What is happening to social care and support in Norfolk? James Bullion



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tarix05.02.2018
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What is happening to social care and support in Norfolk?

  • James Bullion

  • Assistant Director, Community Services

  • Norfolk Council on Aging 13th April 2011


Norfolk Community Services

  • ‘Working with People to achieve their potential and to build strong communities.’

  • Health and Well-being approach

  • A prevention approach is ‘wider than care’, across age groups - using culture, leisure, learning, housing, employment, safeguarding and safety services as a means of improving individual well-being and stronger communities



Vision for adult social care: ‘capable communities and active citizens’ (DH 2010).

  • ‘..a Big Society approach to social care, in which care is transformed not by looking to the state, but to active citizens and strong communities. The role of local authorities, with partners such as community groups, is to establish the conditions in which ‘the big society can flourish’ through ‘stimulating’, ‘inspiring’ and ‘unlocking’ the potential of communities and neighbourhoods, particularly in areas where social networks are poorly developed through deprivation or rural geography..’



A plural market of providers

  • A related priority is ‘a changing offer’ from a ‘plurality’ of providers:

  • small-scale voluntary and independent sector ‘microproviders’ and social enterprises provide community-based, affordable and niche support to individuals or small groups

  • larger providers are encouraged to offer more flexible community options

  • care homes will be increasingly operate as community facilities.



Local community & voluntary Sector

  • Promoting health, wellbeing, social involvement and access to information in local areas across the authority through ‘neighbourliness’, informal resident collaboration, and running local services.

  • The first response to social care needs to be met by the voluntary and community sector.

  • Councils to focus on high-end, complex cases and statutory duties as well as encouraging and enabling the network on an authority-wide basis.



Four key themes

  • More personalised services through self directed support

  • Being commissioning led

  • Working locally

  • Integration between care and health services





In one year…

  • Single NHS and Social Care Commissioning

  • Local Commissioning Plans ££

  • Single care and health services team around GP surgeries

  • Single route of advice services to people

  • Budget reductions of £14m

  • Changes to direct service provision such as day activities



Our transformation

  • Improved Universal Services

  • New pathways into integrated services

  • ‘Updated’ care models

  • Self Directed Support Plans with people

  • New technology



The problem with language

  • Amount of transformation and complexity

  • Big conversation consultation

  • Unresolved and uncertain positions on some issues

  • Professional language

  • Technical project language

  • Commitment to ‘co-production’



shared language

  • ..we can only bring change about if we

  • Speak the same language as you…























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