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Agenda 9: 45 Registration 10: 00 Welcome and Introduction David Williams, Chief Officer, Glasgow City Health & Social Care Partnership 10: 05 Health and Social Integration Update David Williams, Chief Officer, Glasgow City Health & Social Care Partnership 10: 10 Outcome Based Commissioning David Williams, Chief Officer, Glasgow City Health & Social Care Partnership 10: 30 Transformational Change in Older Persons Services Susanne Millar, Chief Officer, Planning, Strategy and Commissioning / Chief Social Work Officer 10: 50 Table Discussion 12: 00 Question and Answer Session 12: 15 Conclusion

Health and Social Care Integration Update David Williams Chief Officer, Glasgow City Health & Social Care Partnership 21 June 2016

Proof of Concept: Review & Reform of Social Care Contracts and Delivery of the National Minimum Wage 2020 David Williams Chief Officer Glasgow City Health and Social Care Partnership 21 June 2016

Background • c£ 160 m pa of community-based social care services purchased (including residential) • Salaries – primary overhead for providers, c 80% • New National Minimum Wage (NMW) 2020 – £ 9 ph • Uplift in excess of £ 21 m pa in SWS budget • c 17% gap between current and future wage levels

Current Arrangements • Majority of purchased service provision on an hourly rate basis • Procurement on an ‘inputs’ and ‘outputs’ basis • Need to ‘follow the public pound’ • Administration, processes and number of staff involved significant

Approved Proposal • Review/Reform of the route to procurement approved by Executive Committee • Establishment of a ‘proof of concept’ (POC) • Holistic model of support • Alternative governance arrangements with a focus on safe care, risk management and service user outcomes

Approved Proposal, cont. • Involvement with a small number of providers o Aspire o Cornerstone o Enable ○Fair Deal ○Mainstay ○Turning Point Scotland • Evidence base for further implementation across all providers • Success criterion o Delivery of the NMW 2020 o 5% savings on total spend 2018 -19 once transformation has been extended across all providers

Transformational Change • Innovative care support networks within communities • Paid staff on the new NMW 2020 • Technology enabled care • Less bureaucracy in administration and processes involved • Greater choice and control for individuals • Strengthening of local communities • Evidence base established for further implementation

Project Arrangements • Sponsor – Chief Officer, Finance and Resources • 3 project groups o Social Work Services (SWS) Group o Provider Group o SWS and Corporate Group • Workstreams representing the key areas of work – co-produced • Reporting to Executive Committee and the Integration Joint Board (IJB) • Communication – updates and outcome

Some Key Deliverables of the Workstreams • Contract Management Framework incl. service outcomes • Care Management arrangements and processes o High level individual outcomes o Joint statement – safeguarding, risk management and communication • Outcomes based-contract • Financial arrangements and processes for invoicing and payments • Various provider solutions • NMW 2020 and 5% savings 2018 -19 (project deliverable)

The Scottish Government’s £ 250 m? • All adult social care staff to receive the SLW from October • c £ 10. 123 m within GCHSCP allocation for this • <£ 5. 5 m to NCHC • <£ 4. 6 m remaining for distribution. How? Proposal of a straight percentage allocation across all providers backdated to 1 st April.

Further Information • Process for competitive tenders remains • Process for service reviews remains • Process for new rates for the Social Work Framework remains • Executive Committee and IJB reports are the terms of reference o Executive Committee (4 Feb 2016): http: //www. glasgow. gov. uk/councillorsandcommittees/submissiondocuments. asp? submi ssionid=78066 o Executive Committee (31 March 2016): http: //www. glasgow. gov. uk/councillorsandcommittees/submissiondocuments. asp? submi ssionid=78935 o Integration Joint Board (10 May 2016): https: //www. glasgow. gov. uk/CHttp. Handler. ashx? id=33433&p=0

Transformational Change in Older People Services Susanne Millar Chief Officer, Planning, Strategy and Commissioning / Chief Social Work Officer 21 June 2016

Context • • HSCP Finance Demography Genuine questions about care

Older People Transformation Programme • Wholesale transformation: • resources • systems • processes • cultures • Vision – more older people living independently at home for longer • That means – hospitals and care homes used appropriately

Older People Transformation Programme • Where we’ve been: • transformation of discharge system • improved and stabilised performance • growing external recognition • still learning – Sheffield, Holland etc • Horizon scan: • growing resource gap • managing the unintended consequences of change • changing relationship with Acute • future evolution of HSCPs • care of older people will grow as a public policy issue

Next Steps • Shift in balance of care from Acute care to HSCP for growing numbers of very frail older people • Closer integration with Acute care – unscheduled care; post-continuing care • Increasing focus on admission avoidance – anticipatory care; diversion from A&E • Further structural integration within HSCP – operational teams; occupational therapy • Clinical model will change – impact on primary care; impact on Acute • Directly provided residential model will change • More very frail older people supported at home – ABS; assistive technology • Role of providers/community – challenge/opportunity

Table Discussion 1. How will the implementation of the Scottish Living Wage and National Minimum Wage impact on your organisation? (20 mins. ) 2. How will transformational change help support implementation of: (25 mins. ) a) SLW and NMW? b) Outcomes based commissioning? 3. What opportunities and barriers are there to moving to outcomes based commissioning? (25 mins. ) Could all tables please have one question prepared for the Question and Answer Session

Closing remarks