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Report of the Joint Future Group

CHAPTER 2 RECOMMENDATIONS AND TIMETABLE FOR IMPLEMENTATION

REBALANCING CARE OF OLDER PEOPLE

Intensive Support and Care Schemes

2.1 Every local authority area should have in place a comprehensive, joint hospital discharge/rapid response team, by mid 2001-02.

3.15

Intensive Home Support/Augmented Care Schemes

2.2 Every local authority area should have in place a comprehensive, joint intensive home support team, by mid 2001-02.

3.18

Short Breaks

2.3 Each year, agencies should provide both more short breaks (to reduce the number of carers providing most care, without a break), and more breaks at home.

3.22

Practical Shopping/Domestic/Household Maintenance Service

2.4 Every local authority should identify the need for a practical shopping/domestic/household service, and arrange it comprehensively, by mid 2001/02.

3.27

A Service Development Centre for Older People

2.5 The Executive should, in 2001, set up an older people’s service development centre to champion the development of good and innovative community care services, promote training and assist implementation of the Group’s proposals.

3.33

IMPROVING JOINT WORKING

Single Assessments

2.6 Agencies locally should have in place single, shared assessment procedures for older people and for those with dementia by October 2001, and for all client groups by April 2002.

4.12

2.7 Agencies locally should have in place by October 2001, a single shared assessment tool for older people and people with dementia. Local agencies should either adapt existing systems or develop systems to achieve the outcomes specified in the report, or adopt Carenap ‘D’ & ‘E’.

4.12

Intensive Care Management

2.8 The Scottish Executive should redefine care management as ‘Intensive Care Management’, which will be for people with complex or frequently changing needs.

4.23

2.9 Care managers should be trained in ‘Intensive Care Management’ throughout 2001-2002. Only those who have undertaken such training should carry out ‘Intensive Care Management’.

4.23

Information Sharing

2.10 The Scottish Executive should, by 2002, offer a strategic lead on the development of community care information, information sharing and systems integration.

4.31

2.11 Locally, the arrangements for single shared assessments should include specific proposals for the necessary sharing of information between agencies, by obtaining explicit client approval.

4.31

Equipment and Adaptations

2.12 To modernise and improve equipment and adaptation services, the Scottish Executive should establish a strategic overview, and set out a programme of change that will require agencies locally to integrate equipment and adaptation services with the rest of community care services, and put in place a number of specific measures that will result in a better-focused and more effective service for the user.

4.33

Occupational Therapy Services

2.13 To target occupational therapy services more effectively, agencies need to modernise equipment and adaptation services, and to remove duplication between hospital and community based occupational therapy services wherever practical. For community care services that reoganisation needs to begin as soon as possible, followed by the rest of health and social care within the context of the wider agenda for joined up health, housing and social care services.

4.51

PLANNING, FINANCIAL AND SERVICE MANAGEMENT FRAMEWORKS

National Planning and Financial Framework

2.14 The Scottish Executive should set up a programme planning and financial framework, beginning with services for older people in 2001.

5.15

Joint Resourcing and Joint Service Management Locally

2.15 Local authorities (that is social work and housing), health boards, NHS trusts and Scottish Homes should draw up local partnership agreements, including a clear programme for local joint resourcing and joint management of community care services collectively or for each care user group individually.

5.15

2.16 As a step towards that, and recognising current progress on the ground, every area should introduce joint resourcing and joint management of services for older people from April 2002, and in preparation for that introduce shadow arrangements in the course of 2001-02.

5.15

CHARGING

2.17 COSLA should develop guidance on charging policies to reduce the inconsistencies in home care charging.

7.4

2.18 The Scottish Executive should consider introducing:

• free home care for up to 4 weeks for older people leaving hospital

7.12

• free home care for older people receiving "extended home care", (though they would still pay for ‘ordinary’ services)

7.19

GOOD PRACTICE

2.19 The Scottish Executive should, by mid 2001-02, identify measures to improve the collection and dissemination of good practice by linking together the bodies in the field in a more cohesive structure, using the benefits of networking and information technology.

8.11

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