Adult social care commissioning priorities
Our commissioning priorities are:
- Stay relevant, responsive and ambitious – Create services that can support people with a range of needs. For example accommodating older people with a learning disability. As well as accessible services for people with physical and sensory impairments and those with autistic spectrum disorders
- Assistive technology – Use current, new and emerging technology innovatively, enabling people with care and support needs to live as independently as possible
- Accommodation and support – Build new services and models which will support people with their recovery, enablement and progression. These will be in the borough so that connections to family and friends, local communities and networks which bring wider benefits are strong. We will re-open our Approved Provider Lists annually to provide opportunities for innovation and new ideas
- Prevention – Ensure that we have a strong and robust prevention approach which promotes and maximises independence and wellbeing
- Workforce – Focus on improving the quality and stability of the care workforce. This includes ensuring that there is strong clinical and professional leadership and implementing policies which promote person-centred care. Applying a whole family approach to services. Supporting best practice in end of life care, safeguarding and mental capacity
- Employment and training – Ensure specialist services are meeting the needs of people with mental ill health, learning disabilities and autism to achieve and progress to employment and training, greater independence and that they are working together for greater impact
- Carers – Develop our support offer further for carers, including access to training, support groups, opportunities for respite and how support is integrated into primary care services (General Practice)
- People with complex needs – Maintain and improve existing good work to develop specialist and bespoke accommodation and support services, so that people can move from hospitals and residential services back to Barnet, working with the market on new models of cost effective, sustainable services
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People with Learning Disabilities and autism
Young people – We want to ensure that young people with learning disabilities who are transitioning into adulthood have the opportunity to live in the borough with the friends or relatives they choose and can be supported to get a job and a full range of normal life opportunities. We want to work closely with young people and their families and carers, to ensure that current services are providing the right opportunities and that information is accessible so that they and those that know them best are aware of options and support available.
People with learning disabilities and dementia – We want to ensure that mainstream and specialist services have trained and skilled staff who can make adjustments where necessary. This is for people with learning disabilities and autism living with dementia. Supporting them to live well in the community.
Access to health care – We want providers to work with us to ensure access to mainstream services for people with learning disabilities and autism. Reducing health inequalities and ensuring that those who need specialist support can get this through our integrated community learning disability service. We will continue to work closely with the NHS as autism diagnostic services are reviewed. Particularly on their plans for local advice and support services, and will involve providers in our developing autism strategy action plan. This is to ensure that opportunities are co-ordinated.
People with Mental Ill-Health
Young people – We will work with providers to ensure that young people with ongoing mental health needs are supported to effectively transition into adult services, with a strong focus on supporting them to achieve good outcomes that are enablement and recovery focused.
Crisis support – We want to work with providers who have expertise in supporting people experiencing mental health crisis. This is to prevent people’s needs from escalating and reducing the numbers of people requiring specialist inpatient care. Helping people to remain in their communities.
Access to health care – We want providers to work with us to ensure access to mainstream services for people with mental health needs, reducing health inequalities and ensuring that those who need specialist support can get this. We want providers to look at opportunities to improve early access to support, to help people to maintain their mental health, and strengthen how we support people in our communities to self manage their needs. This includes considering how to improve delivery of support closer to people’s homes in the context of the development of integrated care systems.
Older People including those with dementia
Housing and support – We want to work with the market to develop new models of accommodation and support. Ensuring that there is sufficient and diverse housing and support provision to meet the needs of adults with dementia. Enabling them to be appropriately supported to remain independent and to maximise their wellbeing.
Nursing care – We want to increase the number of registered nursing care beds available within the borough, so that there is sufficient capacity in our local market to provide the right support to adults with dementia and for older people with complex needs needing nursing care in a care home setting.
Community support – We want to explore opportunities to strengthen support in our communities for adults with dementia. Preventing needs from escalating, reducing the numbers of preventable admissions into hospitals or nursing care.
Home care – We want to ensure that homecare services which support people to remain more independent for as long as possible are able to provide the right support to adults with dementia and more complex needs.
Extra care – We will develop more extra care housing and support services as this model supports independence, flexibility and value for money.