Manchester s Service for Independent Living Daniel Thompson Team

Manchester’s Service for Independent Living Daniel Thompson Team Manager – Community Equipment Carol Yarwood Team Manager - Technical

City Wide Adults & Children Referrals From A Range of Sources 4 Distinct Areas MSIL Manchester’s Service for Independent Living Slide 2

Assessment Technical Team Community Equipment Store Technical Support Workshop MSIL Manchester’s Service for Independent Living Slide 3

Assessment • Complex Assessments • Moving and Handling Assessments • Major Adaptations Assessments • Rehousing Priority Assessments • Blue Badge Mobility Assessments Undertaken by a range of staff including Occupational Therapists, Nurses and non-qualified assessors. MSIL Manchester’s Service for Independent Living Slide 4

Technical Support Workshop • Team of Electricians, Joiners, Electrical Technicians and Community Alarm Installers. • Install minor adaptations such as: Joinery – Grab rails and stair rails Electrical – Loop systems • Install, repair and maintain Community Alarms, Telecare and Teleheath equipment. • Test, repair and service equipment in the community and at the Community Equipment Store MSIL Manchester’s Service for Independent Living Slide 5

Community Equipment Store • Partnership with NHS • Deliver and Collect Community Equipment (last year, delivering 24, 569 items and collecting 15, 240 items). • Operate a full recycling facility. Last year, over 60% of all items delivered were recycled. • Range from walking sticks to profiling beds and mobile hoists • Average delivery time of less than 3 days and less than one day for urgent items. • Maintain Satellite stores across the city MSIL Manchester’s Service for Independent Living Slide 6

Technical Team • Technical Officers & Electrical Surveyors • Provide major adaptation • stairlifts • level access showers • ramps • different types of extensions eg bathroom, bedroom, kitchen etc Tenants living in City Council owned properties – free of charge, funded by Manchester City Council Tenants of registered providers, owner occupiers and private tenants -funded via a Disabled Facilities Grant. MSIL Manchester’s Service for Independent Living Slide 7

Where we were • Long waiting lists • End of stock transfer process • Regional Housing Pot disestablished • All major adaptations financed through DFG with no increase in funding MSIL Manchester’s Service for Independent Living Slide 8

Initial Actions • • Registered Providers (RP) agreed to contribute 40% towards major adaptations in their tenants’ property Framework contract introduced, open and transparent Specification and processes reviewed/streamlined Co-location and integration of key staff consisting of Occupational Therapists, unqualified competent assessment officers, technical officers, electrical & lift surveyors, DFG officers and community equipment store MSIL Manchester’s Service for Independent Living Slide 9

New Service Model • RPs suggested they could deliver major adaptations cheaper and faster • Three Lead RPs and ALMO to deliver across the city for all social rented housing • New SLA, Reporting and Financial systems agreed • Joint working between Adult Social care and Strategic Housing to constantly challenge and improve process/performance • Executive Board of members from Adult Social Care, Strategic Housing, Registered Providers and Health established MSIL Manchester’s Service for Independent Living Slide 10

Next Big Change – Funding Flexibilities • The DFG increased from £ 2. 9 m in 2015~16 to £ 6. 3 m in 2017~18 in Manchester • Opportunity to be innovative and also utilise increased funding to maximise the number of vulnerable individuals able to remain safe and healthy in own home MSIL Manchester’s Service for Independent Living Slide 11

Making the most of the opportunities • Publicising the service • Abolition of means test for lower value grants • Using holistic approach to ensure residents are safe, secure and independent (e. g. emergency heating grants) • Upper grant limit increased to £ 50 K • Use of DFG to adapt temporary accommodation to support disabled homeless • Use of Registered Provider income to expand Housing and Care Independent Living Advice and appoint fixed term Housing Options for Older People workers (HOOP) MSIL Manchester Service for Independent Living Slide 12

Making the Most of the Opportunities continued • • • RPs allowed to retain some of contribution to use to pay relocation costs for those refused major adaptations to move to a more suitable property Use of DFG to buy non stock equipment costing £ 1 K or over, published in RRO. Increase of 2% in technical fees charged to fund additional capacity Accessible Housing Team formed as part of Manchester Move to make best use of adapted housing stock across the city MCC Framework that RPs are able to use for quality provision of major adaptations Revision of the Regulatory Reform Order (RRO) policy to enable DFG funding to be used flexibly MSIL Manchester’s Service for Independent Living Slide 13

Progress and Governance • Revised SLA • KPI’s and uniformity of documentation across Stakeholders • • • Financial forecasting Outputs and timescales Customer satisfaction Benchmarking/Value for money Regular forum for Stakeholders/Partners to meet and share good practice, raise issues and disseminate procedures MSIL Manchester’s Service for Independent Living Slide 14

Outcomes • Removal of ‘bottle necks’ • Waiting times less than 3 months for majority of non complex major adaptations • Ramps installed in a week • Reduction in complaints/enquiries • Positive feedback from MCC Members MSIL Manchester’s Service for Independent Living Slide 15

Challenges & Next Steps • • • Managing significant change across all Stakeholders Shortage of technical expertise amongst the RPs (especially for complex adaptations) Reluctance in wider RP community to continue to pay 40% with increased Grant allocation Fostering good Stakeholder relationships to prevent fragmented service delivery Resourcing issues in MCC to maximise use of additional DFG allocation e. g. only 6 Occupational Therapists to cover citywide MSIL Manchester Service for Independent Living Slide 16

Summary • • Lots of change Happy customers MSIL Manchester’s Service for Independent Living Slide 17

Any Questions? MSIL Manchester’s Service for Independent Living Slide 18