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 able to accommodate older people with a learning disability and 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 borough so that connections to local communities and networks which bring wider benefits are robust. 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 and supporting with end of life care and safeguarding.
- 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 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.
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 friends they choose and can be supported to get a job and a full range of 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 those that know them best are aware of options and support available.
Dementia – We will work with mainstream and other specialist services to ensure they have trained and skilled staff who can make adjustments where necessary for people with learning disabilities and autism who are living with dementia.
Work with Health – We will focus on improving 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.
Young people – We will 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 – Exploring opportunities to strengthen how we support people in crisis to prevent their needs from escalating, reducing the numbers of people requiring specialist inpatient care and support and helping people to remain in their communities when in mental health crisis.
Work with Health – We want to look at opportunities to improve early access to support, to help people to maintain their mental health, reduce health inequalities 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 and the development of integrated care systems
Older people including those with dementia
Housing and support – We will continue to develop new models of accommodation and support to ensure 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 nursing 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 will investigate opportunities to strengthen support in our communities for adults with dementia to prevent 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.