Aims
Overview of capacity and trends within care at home
Additional capacity needed Summary of capacity planning
work and service re-design ideas for discussion
What drives demand?
Increasing number of Older People
Changing Population Profile
Increasing frailty and health problems
Changes in Policy
Domiciliary Care2. Edinburgh’s provision since 2012
Significant investment (£11.4M gross since 2012) has enabled a 24% increase in hours
Opportunities and Challenges
• Legislative Change•Practice Developments•Public Expectations• Labour Market Challenges•Human, Financial and Political Dynamics
CEC Home Care and Re-ablement Service
•Modernisation programme- responding to challenges•Market share•Re-ablement•Specialist Home Care pathways•Integration and Personalisation•Advanced dementia•End of life care•Intensive home care
Specialist Home Care Pathways
• Integrated with health colleagues• Increase in complex case work- a skilled work-force• More complex patterns of provision (Overnight Service)• Personalised- choice and control• 3 specialist pathways
• Advanced dementia• End of life care• Intensive home care
• Local connections- neighbourhood working• Recruitment and retention challenges
NEW CONTRACT FOR PURCHASED CARE AT HOME SERVICESKey Characteristics:• Reflects the real cost of care• Based around Hospitals and Neighbourhoods• Personalised• Flexible• Visible• Trusted• Supportive of Staff
The Fair Cost of Care
Employee Hourly Rate Ω Travel Time and Cost Payments Ω National Insurance Ω Pension Ω Statutory Holiday Pay Ω Training Ω Sick Pay Ω Supervisory Staff Ω Management Fee Ω Profit/Surplus Ω Overtime/Weekend Premium
£15.50 per hour