and Providers a new
relationship

• Local Authorities supporting individuals as
  commissioners
• Local Authorities judged on provider performance
• Stars and Rosettes
• Who needs to be regulated?