EQUALITY IMPACT ASSESSMENT TEMPLATE by I676093

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									                                          EQUALITY IMPACT ASSESSMENT

A. Summary Details

   1) Person responsible for the assessment: Ian Peet

   2) Contact details: ian.peet@trafford.gov.uk

   3) Section & Directorate: C & WB Supporting People, Adult Social Care, Commissioning and Service
      Development

   4) Name and roles of other officers involved in the EIA, if applicable:
Linda Harper – Director of Commissioning Adult Social Care
Andrea Glaspell – Interim Programme Manager Personalisation Adult Social Care
Richard Roe – Housing Strategy Manager
Richard Morris- Access to Housing Manager
John Pearce – Director of Commissioning CYPS
Elaina Quesada – Senior Commissioning Officer CYPS
Debbie Nash – Strategic Manager – Public Health, Finance and Commissioning
Satinderjit Bering – Strategic Commissioning Lead Primary Care Trust
Chris Edwards – Assistant Chief Executive Greater Manchester Probation Trust
Gaynor Burton – Equality and Diversity Manager

B. Policy or Function

  1) Name of policy/procedure/function to be assessed:
Supporting People service remodelling and transformation aligned to budget proposals 2012/13




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   2) Is this a policy or function?                            Policy           Function      √

   3) Is this a new or existing policy or function?            New                Existing    √



   4) What is the main purpose of the policy/function?
Supporting People currently funds a range of housing related support services for disabled people, older people, young adults and
other vulnerable adults to help support them in their homes, and to connect with their local community.



   5) Do any written procedures exist to enable delivery of this policy/ service/function?
Contracts and service specifications are in place with all service providers. They have been let through standard tendering/
procurement practices. Individual providers have a range of policies linked to their provision. There is a nationally agreed quality
monitoring tool in place. A Supporting People strategy has been in place, which is now due for review, this will be linked to the
strategic outcomes and priorities formulated by the consultation. See appendix 1




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     B – Policy & Function contd:-

     6) Are there elements of common practice that are not clearly defined within the written procedures? If yes,
        please state.

No

     7) Who are the main stakeholders of the policy?

Service providers, including 3rd sector providers and Registered Social Landlords, vulnerable/ older/ disabled people, health and
probation services, housing, Children and Young People’s services.


     8) How will the policy/function, (or change/improvement) be implemented?
Supporting People Commissioning Body in place, which is multi-disciplinary and multi-agency. Has been strengthened with new
members to undertake this project. This Body will oversee implementation. Comprehensive consultation programme in place – see
below.


     9) What factors/forces could contribute/detract from achieving these outcomes for service users?

     Lack of agreement by providers. Consultation fails to identify best way forward. Will be helped by good partnership working.
     Also, some providers are keen to transform and diversify services.


     10) Who is affected by the policy? Who is intended to benefit from it and how?



                                                                                                                                    3
Supporting People funds a range of services linked to 4 service areas.
      Social inclusion: This helps support:
        o services for people fleeing domestic violence;
        o housing and advocacy for ex-offenders;
        o support services for those with drug and/or alcohol issues;
        o services preventing homelessness.
      Care and support: This helps fund
        o support for adults with mental health issues to move on to more independent living;
        o supported housing for adults with learning disabilities;
        o specialist supported housing for adults with complex support needs.
      Older people: Supporting People funding contributes to:
        o the provision of a scheme manager in sheltered accommodation;
        o a community alarm service.


      Young People
Funding from Supporting People also contributes to supported lodgings for young people leaving care and a scheme to support
teenage parents.


  11) Is the policy associated with any other policies of the Authority?
NA




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   12) Is the responsibility for the proposed policy or function shared with another department or authority or
   organisation? If so, what responsibility, and which bodies?

Housing, Safer Trafford, Health commissioning, Probation, CYPS are all members of the Supporting People Commissioning Body

C. Data Collection

   1. Do you have monitoring data available on the number of people (from different equality groups) who are
      using or are potentially impacted upon by your policy/ service/function?
  The information below identifies the total number of people who could be using the service at any one time ie the capacity of the
  services funded.
Service User information                 Number of Service Users
Older People

Sheltered housing                                              1400
Cat 1 housing                                                  2000
Extra care                                                       80
Learning Disability services
Calderstones                                                      46
IAS                                                               11
Paragon                                                            6
UBU                                                               15
Council Supported Living Network (in
house)                                                            30
Independent Options                                                2




                                                                                                                                  5
Council Independent living service for
people with a learning disability (In
house)                                   11
Phy Disabilities
Independent living service for people
with a physical disability or sensory
impairment (in house)                    27
Mental Health
Mental Health accommodation and
floating support                         42
Kenwood Road project                      3
The Firs accommodation project           11
Social Inclusion
Womens’ refuge, floating support and
advice and information                   16
Offender housing project                 32
Greater Manchester Offender Project       0
Offender housing advocacy                50
Meadow lodge/Pomona Gardens
including drug alcohol support           40
Homeless families temp
accommodation support                    40
Young people
Teenage parent scheme and floating
support                                  22
Greenbank Leighton rd                    24




                                              6
Trafford Aftercare Elstree Court                                    5
Trafford Aftercare Supported Lodgings                           4
  The table below identifies the BME breakdown of new service users entering services during 2010/111

   BME breakdown of new service users 2010/11

 White                                  82%
 Asian or Asian British                5.2%
 Black or Black British                6.6%
 Chinese                               1.4%
 Refused                               1.4%
 Mixed                                 3.3%



   2. If monitoring has NOT been undertaken, will it be done in the future or do you have access to relevant
      monitoring data for this area? If so, specify the arrangement you intend to make; if not please give a
      reason for your decision.

A frame work for monitoring housing related services nationally is in development. The frame work will cover Client characteristics
and demographics, including: Age, Gender, Race, Disability, Religion, Sexual orientation, Transgender, Economic status




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D. Consultation & Involvement

  1.Please list any consultations that you may have had and/or local/national consultations, research or
  practical guidance that will assist you in completing this EIA.
  See below documents which outline the consultation process followed :
  The Future of Adult Social Care in Trafford - An Over view Appendix 2
  Supporting People Consultation Plan – Appendix 3
  Proposed Changes to Supporting People funded services – Appendix 4




   3. Please list any consultation planned, methods used and groups you plan to target. (If applicable)

Please see the above embedded documentation giving details of the process which included
   •   Individual consultation meetings with providers
   •   Support to provider led service user consultation
   •   Service area provider consultation events
   •   Service area provider workshops
   •   Support from broker organisations

Meetings Held or planned

   •   Dec 8th Consultation launch all providers



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   •   Jan 10th 2- 4pm, room 12, Sheltered/Cat 1 providers
   •   Jan 13th 2- 4pm, room 12, LD providers
   •   Jan 17th 2- 4pm, room 12, MH and social inclusion providers
   •   Jan 18th 9.30 – 11am room 10, Young people Providers
   •   24th Feb Sheltered Housing Workshop

Throughout January and early February individual consultation meetings held with providers, service users/carers.

   4. What barriers, if any, exist to effective consultation with these groups and how will you overcome them?
Consultation organised in groups and then on 1:1 basis. Service providers have been supported to involve service users in the
consultation.




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D: The Impact – Identify the potential impact of the policy/function on different equality target groups

The potential impact could be negative, positive or neutral. If you have assessed negative potential impact for
any of the target groups you will also need to assess whether that negative potential impact is high, medium or
low

                         Positive    Negative Neutral       Reason
                                     (please
                                     specify if
                                     High,
                                     Medium
                                     or Low)
Gender – both men and                Low                    Gender groups cross a number of SP service groups and
women, and                           overall                as such changes for one client group will impact on this
transgender; also                    but                    group. Several services are particularly used by women.
consider                             Medium                 These include services for victims of domestic abuse,
                                     in relation            homeless families, teenage parents, sheltered housing and
                                     to                     cat 1 housing.
                                     domestic
                                     violence               Planned changes to these services will focus on ensuring
                                     services.              the continuation of appropriate support linked to
                                                            community based developments and the use of new ways
                                                            of working.
                                                            Consultation meetings have indicated that core services
                                                            will continue to be provided to Sheltered and Cat 1 housing



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                           service users.
                           Proposals for services supporting homeless families will
                           mean that future support will be offered in different ways,
                           making use of generic community based support services,
                           intensive housing management via the accommodation
                           providers and closer integration of CYPS services to
                           support families and children.
                           Services to teenage parents will continue to be provided
                           with support prioritised to meet greatest need again
                           incorporating closer working with mainstream CYPS
                           services allowing improvements in service provision to this
                           group.
                           Planned changes to the services supporting victims of
                           domestic abuse will continue to be focussed on the refuge
                           service. Community based support and advice and
                           information will continue to be provided via a range of
                           community based support such as the “Compass” service,
                           Independent Domestic Violence Advocates, Victim Support
                           services and MARAC. During consultation, it was made
                           clear that the current proposal in regard to Trafford
                           Women’s Aid would lead to a reduction in services, thus
                           impacting on women as victims of domestic abuse.
Pregnant women &     low   SP funds specific services particularly aimed at homeless
women on maternity         families and teenage parents, this group may include
leave                      pregnant women. Planned changes to these services will



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                                          focus on safeguarding priority services. Proposals for
                                          services supporting homeless families will mean that future
                                          support will be offered in different ways, making use of
                                          generic community based support services, intensive
                                          housing management via the accommodation providers
                                          and closer integration of CYPS services to support families
                                          and children.
                                          Services to teenage parents will continue to be provided
                                          with support prioritised to meet greatest need again
                                          incorporating closer working with mainstream CYPS
                                          services allowing improvements in service provision to this
                                          group via community based developments such as support
                                          services to troubled families and the re focus of SP funding
                                          towards a community based generic support service
Gender Reassignment             Neutral   The needs of these groups cross SP client groups. SP
                                          does not fund specific services for this group and no
                                          specific changes are planned which would impact as a
                                          result of gender reassignment.
Marriage & Civil                Neutral   The needs of these groups cross SP client groups. SP
Partnership                               does not fund specific services for this group and no
                                          specific changes are planned which would impact as a
                                          result of marriage or civil partnership.
Race- include race,       Low             SP does not fund specific services for BME groups, the
nationality & ethnicity                   needs of this group cross SP client groups, and
(NB: the experiences                      improvements or changes introduced for one client group



                                                                                             12
may be different for           will also provide support to other client groups. Identified
different groups)              unmet needs will be addressed by increases in community
                               based support, the utilisation of new technology and new
                               ways of working linked to personalisation, and locality
                               based services.
                               Access to SP services will be managed in a more focussed
                               way to ensure that these services target those with the
                               highest levels of need. BME communities are known to be
                               over represented in Mental health and the criminal justice
                               service. Consultation has indicated that proposals will have
                               a low impact on these types of services and will allow for
                               the focus of services to meet particular priorities such as
                               Integrated offender management services. The
                               development of the community based Compass support
                               service will allow additional support to be provided. This
                               will be prioritised based on a matrix of support needs and
                               will allow a range of services to be developed to enhance
                               the network of support available in local communities.
Disability – physical,   low   SP funding supports the wider provision of services to
sensory & mental               people with a disability particularly to people with a
impairments                    learning disability, mental health problems and people with
                               physical and sensory disabilities. The scale of the SP
                               contribution is a small component of total funding available
                               through adult social care and health funding. This means
                               that the changes will have low impact on services delivery,



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                               but may result in higher demand on social care budgets.
                               Future commissioning intentions have been developed via
                               comprehensive reviews of these groups. These will bring
                               improvements in service delivery particularly linked to re-
                               ablement and The Right to Control. The continuation of
                               support to disabled people will be ensured by
                               transformation of service delivery and improving how we
                               use available resources through personalisation, promoting
                               independence and prevention and further integration with
                               health. Disabled people are particularly represented in
                               Sheltered and Cat 1 housing linked to age and disability.
                               As identified below, any changes will have low impact.
Age Group -specify eg;   Low   The vast majority of service users supported by SP funding
older, younger etc)            are older people living in Sheltered or Cat 1 ( with
                               community alarm) accommodation, SP also contributes to
                               the provision of specific services for younger people. A
                               comprehensive review of sheltered and Cat 1 services has
                               been completed. The review identified a range of actions to
                               reshape and improve services available to older people by
                               providing for a more targeted service to support older
                               people living within sheltered housing and at the same time
                               establishing new support mechanisms in the wider
                               community. These proposals will not lead to an end to
                               these services. The changes when implemented will
                               protect the most valued elements of the scheme manager



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                                                        and community alarm service and be better targeted at
                                                        those most in need.

                                                        The new focus on locality will result in new support
                                                        services becoming available to greater numbers of older
                                                        people.

                                                        Services for younger people include teenage parent
                                                        service and services for young people leaving care or in
                                                        housing need. The services will be much more closely
                                                        aligned to CYPS commissioning priorities this will enable
                                                        available funding to be better targeted at the correct
                                                        services meeting needs identified through commissioning
                                                        led reviews.
Sexual Orientation –                         Neutral    The needs of these groups cross SP client groups. So
Lesbian, Gay Men,                                       funds no specific services for this group and no specific
Bisexual people                                         changes are planned which would impact as a result of
                                                        sexual orientation.
Religious/Faith                              Neutral    The needs of these groups cross SP client groups. SP
groups (specify)                                        does not fund specific services for this group and no
                                                        specific changes are planned which would impact as a
                                                        result of religion or faith.

As a result of completing the above what is the potential negative impact of your policy?




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High                     Medium                                  Low X

Could you minimise or remove any negative potential impact that? Explain how?

     Race: We anticipate a low negative impact on BME groups from the remodelling of SP services. Although monitoring
      information shows that BME groups make up 16% of new service users to SP services we do not anticipate that changes will
      have any specific negative impact on this percentage. In order to minimise any impact the Commissioning Body will continue
      to work with providers and other stakeholders to closely monitor services and understand any unforeseen negative impact
      and act to mitigate these.

     Gender, including pregnancy & maternity, gender reassignment, marriage and civil partnership: We
      anticipate overall a low negative impact on these groups resulting from the remodelling of SP services. SP funds services
      that are used by a greater proportion of women, linked to child care responsibilities, domestic abuse and the fact that they
      tend to live longer. As a result of identified risk in relation to domestic abuse services, the original proposal has been
      modified to ensure continuation of services. In order to minimise further impact the Commissioning Body will continue to
      work with providers and other stakeholders to closely monitor services and understand any unforeseen negative impact and
      act to mitigate these. We are also funding a transition period in regard to homeless family accommodation to ensure
      continuity of support whilst remodelling the service.

     Disability: We anticipate a low negative impact on these groups resulting from the remodelling of SP services. SP funds
      make a small contribution to services jointly commissioned with adult social care that are specific to the needs of these
      groups. In order to minimise any impact the Commissioning Body will continue to work with providers and other
      stakeholders to closely monitor services and understand any unforeseen negative impact and act to mitigate these. In
      addition, where we have identified a risk of increased demand on adult social care budgets as a result of the proposals, we
      have factored this in to ensure people are not at risk of reduced service.

   Age: We anticipate a low negative impact on these groups resulting from the remodelling of SP services. SP funds services
      that specifically meet the needs of these groups. In order to minimise any impact the Commissioning Body will continue to



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      work with providers and other stakeholders to closely monitor services and understand any unforeseen negative impact and
      act to mitigate these.

    Sexual Orientation: We anticipate a neutral impact on these groups

    Religious/Faith groups: We anticipate a neutral impact on these groups

Also consider:

i) If there is an adverse impact, can it be justified on the grounds of promoting equality of opportunity for a
particular equality group or for another legitimate reason?


ii) Could the policy have an adverse impact on relations between different groups?


iii) If there is no evidence that the policy promotes equal opportunity, could it be adapted so that it does? If yes,
how?



EIA Action Plan




                                                                                                                            17
Recommendation           Key activity            When         Lead      Links to other Plans   Progress         Progress
                                                              Officer   eg; Sustainable        milestones
                                                                        Community Strategy,
                                                                        Corporate Plan,
                                                                        Business Plan,

Continued equality       Roll out the Common     April /May   IP        MRO/Commissioning      Draft            Completed
monitoring of services   data framework and                             Team Plan              Framework
                         workbook to providers                                                 circulated
                                                                                               Jan 12
                         Collate and analyse
                         returns                 July                                          Framework
                                                              IP/AM                            and work
                                                                                               book
                                                                                               adopted
                                                                                               Mar 12

                                                                                               Roll out April
                                                                                               /May

                                                                                               First return
                                                                                               mid July
Supporting People        See TOR below           TBA          LH        MRO/Commissioning      Minutes of
Commissioning Body       Appendix 5                                     Team Plan              meetings
to continue to meet to



                                                                                                                 18
oversee
transformation of
services and monitor
impact
Service providers to   Provider forums held    Schedule    MG/AG   MRO/Commissioning   Minutes of
meet regularly in key      LD SIP             of          IP      Team Plan           meetings
service areas              MH SIP             meetings
                           Sheltered and      To be
                             Cat 1 Providers   developed
                             Meeting
                           Social inclusion
                             Providers
                             Meeting
                           Young People
                             services
Planned remodelling        Sheltered          Ongoing     IP      MRO/Commissioning   Minutes of
and transformation of        Housing Group                         Team Plan           meetings
services to focus on         work re Old
community and locality       Trafford                                                  Services
based solutions to                                                                     remodelled
supporting vulnerable      Homeless
adults.                      accommodation
                             schemes

                           MH/LD



                                                                                                    19
                               Accommodation
                               support forum

As appropriate               LD/MH funding         Sept          LH        MRO/Commissioning         Funding
Supporting People                                                           Team Plan                 transferred
funding to be                Services for                                                            to other
transferred to other            young people                                                          budget
budgets headings as                                                                                   codes
required to remove
commissioning
duplication
    Please ensure that all actions identified are included in the attached action plan and in your service plan.



   Signed                                          Signed
   Lead Officer Ian Peet                           Service Head
   Date         12/3/12                            Date                     12/3/12




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Appendix 1




            Trafford Supporting People Team


              Review of Priority Needs
        Supporting People Commissioning and
          Procurement Strategy 2005 -2011




February 2009




                                              21
Contents

Executive summary           3

Introduction                5

Social inclusion services   6

Care and support services   10

Older people services       13

Summary of priorities       15

Action Plan                 16




                            22
Executive Summary
Trafford’s Supporting People Programme offers vulnerable people the
opportunity to improve their quality of life. The programme commissions
services which help vulnerable people to achieve and maintain greater
independence and live fulfilled lives within their local community.

Supporting People services can broadly be grouped under three headings –

      Social Inclusion Services – covering single homeless people,
       homeless families, people who misuse drugs and alcohol, women at
       risk of domestic violence, ex-offenders, young people at risk or leaving
       care, teenage parents, refugees, travellers, rough sleepers, people with
       HIV/AIDS
      Care and Support Services - covering people with learning
       disabilities, physical or sensory disabilities or mental health problems
      Older People Services - covering older people with support needs,
       frail elderly people or older people with mental health
       problems/dementia

Examples of the types of support provided include helping people to
    access benefits and maximise income
    manage a tenancy
    obtain appropriate health care and other services within the community
    access training, education and employment
    prevent homelessness or find suitable long term housing

The Supporting People Commissioning and Procurement Strategy has been
refreshed to reflect changing needs and priorities, such as demographic
change and changes in demand for services across health, housing and
social services. This refresh, in partnership with key stakeholders, included a
review of needs and gaps in services with the aim of revising the key strategic
priorities. The Strategy both informs and is informed by Trafford’s Joint
Strategic Needs Assessment, the Community Strategy; Trafford 2021: a
blueprint and the Trafford Housing Strategy.

The key issues that emerged from this review, and which are being used to
further develop and refine strategies and plans across all services, are:

Social Inclusion Services
    further development of services that focus on outcomes that promote
      social inclusion
    further development of services that address those with high level or
      complex needs such as offending behaviour and drug/alcohol misuse
    further continue the process of shifting the balance of services and
      resources towards prevention
    further development of services that support improved move on from
      short stay schemes
Care and support


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      further development of services to support people living with older
       carers
      further development of services to enable service users to move on to
       more independent living
      further development of services to meet the needs of people currently
       placed out of borough
      further development of services for people who have complex
       health/physical needs (these people may currently be placed out of
       Borough)
      further development of services that provide support for carers
      ensure that services are appropriate and accessible to meet the needs
       of people from BME communities

Older People
    further development of extra care or frail elderly schemes
    improve the accessibility of services to older people from BME
      communities.
    further develop social activities which promote health, independence
      and well-being in the community using sheltered housing as the base.
    closer integration of health and care services into sheltered housing




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Introduction

Trafford’s Supporting People Programme offers vulnerable people the
opportunity to improve their quality of life. The programme commissions
services which help vulnerable people to achieve and maintain greater
independence and live fulfilled lives within their local community.

Examples of the types of support provided include helping people to
    access benefits and maximise income
    manage a tenancy
    obtain appropriate health care and other services within the community
    access training, education and employment
    prevent homelessness or find suitable long term housing

Trafford receives £5.4 million per year from central government to fund these
services. To ensure that this money is used in the most effective way Trafford
Council have developed a Supporting People Commissioning and
Procurement Strategy covering the years 2005 to 2010. This strategy sets out
the priorities over the 5 years to deliver well targeted, cost effective and good
quality services.

The Strategy both informs and is informed by Trafford’s Joint Strategic Needs
Assessment, the Community Strategy; Trafford 2021: a blueprint and the
Trafford Housing Strategy.

Purpose of this report

When the Supporting People Commissioning and Procurement Strategy was
developed it was recognised that it would need to be refreshed to reflect
changing need and priorities. The Supporting People Team in partnership with
our key stakeholders has carried out a review of needs and gaps in services
with the aim of revising and refreshing the key strategic priorities. This report
identifies these priorities and the actions required to take these forward.

Structure of review and report

Supporting People services can broadly be grouped under three headings –

      Social Inclusion Services – covering single homeless people, homeless
       families, people who misuse drugs and alcohol, women at risk of
       domestic violence, ex-offenders, young people at risk or leaving care,
       teenage parents, refugees, travellers, rough sleepers, people with
       HIV/AIDS
      Care and Support Services - covering people with learning disabilities,
       physical or sensory disabilities or mental health problems
      Older People Services - covering older people with support needs, frail
       elderly people or older people with mental health problems/dementia




                                                                              25
Each of these groups was reviewed separately and the report considers each
in turn.


Social Inclusion Services
In the 2005-10 Supporting People Strategy it was noted that support services
for Socially Excluded client groups was generally under-provided. Due to the
wide variety of services within this group and the high priority within the
current strategy it was decided to carry out a detailed review of current
provision and need. The review was completed by Peter Fletcher Associates.

Using the finding from the 5 Year strategy as a starting point the review
mapped the strategic and operational objectives in national, local, and
regional plans. The views that emerged from this analysis were added to by
evidence from:
      Demographic changes
        Information on changes in waiting lists and demand for services
         across housing, health and social services over time
        Comparisons of homelessness numbers over time
A multi-agency snap-shot survey of service providers and other relevant
agencies was carried out. This was designed to increase understanding of the
range of needs that individuals had.
Finally discussion took place with key commissioners of services, service
providers and service users.

Results of the work

The results of the work confirmed information gathered in 2005, that there is a
large shortfall in service provision in Trafford, it is clear that need exceeds
supply in most client groups. However, it is also clear that a significant number
of people’s needs cross client groups and as a result solutions developed for
one client group will also provide help for people who fall into another client
group.

The key factor in beginning to address these needs will be increasing access
to stable accommodation. The current pressures on affordable
accommodation mean that the ability to move on all of the people currently
living in supported accommodation who could live independently with support
is inhibited. It also makes expansion of floating support to address unmet
needs difficult. Commissioners in Trafford are working to address these issues
but ultimately this single issue will decide the future commissioning options in
Trafford. All the evidence gathered supports this approach and would suggest,
if it is possible, addressing unmet needs via increases in floating support
rather than commissioning new supported accommodation. This approach
provides flexibility and infrastructure to support people in their own
communities and also increases the opportunities to deliver more preventative
support.


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The largest gap between needs and supply is in Substance Misuse where
there is a very significant gap and this is confirmed within the survey. Good
Practice suggests that a range of provision is needed including supported
accommodation and floating support. Some of this provision will need to be
able to deal with complex problems and therefore should be jointly
commissioned with the DAAT. A specialist provider should also be able to act
as a resource to other providers who support people who have substance
misuse as a secondary problem. Alcohol Misuse is also an issue, with
providers in particular pointing to a growing problem in sheltered housing. This
issue will need to be addressed via the Older People’s Strategy

Offenders are probably the second largest group but they will significantly
over-lap with substance misuse. Although the support needs of Offenders are
to some extent being addressed within general support there is still an unmet
need. This client groups presents a number of significant risks and potential
costs to the wider community and therefore they must be a priority for action.

Young People’s needs significantly overlap with other client groups and will
mainly be addressed by meeting other needs but there is a small gap that
needs to be addressed through floating support. There is an issue concerning
emergency access provision particularly for young vulnerable people. Young
Offenders are a very small group but some have challenging needs that will
require intensive support. It may be possible to address at least some of these
needs through existing supported provision and floating support if more
access can be made to stable accommodation. Care Leavers are entitled to
continued support but they will also need specific support to maintain their
accommodation and this has implications as national research confirms that
this is the group who are most likely to fail to maintain stable accommodation.
There are mixed views on how this client group should be supported as they
have to make a number of difficult transitions. It is clear that not all could
make the transition directly into independent accommodation but as we are
suggesting a better use of existing supported accommodation (see above)
more use of existing supported accommodation may be the way to address
these needs. Additional provision for Teenage Parents was made last year
and although there is some suggestion that further development is needed the
most urgent requirement is for provision for teenage couples.

We found that the number of Homeless Families was declining but there is a
need to increase preventative services to further reduce the numbers who
lose their homes. The numbers of people who are victims of Domestic
Violence are growing as more people are now prepared to report incidents.
Also, it is now recognised that a range of solutions need to be put in place and
there is a need to consider alternative methods of support. The new sanctuary
scheme offers an alternative but support is not currently offered as part of the
package. Commissioners should monitor the development of this project and
consider offering an element of support.
In the case of Travellers there is no evidence from the consultation exercise
that there are potentially support needs. Numbers in total in this community
are small and numbers who potentially need support are therefore also small.



                                                                             27
Needs within this community may well be linked to other issues concerning
other areas of interest such as education or health.
HIV/Aids is a growing problem but the support needs of this client group are
very small and at this stage may only be met through a generic local support
service. Where special needs arise Commissioners should draw on a cross
boundary approach. They can set in place arrangements to commission
specialist support services that are available in other parts of Greater
Manchester.

Trafford has a long history of being host to BME Communities and numbers
accessing support services are comparatively large. The growth in these
communities suggests that a range of culturally specific provision will be
required in the future. Two services have recently been commissioned linked
to disability but services may also be needed for single people. Trafford has
also been host to a small and decreasing number of Refugees and this has
resulted in the disbanding of the Asylum Team. There is evidence of a
continued need for support but this may be delivered through generic
services.

Key issues that have emerged are:
      Access to move-on accommodation is affecting the delivery of
         support services- this emerges across all of the client groups
        Substance and alcohol miss use is a very significant factor that is not
         exclusive to young people. The numbers are probably higher when
         the needs of Offenders are taken into account. There is significant
         evidence from other studies that higher proportions of offenders will
         have a substance or alcohol problem
        Mental health issues are a significant secondary need
        Support providers are supporting a much wider range of needs than
         the services descriptions suggest. Although there are no specific
         services for some client groups they are accessing support.
        Many service users have multiple and complex needs
        There is evidence of large numbers of people who have multiple or
         complex needs living in temporary or private accommodation with
         limited or no support
        More services are needed providing early interventions to prevent
         homelessness and therefore reducing some of the pressure on
         supported accommodation
        The growth in BME communities has to be responded to through
         both culturally specific and culturally sensitive services. There is a
         much higher proportion of people from BME communities receiving a
         support service currently than the percentage of people from BME
         communities in the population
        There is a small shortage of emergency access accommodation for
         vulnerable young people



                                                                             28
            The shortage of accommodation seems to be resulting in some
             people (who would also benefit from support) moving out of the
             borough to find accommodation

Priorities to Take Forward

Five broad sets of priorities are suggested:

1. To endorse the service direction set out in the Supporting People Strategy
             Promote a shift towards support services that focus on   delivering
              social inclusion
             Addressing the needs of people with high level or complex needs
             Adopting the hierarchy of support
             Continue the process of shifting the balance of services and
              resources towards prevention

2. Unblocking access to housing

          Build on initiatives already introduced to increase access to
           ordinary accommodation
          Improve access arrangements to supported housing

3. Service Delivery:
        Look at ways to deliver more integrated approaches to delivering
           packages of services
        Consider more use of infra-structure, for example technology in
           delivering support

4. BME Issues
        There are a significant proportion of people in need of support and
          receiving support from BME communities. The experience of
          existing services needs to be built on to meet future needs

5. Data Collection
          The present mechanisms for data collection for these client
             groups needs to be reviewed in order that information gathering
             for needs assessment can be made easier in the future




                                                                                29
Care and Support Services
This report reviews the findings of Trafford’s current 5-year Supporting People
strategy as it affects ‘care and support’ services. These services are for
people with
     learning disabilities,
     mental health support needs,
     physical disabilities and sensory disabilities
The report sets out proposed priority areas for taking this part of the Strategy
forward. The Strategy covering care and support services will continue to be
driven by fundamental aims and principles described in national agendas like
for instance Valuing People and the National Service Framework for Mental
Health and by local strategic objectives such as planning and developing
services that are needs-led and that encourage independence and improve
service users’ quality of life.

The objectives underlying this report are to:

       1. ‘revisit’ what the current Strategy highlights as the key issues for
          each of the care and support groups;
       2. propose what further action needs to be taken to address the key
          issues for each service user group;
       3. set out an action plan to take forward the findings.

The review encompassed discussion at meetings and forums and the
completion of a detailed survey. The survey was carried out between
February and May 2008 and involved circulating a questionnaire to as many
relevant stakeholders as possible. The questionnaire was circulated to 35
different stakeholders representing the three different service user groups and
representing different types of stakeholder including providers,
commissioners, service users/advocates and carers/advocates.

The purpose of the questionnaire survey was to obtain stakeholders’ current
views on gaps in Supporting People funded services and to thereby check
how valid are the gaps identified in the existing 5-year SP Strategy. The
results of the survey will help inform the SP Commissioning Strategy and
decisions about the future commissioning of services.

We received responses from a total of 22 different stakeholders representing
over 62% of those surveyed. The responses reflected the full range of the
service groups and the different types of stakeholder. Once analysed the
findings of the survey were challenged and validated through discussion with
key commissioners of services, service providers and service
users/advocates.




                                                                             30
Results of the work

Learning Disabilities

There was clear agreement with the priorities previously identified in the 5-
year SP Strategy. Particular gaps were identified in services for older people
with learning disabilities and the need to provide services for people living with
older carers. There was strong agreement with the need to provide services to
enable service users to move on to more independent living, this would entail
providing particular kinds of ‘stepping stone’ accommodation as well as
floating support services. There was also agreement with the need for
services for people from BME communities. As regards additional gaps in
services not already identified in the SP Strategy, one respondent identified
the need for specialist accommodation and services for people who have
additional complex health/physical needs, the need for more respite services
for carers was also identified.

Mental Health Support Needs

There was clear agreement with the priorities already identified in the existing
5-year SP Strategy and to gaps in services for older people with dementia.
There was strong agreement with the need for floating support services for
people with lower level needs, the need for local services for people currently
placed out of borough. One commissioner stressed the need for specialist
supported housing services for mentally disordered offenders.

Physical Disability and Sensory Disabilities

Again there was clear agreement with the current priorities identified in the
existing 5-year SP Strategy. There was strong agreement with the need to
provide more accommodation based and floating support services, agreement
with the need to provide assistive technology and the need for more services
for people from BME communities. As regards additional gaps in services not
already identified in the SP Strategy, one respondent identified the need for
accommodation and support services locally to meet the needs of people
currently placed out of borough and another respondent highlighted the need
for more practical support for carers.

Conclusions

The results of the questionnaire survey demonstrate a strong affirmation by
stakeholders of the priorities already identified in the existing 5-year SP
Strategy for how to address gaps in SP services. They serve to help define
more clearly the shape of these priorities as well as giving some indication of
other gaps in services.




                                                                               31
Priorities to Take Forward

Learning Disabilities
    services for people living with older carers
    services to enable service users to move on to more independent
       living
    services for people from BME communities
    services for people who have additional complex health/physical
       needs
    services that provide more respite for carers
    community support services (floating support services in SP terms)

Mental Health Support Needs
   floating support services for people with lower level needs, including for
      people from BME communities
   local services for people currently placed out of borough
   specialist supported housing services for mentally disordered offenders

Physical Disability and Sensory Disabilities
    more accommodation based and floating support services, including for
      people from BME communities
    services that provide assistive technology
    local accommodation and support services to meet the needs of people
      currently placed out of borough
    services that provide more practical support for carers




                                                                           32
Older People Services
Older people with support needs are the largest client group in receipt of
housing related support in Trafford. The types of service provided include

      extra care housing
      sheltered accommodation
      community alarm services
      home improvement services

Improvements in health and life expectancy mean that there will be a
significant increase in the number of older people in Trafford. The number of
people over 65 is projected to rise by 13.5% by 2020. For people aged over
85 the projected increases are even more marked with an increase of 23% by
2020. The prevalence of conditions such as dementia, heart disease and
stroke will increase in line with increases in age profile.

In response to this the priorities identified in the 2005/10 strategy were

      The development of extra care schemes
      The development of services to meet the growing needs of older
       people with mental health needs or dementia
      Further development of support services to allow people to remain in
       their homes
      The need to remodel and improve current sheltered housing stock
      The need to ensure services are culturally appropriate for communities


As part of the wider review of the supporting people strategy it was agreed
with current providers of older people services to carry out a mapping exercise
across residents of sheltered housing schemes in Trafford.
The aim of the mapping exercise was

      To ascertain current met and unmet needs of older people living in
       sheltered accommodation in Trafford.
      To identify the services that would need to be developed or reshaped in
       the future to meet the unmet needs.

The mapping tools were developed in partnership with the older persons
provider forum and were sent out to the providers at the end of 2007.
Training was provided to enable completion of the tools accurately and
consistently across the services.

8 out of 10 sheltered providers sent the mapping tools back giving information
on 32 sheltered schemes and 1091 individual sheltered housing residents.
Feed back was also obtained from service providers and service users via
forums and service review meetings.




                                                                             33
Results of the Work

The review has provided further evidence that the current strategic priorities
are correct and need to be taken forward.

The growing numbers of older people will require a range of services to
support them to live healthy and independent lives. This will only be achieved
by working with our partners and providers to deliver more integrated housing
related support including preventative and early intervention work.
The services must be delivered in a way which enables more people to
receive services close to their home and helps to assist older people to
remain in their own homes and natural communities.
An increase in older people affected by dementia was shown coupled with
other mental health needs such as depression and anxiety.
A lack of access to service provision for BME older people has been identified
and highlighted across the services. This may be due to a lack of awareness
of services, the cultural appropriateness of services coupled with language
barriers. There is a need to continue to re model or re shape some of the
current sheltered schemes to make the schemes sustainable into the future.
The review has identified that some younger and healthy residents of
sheltered schemes or those in receipt of a community alarm service do not
need these services at the present time. Finding a way to support the
generality of preventative services whilst focusing support on those most in
need will be important in the future. It was also identified that support to
enable some older people to carry out small household tasks such as
changing light bulbs was required.


Priorities to take forward

      The need to develop extra care or frail elderly schemes identified.

      Explore why older people from BME communities are not accessing
       available support.

      Handy person provision for small jobs such as changing a light bulbs

      Promoting preventative services and choice and control.

      Development of social activities which promote health, independence
       and wellbeing in the community

      Closer integration    with   health,   care   services   and   3rd   sector
       organisations




                                                                               34
Summary of Priorities


The Supporting People Team in partnership with our key stakeholders has
carried out a review of needs and gaps in services with the aim of refreshing
the key strategic priorities within each need group. The priorities are as
follows


Social inclusion
    services that focus on outcomes that promote social inclusion
    services that address those with high level or complex needs such as
       offending behavior and drug/alcohol misuse
    continue the process of shifting the balance of services and resources
       towards prevention
    Services that support improved move on from short stay schemes

Care and support
    services to support people living with older carers
    services to enable service users to move on to more independent living
    services to meet the needs of people currently placed out of borough
    services for people who have complex health/physical needs (these
      people may currently be placed out of Borough)
    services that provide support for carers
    ensure that services are appropriate and accessible to meet the needs
      of people from BME communities
    specialist supported housing services for mentally disordered offenders

Older People
    the further development of extra care or frail elderly schemes
    services which improve the accessibility of services to older people
      from BME communities.
    handy person provision for small jobs such as changing a light bulbs
    development of social activities which promote health, independence
      and wellbeing in the community using sheltered housing as the base.
    closer integration of health and care services into sheltered housing




                                                                          35
Appendix 2


The Future of Adult Social Care
           in Trafford

              An overview




             The Consultation



                                36
       5th December 2011 to 27th
             February 2012
Introduction
Trafford Council provides a range of social care services to adults across the
Borough. Rated excellent by the Care Quality Commission, adult social care
has a good track record of working with service users, carers and
organisations to deliver high quality services.

Trafford Council, like many other Councils, has to respond to a major
reduction in its funding over the next three years. The Council has to reduce
costs by around £42 million by 2015. It continues with a programme of
reviewing all internal services, including finance and human resources,
ensuring these provide value for money. However, due to the spending
reductions we need to make, we also have to review the services we provide
to those living and working in Trafford. This will include adult social care. In
2012-13 adult social care will need to reduce costs by £5.9 million. We will be
reducing costs by reducing back office costs and other efficiencies. However,
we will need to reduce costs further in the coming year.

We have produced this information leaflet to inform people how we propose to
meet the challenges ahead. There will be a series of formal consultations over
specific proposals. This leaflet outlines the overall programme of changes we
are putting forward. We face difficult choices. The Council is committed to
meeting the needs of people in Trafford, but we have to make some major
changes in order to secure quality services in the years ahead.

Overall we have three key approaches to the future:

      Personalisation: we have already developed the use of personal
       budgets. This means people can have more choice and control over
       the support they receive. We intend to extend this further, in order to
       have as many people as possible with their own personal budgets.

      Promoting independence: we are committed to working with people
       to support them to be as independent as possible. We have developed
       reablement services, short term support to help people maintain or
       increase their independence. We continue to promote the use of
       telecare to help people remain in their own home. We are also
       continuing to develop the range of support we offer people with very
       complex needs. Promoting independence continues to be a key part of
       the support people receive.

      Integration: We are committed to creating integrated health and social
       care across Trafford. By continuing to work with local health services
       we can provide a more effective, efficient way of meeting needs,
       creating innovative services to support people to live independently in
       their community. We recognise that working with the local health


                                                                                 37
       services will provide a more effective and efficient way of meeting
       needs. We are committed to creating integrated health and social care
       across Trafford. We continue to work with health services to create
       innovative services that will support people to live independently in their
       community.

The above approaches will help improve how we use the resources we have
available, ensuring we are as efficient as possible. However, we need to make
some changes to balance our budget for next year. These are proposals. We
are seeking people’s views before making a final decision. These are difficult
choices which will be a challenge to deliver, especially given the increasing
demand for some services.

Our proposals are:

      Charging: in line with the Government’s guidance on Fairer Charging
       the Council charges people for the homecare and day support services
       they receive, based on their ability to pay. At the moment people with
       more than £50,000 in savings pay the full cost of their services. We
       propose to reduce the threshold for full cost charges to people with
       capital above £23,250. This will bring the Council’s Fairer Charging
       Policy into line with the threshold for people in residential care, who pay
       full fees if they have this level of savings. This will mean some people
       will pay more for their care services, but only if they have more than
       £23,250 in savings.
       This will bring in extra income of £300,000.

       At present people pay a flat rate cost of £1 per journey on Council
       funded transport. People may also pay £2.24 for a two course meal,
       delivered at home by meals on wheels or at a day centre. These
       services are heavily subsidised. The cost to the council is higher. The
       cost to the Council for each transport journey is £14 and the cost for a
       meal is £4.02.

       Transport and meals are also part of people’s day to day expenditure –
       everyone has to pay for transport and for meals. We are therefore
       consulting on the proposal to reduce the subsidy for these services. We
       propose to increase the flat rate charges to £2 per social care transport
       journey and £3.50 for a two course meal.

       Changes to transport and meals will contribute to the cost reductions
       listed under day support on the next page.

      Luncheon clubs: we want to review the charges for luncheon club
       meals.
       We could reduce costs by £20,000.

      Homecare services: we currently provide a range of homecare
       services for people who are eligible. We are considering a new
       assessment focusing on supporting with personal care needs and


                                                                               38
    reducing social isolation. We would also support people to arrange
    services to meet their domestic needs, and/or using a home shopping
    service, if necessary. This means we could stop directly funding
    support for things such as shopping, pension collection, cleaning and
    laundry, apart from in exceptional circumstances.
    We could reduce costs by £164,000.

   Physical disability services: we intend to extend the use of personal
    budgets for people with physical disabilities. We also intend to use
    reablement services to help support people with physical disabilities to
    live independent lives.
    We could reduce costs by £100, 000.

   Learning disability services: supporting people with learning
    disabilities can be high cost due to their complex needs. We are
    already working with service users, carers and organisations to look at
    different ways of supporting people with learning disabilities to get
    better value for money.
    We could reduce costs by £300,000.

   Day support: we have transformed some of our traditional day support
    services by providing people with personal budgets. This has provided
    people with the opportunity to have more choice and control over how
    they spend their day. We will review how this could be extended to
    other day services for older people currently provided by a range of
    organisations and funded by the Council. This will mean people could
    be supported to use a personal budget to access services in the
    community. We will review which services this might affect.
    We are also looking to increase the flat rate charges for social care
    transport and meals. More information is in the charging section on the
    previous page.
    Thirdly we are consulting on the proposal to review the use of social
    care transport, ensuring people need this service and do not have
    alternative means of transport such as a mobility car.
    This could reduce costs by £257,000.

   Supporting People: we currently fund a range of support services
    related to housing needs and specialist housing schemes. Examples
    include: sheltered housing for older people; supported living schemes
    for people with a learning disability or mental health need and
    temporary accommodation schemes for families and single people who
    are homeless or in housing need. These are provided by a range of
    organisations. We propose to reduce the level of funding significantly.
    Whilst we would look to reduce the costs of some services, this will
    mean some services will come to an end.
    We could reduce costs by £2.4 million.

   Advice and Information Services: we propose to review the range of
    advice and information services we provide and fund. We aim to find



                                                                           39
       ways of providing these in a more efficient way. We will work with these
       services to come up with proposals.
       We could reduce costs by £136,000.

      Contracts with the Voluntary Sector: we have a range of contracts
       with various voluntary sector organisations. We want to consult with
       them about collaborative working and new ways of providing services
       at lower costs.
       We could reduce costs by £280,000.

      Mental health services: we are going to review the range of services
       provided by external organisations.
       We could reduce costs by £140,000.

      Fee levels: we fund people in residential care, as well as purchasing
       homecare from a range of organisations. Our proposals are that:

                 -   We will consult the market to inform our decision about
                     fee levels for 2012 -2013.

                 -   We will agree a programme of reducing costs with
                     homecare providers.

       We recognise that this will be a challenge for organisations. Therefore
       we are consulting with them before setting fee levels for next year.
       We could reduce costs by £1.632 million.

The above proposals represent a major challenge. However, we recognise
that there is growing demand for services. We will look to invest additional
funding in certain areas. This could include supporting young adults with
learning disabilities who are leaving school and college, and increasing the
amount of homecare we provide to older people.

At the moment these are just proposals. There will be a number of specific
consultations before any final decisions are made. If you wish to comment
please fill in the attached comment sheet and return to:-

Consultation Response
Adult Social Care
Trafford Council
2nd Floor, Quay West
Trafford Wharf Road
Trafford Park
M17 1HH

Independent Advice and support
We recognise that for those using services and their carers the changes could
have an impact on the support they receive. We are therefore working with a
range of voluntary organisations. These organisations can offer independent



                                                                               40
advice and support, ensuring citizens understand the impact of the proposals
and can have their voices heard.

If you would like to talk to someone independent of Trafford Council you can
contact any of the organisations listed below.


Trafford CIL (Centre for Independent Living)
Address: St Giles Lodge, Atkinson Road, Sale M33 6FZ
Phone: 0161 850 0645
Textphone: 18001 0161 850 0645 (Text Relay) or 07944 049092 (Mobile)

Trafford Carers Centre
Address: 13 Warwick Road, Old Trafford M16 0QX
Phone: 0161 848 2400

LMCP Care Link
Address: 95A Princess Road, Manchester M14 4TH
Phone: 0161 226 4632

Genie Networks
Address: Altrincham General Hospital, Market Street, Altrincham WA14 1PE
Fax: 0161 941 4549
Textphone: 0161 941 4549

Age UK Trafford
Address: 20a Station Road, Urmston M41 9JN
Phone: 0161 746 3940


Consultation feedback on the Adult Social Care Cost Reductions Programme
for 2012 – 13

Name of organisation/individual

Contact details


What is your view of the overall budget plans for Adult Social Care for 2012 –
13?




What do you think the impact will be on the residents of Trafford?




                                                                               41
What do you think the impact would be on your organisation/you as an
individual?




What changes do you think could be made?




Do you think there are other options that the Adult Social Care could pursue?




Do you have any other comments?




                                                                            42
Thank you for your feedback. Please send this form to :

Consultation Response
Adult Social Care
Trafford Council
2nd Floor
Quay West
Trafford Wharf Road
Trafford Park
M17 1HH

If you would like further information and/or would like to comment in more
detail on any of the specific proposals, please indicate here, and we will send
you further information to the contact details you have given us at the top of
the sheet.                                                               




                                                                              43
Monitoring Form



Gender

Male              Female    


Ethnic Group
Asian             Mixed dual heritage      Black   White
      

Other……………………………………………………………………………

Age


Do you have a disability?

Yes               No   

Are you a carer?

Yes               No   




                                                             44
     Appendix 3
                        Supporting People Consultation Plan


Date                   Consultation Event
2nd December           Media briefing includes information on the broad proposal for SP cost
                       reductions
5th December           General consultation document published including information on the
                       broad proposal for SP cost reduction
7th December           Initial Consultation Meeting with all SP providers The meeting
12.45 – 13.45 room 7   presents information on
                            The wider savings context
                            the overall ASC cost reduction proposals
                            the broad SP cost reduction proposals
                            How we are managing the cost reduction proposals – enhanced
                                CB meeting, the work of the SHP, consultation
                            Role of providers as partners working in partnership to reshape
                                services
                            ASC and SP leaflet
                            Requirement for providers to consult with their service users
                            Specific proposals to be circulated to providers 8th Dec
                            Support from the council
                            Availability of individual meetings with providers
                            Details of 4 service area meetings in Jan
8th December           Individual letter sent to providers giving details of individual proposed
                       cost reduction proposals - include SP consultation leaflet and
                       questions – offer to meet individual providers- reinforce message re
                       consultation with service users
Throughout December/   Individual meeting held with providers as requested
Jan
Jan 10th               Meeting with Sheltered/Cat 1 providers 14 providers
2- 4pm, room 12        Trafford Housing Trust, Irwell Valley, Anchor, Adactus, Harvest,
                       Salvation Army, Johnnie Johnson, Equity, Contour, St Vincents,
                       Mosscare, Northern Counties, H21
Jan 13th               Meeting with LD providers 6 providers IAS, UBU, Calderstones,
2- 4pm, room 12        In house service, Independent Options, SLC Paragon.
Jan 17th               Meeting with MH and social inclusion providers - 8 providers
2- 4pm, room 12        Creative Support, Guardian Care, Making Space,
                       TWA, Great Places, Adullam, Host, Trafford Housing Trust
Jan 18th               Meeting with Young people
9.30 – 11am Room 10    Providers
                       3 providers – Great Places, Irwell Valley, Aftercare.
Throughout Jan/Feb     Attend provider led service user consultation events as requested




                                                                                      45
Appendix 4



    The Future of Adult Social
         Care in Trafford


      Proposed Changes to
    Supporting People funded
            services




             The Consultation



                                 46
       5th December 2011 to 27th
             February 2012
Introduction

Trafford Council provides a range of social care services to adults across the
Borough. Rated excellent by the Care Quality Commission, adult social care
has a good track record of working with service users, carers and
organisations to deliver high quality services. Supporting People funded
services are managed alongside adult social care services.

Trafford Council, like many other Councils, has to respond to a major
reduction in its funding over the next three years. The Council has to reduce
costs by around £42 million by 2015. It continues with a programme of
reviewing all internal services, including finance and human resources,
ensuring these provide value for money. However, due to the spending
reductions we need to make, we also have to review the services we provide
to those living and working in Trafford. This will include adult social care and
Supporting People funded services. In 2012-13 adult social care, including
Supporting People funded services, will need to reduce costs by £5.9 million.
We will be reducing costs by reducing back office costs and other efficiencies.
However, we will need to reduce costs further in the coming year.

The Proposal – Supporting People funded services
The proposed cost reduction for Supporting People, which is included within
the overall target of £5.9million for adult social care, is £2.4million. Supporting
People funds a range of services linked to three key priorities.
      Social inclusion: This helps support:
          o services for women fleeing domestic violence;
          o housing and advocacy for ex-offenders;
          o support services for those with drug and/or alcohol issues;
          o services preventing homelessness.
      Care and support: This helps fund
          o support for adults with mental health issues to move on to more
            independent living;
          o supported housing for adults with learning disabilities;
          o specialist supported housing for adults with complex support
            needs.
      Older people: Supporting People funding contributes to:
          o a handyperson service;
          o the development of social activities in sheltered accommodation;


                                                                                47
          o a community response services.
Funding from Supporting People also contributes to supported lodgings for
young people leaving care and a scheme to support teenage parents.




The Consultation – ‘Have Your Say’
The Consultation will run for a 12 week period from the 5th of December 2011
to the 27th of February 2012.
There are a range of ways by which you can have your say:
      Complete the questionnaire attached to this letter and return to Adult
       Social Care Consultation Quay West, Trafford Wharf Road, Trafford
       Park M17 1HH
      Write direct to the Adult Social Care Consultation at Quay West,
       Trafford Wharf Road, Trafford Park M17 1HH
      E-mail Adult Social Care Consultation at
       access.trafford@trafford.gov.uk
      Call the ‘Have Your Say’ Adult Social Care Helpline between 9am and
       4.30pm Monday to Friday on 0161 912 1219.
      Make your views known to the Independent Local Involvement Network
       (LINk). Phone 0161 962 7266.


Independent Advice and support
We recognise that for those using services and their carers the changes could
have an impact on the support they receive. We are therefore working with a
range of voluntary organisations. These organisations can offer independent
advice and support, ensuring citizens understand the impact of the proposals
and can have their voices heard.

If you would like to talk to someone independent of Trafford Council you can
contact any of the organisations listed below.

Trafford CIL (Centre for Independent Living)
Address: St Giles Lodge, Atkinson Road, Sale M33 6FZ
Phone: 0161 850 0645
Textphone: 18001 0161 850 0645 (Text Relay) or 07944 049092 (Mobile)

Trafford Carers Centre
Address: 13 Warwick Road, Old Trafford M16 0QX
Phone: 0161 848 2400

LMCP Care Link
Address: 95A Princess Road, Manchester M14 4TH
Phone: 0161 226 4632


                                                                                48
Genie Networks
Address: Altrincham General Hospital, Market Street, Altrincham WA14 1PE
Fax: 0161 941 4549
Textphone: 0161 941 4549

Age UK Trafford
Address: 20a Station Road, Urmston M41 9JN
Phone: 0161 746 3940




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Please answer the following questions and return the questionnaire to

Adult Social Care Consultation at Quay West, Trafford Wharf Road, Trafford
Park M17 1HH


Please tick one box for each statement.

                                    Strongly Tend Neither   Tend to  Strongly
                                    Agree    to    Agree or Disagree Disagree
                                             Agree Disagree
1. Cost reductions should fall
   equally across the three key
   priorities.
2. Cost reductions should protect
   services for adults in crisis
   situations
3. Cost reductions should protect
   services for adults with the
   most complex needs.


4. Cost reductions should not be
   made within Supporting
   People funded services.


Do you have any other ideas about Supporting People funding which you
think we should consider?


______________________________________________________________
_____

______________________________________________________________
_____

______________________________________________________________
_____

______________________________________________________________
_____

We may want to get in touch with you to find out more about your
suggestions. If you are happy for us to do this please provide the following
detail:-

Name:


                                                                               50
Address:


Postcode:                                        Telephone No.
Email address:

If you would like further information and/or would like to comment in more
detail on any of the specific proposals, please indicate here. We will send
further information to the contact details you have given us above. 

Monitoring Form



Gender

Male              Female       


Ethnic Group
Asian             Mixed dual heritage             Black       White
      

Other……………………………………………………………………………

Age


Do you have a disability?

Yes               No     

Are you a carer?

Yes               No     




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Appendix 5


                           Trafford Council
                    Communities and Well Being
                Commissioning and Service Development


               Supporting People Commissioning Body

                          Terms of Reference


     To deliver, based on collaboration with all key stakeholders, the
      proposed budget saving for 2012/13.

     To commission housing related support services to meet the needs of
      residents in Trafford.

     To identify and manage the associated risks linked to the ambitious
      programme of work. The programme of work will initially run from
      November 2011 to April 2012 with a further period which will oversee
      delivery of the savings.

     To ensure an equality impact assessment is undertaken on the
      proposals and the implications inform the commissioning decisions
      subject to consultation.

     To promote an holistic and outcome focussed programme
      demonstrating value for money whilst promoting independence, choice
      and control.

     Following completion of the work programme the membership and
      terms of reverence of the Commissioning Body will be reviewed.




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