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DD883B-doc - INVEST TO SAVE BUDGET

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DD883B-doc - INVEST TO SAVE BUDGET

    APPENDIX B

    INVEST TO SAVE BUDGET

    PRO FORMA FOR ROUND 7 FORMAL BIDS

    ASSESSMENT SHEET

    BID NO:148 (from your invitation to bid letter)

    Summary details

    ‘Link-Ages across Nottinghamshire’ Project title

    Health and Social Care for Older People

    Nottinghamshire County Council Parties to project (lead partner in bold)

     Voluntary Sector providers

    All partners have been consulted and have ; Age Concern Nottingham & Nottinghamshire signed a Letter of Commitment to the Project ; Gedling Council for Voluntary Service

    detailing their intended involvement. ; Mansfield Community & Voluntary Service ; Rushcliffe Council for Voluntary Service ; Nottinghamshire Rural Community Council ; Groundwork Ashfield & Mansfield ; Retford Action Centre ; Stapleford Volunteer Bureau District/Borough Councils ; Ashfield District Council Care & Repair ; Gedling Borough Council ; Mansfield District Council ; Newark & Sherwood District Council ; Rushcliffe Borough Council Local Strategic Partnerships ; The Ashfield Partnership

    ; Rushcliffe Local Strategic Partnership piloting First Contact

    Check List

    Primary Care Trusts

    ; Ashfield PCT

     ; Mansfield PCT

     ; Rushcliffe PCT

     The Pension Service Local Service

    Compacts information Legal Services Commission East Midlands Regional Office

     Nottinghamshire Link-Age Strategic Management Board

    Older People‟s Involvement

    ; Nottinghamshire Older People‟s Advisory Group representing

    the interests of 9 older people‟s forums across the county area

    Update and revised Compact between the Voluntary/Community

    sector & Local Authorities in Nottinghamshire December 2004.

    Local Compact document available on request nd To progress the 2 phase of Link-Age beyond the Objectives of project

    current joint financial teams with the Pension Service

    Detail of objectives contained in main body

     To establish a jointly accredited training programme for of bid

    agency staff and volunteers involved in providing a

    Link-Age network of services

     To pilot 4 Link-Age information & activity resource

    centres utilising existing community buildings in urban

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    & rural settings

    To provide accessible & flexible transport involving all

    sectors in response to the expressed needs of older people

     To establish a virtual information resource network.

     To establish practical handyperson schemes in the 7

    districts of the county linked to Home Improvement

    Agencies

     To continuously monitor & evaluate the Link-Age project

    This will be by both internal & external evaluation

    Description of project To utilise the community leadership role of the County Council to

     work in partnership with the public, private, voluntary, community

     sector and the Older People‟s Advisory Group (OPAG) to pilot and

     evaluate different models of “Third Age Service” (Link-Age) delivery

     in urban and rural settings

    Which aspect(s) do ; Making “whole systems” integrated planning & delivery of

    you consider to be services work to maximise the benefits of Link-Age for older genuinely innovative? people

     ; Designing, implementing and evaluating key local performance

     management systems relating to the promotion of independence

     for older people to inform national policy development.

    ; Implementing Link-Age information & advice services across a

    complex 2 tier Local Authority in partnership with older people

    and 23 partners signed up to work together to develop the

    service.

    ; Having older people at the centre of the design, delivery &

    evaluation of Link-Age in Nottinghamshire

    ; Piloting different models of Link-Age in urban & rural settings to

    inform national policy development.

    ; Piloting First Contact Check List across agencies including

    signposting, referrals and follow up.

    ; Ensuring the development of integrated advice/information

    services for excluded and vulnerable older people that achieve

    equitable access across the county area.

Departmental Project Sponsor David Huxstep, Department for Work & Pensions

     Telephone number: 0207 391 1710

    e-mail: David.Huxstep@dwp.gsi.gov.uk

    Round 7 theme Policy category (secretariat use only)

    (secretariat use only)

ISB funding sought ? 05/06 06/07 07/08

    Current 133,515. 129,551. 145,108.

    Capital 25,000. 30,000. 15,000.

    Total 158,515. 159,551. 160,108.

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EXECUTIVE SUMMARY

Link-Ages across Nottinghamshire

    Health and Social Care for Older People

    Extensive consultation with older people has identified the need to join up how we provide information and advice on service provision to older people. This bid focuses on the role of the County Council as a Community Leader and is a partnership application with 23 partners across the public, private, voluntary and community sectors signed up to working together to deliver a range of Link-Age Services that are community based and user focused.

    We wish to improve the lives of older people by refocusing how access to services from multiple agencies are presented and delivered. Currently services to older people are accessed from a range of organisations and in the main are provided via different institutional buildings, which may or may not be close to each other. We want to bring these services under one roof utilising village halls, community centres and mobile facilities, creating a market place of services within natural communities and within easy access for older people.

    We want to coordinate and implement innovative transport schemes e.g. subsidised taxi voucher schemes to ensure that access to services and experts is readily available to as many older people as possible.

    We wish to pilot a range of innovative service options which are designed with the direct involvement of older citizens in our county area. Older people do not favour formal delivery of services in their local area, but want services that are people focused, giving the older person more time to question and understand what is being offered to them. We wish to address loneliness and the decline which comes from isolation. We want to present and promote essential health and well being options alongside leisure and social activities.

    We want to ensure that older people have a safe and secure home. We want to ensure that essential maintenance is carried out, fire and burglar alarms put in place and adaptations are fitted before accidents take place. We want to ensure that any person who goes into the home is from an approved list so that older people feel confident in the services offered. We want to address the customer care issues in that if there is difficulty over the standard of workmanship that it will be resolved with the minimum of fuss for the service user

    Our bid details a range of innovative provision which is backed by true partnership working and the involvement of older people in the design and review of the project.

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1. INTRODUCTION

Background

    The County of Nottinghamshire

    Nottinghamshire is a large complex two tier local authority covering 805 square miles. It has 7 District/Borough Councils, 7 Primary Care Trusts, 7 Local Strategic Partnerships, 4 Acute Hospitals, 2 Strategic Health Authorities and a strong voluntary/community sector. The County has a large urban and rural population with significant levels of disadvantage particularly in the ex-coalfield communities.

    A challenge for Nottinghamshire particularly over the last 10 years has been the social and economic regeneration of the coal field and rural areas of the County. Older people have made a significant contribution to the sustainability of these communities.

Ageing & Demographic Change

    Nottinghamshire has a total population 750,000, 265,000 of whom are over the age of 50. It is projected that in 20 years time 45% of the population of the County will be age 50 and over. Coupled with the falling birth rate older people will become the largest group of consumers of both goods and services.

Older People as Citizens

    Nottinghamshire County Council is a Beacon Council (2004-2005) for Services for Older People.

The Council has developed a broad based partnership across Nottinghamshire the Countywide Older

    People‟s Strategic Partnership with 38 partners. This is a unique partnership between the public, private, voluntary and community sectors and older people. This wider approach has been practically realised in a „cross-cutting‟ Best Value Review on the Promotion of Independence for Older People, resulting in the

    implementation of 28 recommendations to make a positive impact to the quality of life for older citizens in Nottinghamshire.

    Nottinghamshire has created its own lever for change, a Countywide Strategic Approach focusing on older people aged 50 and over, bringing together core statutory services and the prevention agenda which supports 28 prevention schemes offering a range of low level support services with a funding investment of ?600,000 from The County Council.

    The Pension Service and Nottinghamshire County Council have approached the new Link Age concept from a history of partnership working with older people, voluntary organisations and other statutory services by introducing more effective ways of working which meet the expressed needs and preferences of older people.

    Part of this initiative is for The Pension Service, Social Housing Providers, the Legal Services Commission and Nottinghamshire County Council to work together to provide quality assured one-stop services for,

    ; Financial assessment for adult care services such as residential care, Direct Payments and

    home care

    ; Advice and assistance on benefit claims at one stop shops or by home visiting

    ; Promoting benefits and social care take up through sheltered housing providers, using checklists,

    training and a dedicated telephone line

    ; Checking income and savings for benefit claims to ensure that claimants have to prove their

    income and savings once only

Nature of the Project

    The nature of this project is to utilise the community leadership role of the County Council to work in partnership with the public, private, voluntary and community sectors, involving the countywide Older People‟s Advisory Group (OPAG) to pilot and evaluate different models of “Third Age Service” (Link-Age)

    delivery in urban and rural settings.

    Partners to the Project

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    We believe that the development of Link-Age will necessitate the involvement of many partners in order to provide a successful, flexible and locally responsive service to older people.

    In preparation for this bid, 40 representatives attended a consultation event involving older people and representatives from the public, voluntary and community sectors across the County at which partners agreed the objectives and identified key activities that their organisation could contribute to the project. 23 organisations have formally signed Letters of Commitment identifying their role in the delivery of the project. The Voluntary and Community Sectors are key partners in this Bid.

2. OBJECTIVES OF PROJECT

     Key Objective for Project

     nd To progress the 2 phase of Link-Age beyond the current joint financial teams with the

     Pension Service - in order to:

     improve access for older people to information and services thereby maximising their

    independence

     offer a service that is, in particular, responsive to the needs of excluded older people both in

    geographically deprived areas and for disadvantaged and vulnerable older people and in minority

    communities across Nottinghamshire

     provide integrated services where possible that are responsive & flexible to the needs of people

    50+ in Nottinghamshire

     inform Central Government policy development

Key deliverables

     Inclusive governance arrangements bringing together the current Link-Age Strategic Management

    Board, the Countywide Older People‟s Strategic Partnership including older people and the partners

    for this project to ensure that all interests are represented.

     Models of urban and rural Link-Age service delivery researched, piloted and evaluated. Quality Mark for Link Age Services developed.

     Cost effectiveness, economies of scale and a reduction in duplication achieved.

Impact of Service improvement for Project Users

Older people at the heart of service design and delivery.

     Older people signposted and referred appropriately to a range of low level support services leading to

    the promotion of independence rather than dependency.

     Enhanced service delivery reducing the number of organisations people have to deal with to access

    services.

     Older people perceived as citizens and offered a wide range of opportunities to promote

    independence and enhance quality of life.

     Additional funding accessed as a result of partnership working thereby enhancing service delivery. Objectives of partner agencies met in respect of economies of scale and potential expenditure

    savings.

Objectives to deliver the above

    1. To pilot 4 Link-Age information & activity resource centres utilising existing community

    buildings in urban & rural settings in order to:

     provide integration across agencies of information & advice on service provision taking account of

    local partnerships and communities

    Key deliverables

     Research provision within the county area and identify suitable venues for resource and activity

    centre development.

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     Using knowledge and expertise of local partners to project, establish with the voluntary and

    community sectors resource centres in rural and urban settings.

     Older people offered a Benefit check at resource centres to maximise income and enhance quality of

    life.

     Test out models, monitor and evaluate the success factors needed.

     Utilise existing mobile services to enable full access to information and advice services for older

    people.

Impact of Service improvement for project users

     Older people perceived as citizens and receive information and advice services that are easily

    accessible.

     Resource and Activity Centres provide a range of opportunities to enhance quality of life for older

    people.

     Centres enable greater integration across agencies taking account of local partnerships and the

    needs of local communities in Nottinghamshire.

    2. To establish practical handyperson schemes in the 7 districts of the county. These will be developed in partnership with older people, the voluntary & community sectors, local authorities, home improvement agencies and private contractors in order to:

improve safety & quality of life for older people in their homes

     reduce accidents and especially falls in the home

Key deliverables

     Handyperson schemes will be delivered in collaboration with Home Improvement Agencies leading to

    a more integrated service offering countywide coverage, consistency of provision and economies of

    scale.

     A contractual model will be piloted in partnership with the Home Improvement Agencies. Home Safety Checks will be offered and a pilot First Contact Checklist will be delivered and

    evaluated.

Impact of Service improvement for project users

     Older people have highlighted the need for handyperson schemes in the consultations undertaken in

    respect of the Best Value Review on the Promotion of Independence for Older People and the

    consultations with Older People‟s Forums and Nottinghamshire Older People‟s Advisory Group.

     Handyperson schemes will contribute to a reduction of falls and there will be improved safety in the

    home and improved quality of life.

     The quality and standard of service will enable project users feel more confident. The introduction of countywide coverage of handyperson schemes will impact on the cost of health

    care in both primary and secondary settings.

3. To establish a virtual information resource network in order to:

     facilitate easy access to service information across all sectors by web access, Contact Centre and

    appropriate formats in response to consultation with older people e.g. Link-Age newsletter and

    Video-Link.

Key deliverables

     Older people identify appropriate ways to access information on a wide range of services and

    activities that are compatible with a virtual information and resource network Maximise partner networks to ensure information is shared across agencies and with older people. Use Nottinghamshire County Council County Contact and Contact Centre to ensure that project

    users have access to information in a variety of ways.

     Pilot and evaluate Video-Link in rural areas.

     Recycle IT equipment for use by project users in partnership with Groundworks.

Impact of Service improvement for project users

     A range of options are available to suit the needs of project users.

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    4. Establish a jointly accredited training programme for agency staff and volunteers involved in

    providing a Link-Age network of services in order to:

     ensure that older people receive appropriate & accurate information to enable them to make informed

    choices re: services

Key deliverables

     Training programme designed, based on feedback from training for Joint Teams and for Social

    Landlords.

     Rolling programme of joint training across agencies delivered during project, constantly reviewed and

    updated.

Impact of Service improvement for project users

     Staff operating within Link-Age better informed on range of services and opportunities for older

    people. Older people receive appropriate and accurate information and able to make informed

    choices.

     Speedy, effective access to service information and resources.

     Collaborative working between agencies leading to closer partnership working.

     Services more „joined up‟ at a local level across districts and Link-Age informs work of Local Strategic

    Partnerships.

    5. To provide accessible & flexible transport involving all sectors in response to the expressed

    needs of older people in order to:

    facilitate access to the resource centres

Key deliverables

     Develop a range of flexible transport options in respect of each resource centre to enable equity of

    access for project users.

     Ensure that the Nottinghamshire Integrated Transport Centre (to be launched in April 2005) provides

    a flexible service that responds to the needs of project users.

     Consider the results of the evaluation of the Medan Vale Taxi Voucher scheme and include this

    service as one of the options in the catchment areas of the resource centres.

Impact of Service improvement for project users

     Equality of access for project users across the county area. Improved social inclusion for older

    people.

     There will be a more co-ordinated and effective use of transport options that meets the needs of older

    residents who may isolated from transport provision

    6. To ensure robust project management in place for project and continuously monitor &

    evaluate the Link-Age project. This will be by both internal & external evaluation in order to:

     ensure that the project develops in response to the lessons learnt during the ISB funding ensure that older people are involved at every stage of the design & delivery of Link-Age Network of

    services

     facilitate the dissemination of good practice locally, regionally & nationally

Key deliverables

     project management (PRINCE2) including appointment of full time project co-ordinator A robust system of monitoring will be developed

     An action research evaluation programme will be developed in partnership with Nottingham Trent

    University Business School, building on our experience of similar evaluations with Warwick University

    and Better Government for Older People.

     A mid-term impact evaluation will be undertaken in addition to a final evaluation of the project. Older people will be involved on an ongoing basis in the evaluation

Impact of Service improvement for project users

     Ongoing evaluation will continuously inform the project development and changes made to service

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    design to ensure that Link-Age is effective for older people and partner organisations in the project.

3. FUNDING REQUIREMENTS FOR PROJECT - (Detailed Financial Summary attached in

     Appendix A)

    2005-2006 2006-2007 2007-2008

    ISB funding

    Of which: current 133,515. 129,551 145,108.

     capital 25,000. 30,000. 15,000.

    Bidders’ own funding

    Nottinghamshire County Council 60,000. 60,000. 60,000.

    All partners to the Bid offering

    support in kind, Officer time

    Of which:

     Current 60,000. 60,000. 60,000.

     Capital

    TOTALS 218,515. 219,551. 220,108.

    23 partners signed up to the project have identified contributions in staff time to both the management and delivery of the project. The contribution therefore from the lead bidder i.e. Nottinghamshire County Council is in cash terms and exceeds the 25% requirement for ISB. The additional contribution of staff time, expertise and volunteer hours will result in contributions from the bidders well in excess of the 25% Options if full funding from ISB not available

    1. Alter the profile of funding sought from the ISB or contribution from Lead bidder over

     the three years

    2. Increase bidders’ total contribution to the project cost

    3. Proceed on a smaller scale

    Preferred option is 3. Reduce number of resource centres to 4 in total not 6. This would, however, only give one option for rural model and one urban model. It would, however, take out the cost of envisaged capital expenditure and current for those two additional resource centres. It would also reduce the amount of funding required for flexible transport.

    Consideration has been given to PPP, but the amount of capital expenditure is on a small scale, therefore at this stage PPP would not be appropriate. Should the ISB bid be successful and at the end of the three year funding the recommendations from the evaluation is to extend the local resource centres, PPP would be considered as an option.

    It is an anticipated option that Local Area Agreements over the next three years might be a suitable source of pooled budget for a partnership initiative of this nature.

4. INNOVATION

The project builds on the fundamentals of the Government‟s Link Age initiative and will develop specific

    services and activities to ensure that older people benefit practically from the high-level objectives of the Link-Age programme. Our project is client driven and focused and as such we have significant confidence that the results will be both very tangible for service users and achievable for the partners involved. Partnership commitment to the project is high and is demonstrated by the breadth and depth of stakeholder and service user representation in the project management group. Management of the project by this group is innovative in itself and we anticipate that this will bring its own benefits, particularly in terms of sharing of knowledge, experience and resources and the development of further strategic collaboration in the future.

    In terms of innovative project activities, we have identified the following as the key innovative drivers of the project;

    ; Nottinghamshire County Council is a Beacon Authority for Services for Older People and as such has

    high-level partnership commitment to integrated planning and delivery of services to older people,

    breaking down organisational barriers, reducing bureaucracy and duplication and ensuring that

    financial and organisational benefits from this work are maximised and passed on to older people

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    ; The design, implementation and evaluation of key local performance management systems relating

    to the promotion of independence for older people to inform national policy development. Quality of

    Life Performance Indicators and measures of impact are difficult to measure effectively. We hope,

    through this project, to test out impact measures and create a model to contribute to current debates

    on performance measures.

    ; Link-Age information & advice services implemented across a complex 2 tier Local Authority in

    partnership with older people and 23 partners signed up to work together to develop the service. ; The continuing involvement of the Older People‟s Advisory Group (OPAG) in all aspects of project

    design, development and implementation which will ensure that the views, needs and aspirations of

    our older communities remain at the heart of Link Age project activity

    ; The piloting of new methods of delivering local Handypersons Schemes through the Home

    Improvement Agency and linking in to Home Care provision. At present Handypersons Scheme

    coverage in the County is patchy and this aspect of the project will ensure that it is available to all

    older people.

    ; A key element of the project is ongoing monitoring and evaluation, through user surveys,

    peer-to-peer assessments and external evaluation. The results of all of these exercises will be drawn

    together and disseminated to interested parties through partner websites and ISB publicity and

    communications

    ; Piloting First Contact Check List across agencies including signposting, referrals and follow up. ; The development of integrated advice/information services for excluded and vulnerable older people

    that achieve equitable access across the county area

5. BENEFITS

Benefits to Project Users:

     Older people will be at the centre of the Link-Age development in Nottinghamshire. Greater involvement in active citizenship and social inclusion

     Fully integrated service that allows users to easily and quickly access information and advice in

    addition, the information they will access will be seamless, coherent, accurate, current and

    transparent. This will help them make more informed choices.

     Help with tackling the problems of poverty in old age and give older people more choice and control in

    their lives. Reduces poverty, e.g. from fuel expenses, amongst older people Increased welfare

    benefit take up.

     Enhanced health, well-being and quality of life. Greater independence, through promotion of

    independence schemes and signposting to low level preventative services.

     Access to Link-Age centres utilising a flexible transport system

     Improved safety in the home e.g. reduction in falls, fire prevention

    Benefits to applicant and partner organisations:

     Cross-sector partnership in place that has allowed users and partners‟ views to influence project

    design and development and so foster framework of co-operation.

     Reduced admissions to hospitals and hence pressure on Social Services mainstream provision and

    Acute hospital services

     Nationally 30% of over 65s have a fall in any one year and costs for in patient treatment at

     accident and emergency is ?310.00 a day.

     In Nottinghamshire a typical Social Services care package for an older person costs

    ?180 per week (?9,360 p.a.)

     An older person in Nottinghamshire receiving a very high cost community care package

    (non residential) costs:

    ?272 per week - Social Services (home & day care) - ?14,144.00 p.a.

    ? 33 per week ---- Health (District Nursing, GP) - ? 1,716.00 p.a. Establishment of benchmarks to allow relative performance to be measured, targets to be set and

    the more efficient allocation of resources and services

     Cost savings from economies of scale and more effective use of officer time:

     Evidence of the benefits of Nottinghamshire‟s first phase implementation of Joint Financial

    Assessment Teams: in the pre joint team phase in 2003-4 the Fairer Charging team has assisted

    home care users (mainly older people) to claim an additional ?4m in welfare benefits.

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     Improved quality of services, and associated benefits, e.g. greater staff morale, better track record,

    higher scorings in Quality Assessments

     More time will be left for partner staff to devote to more complex enquiries and issues Staff will better informed sharing information between partners

     Will help to break down silo working both within and across different organisations Will demonstrate success and so help all partners to lever in new sources of continuation funding

    over the long-term

    Additional benefits to other organisations, including local authorities include:

     Will provide new performance measures on promotion of independence that can be shared with

    central government partners.

     Allows for the piloting of first contact checklist across agencies in a „controlled‟ environment with

    experienced personnel so that when it is rolled out to other organisations, all of the teething problems

    have been sorted

     Will provide a Quality Mark for Link-Age services that others can use.

    Benefits to Government Departments and their agencies:

     Addresses the aims of the Modernising Government agenda.

     Provides more detailed data for use by government statisticians.

     Provides the capacity for future changes, such as preparing the infrastructure needed. Will inform future policy development in this area.

     Increases transparency between departments, agencies and suppliers.

     Results in the dissemination of good practice locally, regionally and nationally.

6. ESTIMATED SAVINGS see Economic appraisal- Appendix A

7. ADDITIONALITY TEST

    The funding request for this project covers all of the additional activity that has been proposed by partners to the project. Ongoing strategic work into the development of Link Age services in Nottinghamshire would continue without Invest to Save support, but the practical measures outlined in this bid which are the 'customer focused' elements of Link Age would not go ahead in the timescale.

    2 Resource centres have been established (July 2004) our pre Link-Age pilot phase differing from "one stop" shops in that they provide social & health & well-being activities, refreshment facilities alongside information and advice on services. The ISB bid extends the Link-Age nature of the services provided at both centres and the costs for additional centres are based on the learning from the two pre-pilot centres

    The primary driver for the project is to translate the strategic objectives of Link Age into practical benefits for the service users and, whilst partnership commitment to the project is strong, funding for specific project activities is not currently available from partners' budgets.

    Invest to Save support will enable us to pilot these activities and the proposed three year timescale offers the partnership the opportunity to build successful aspects of this project into future delivery plans. The project strongly reflects the aspirations of both partners and service users and, as such, it is likely that elements of it would be delivered at some point in the future if funding could be secured. Invest to Save support gives the partnership the opportunity to begin delivering improved services now, rather than at an as yet unspecified future date.

8. ACCOUNTABILITY AND AUDIT

    Financial authorisation for the project shall be gained from the Cabinet of Nottinghamshire County Council before any grant offer is accepted and activity commenced. The progress of the ISB Expression of Interest and the proposed Formal Bid has been reported to Full Council.

    The oversight of the project will rest with the Chief Executive through his designated Chief Officer. The Assistant Director of Social Services, as Senior Responsible Owner and risk owner, will regularly report to the Corporate Management Board and The Cabinet of the Council. The designated Accounting Officer will be Mr Pat Carmody, the Head of Finance for the Social Services Department. If approved the project will be subject to the standard Audit procedures of Nottinghamshire County Council.

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