Download - East Midlands Efficiencies Project
East Midlands Efficiencies ProjectEast Midlands Efficiencies Project
£260K invested in consultancy£260K invested in consultancy 200 days delivered200 days delivered Required to deliver 500K in year 1Required to deliver 500K in year 1 90k Forfeiture agreed by DAAS90k Forfeiture agreed by DAAS Significant gains anticipated in years Significant gains anticipated in years
2 - 42 - 4
WorkstreamsWorkstreams
ReablementReablement Assessment and Care ManagementAssessment and Care Management Business process mappingBusiness process mapping Design and implementationDesign and implementation Quantifying cashable gainsQuantifying cashable gains
SavingsSavings
£1.9m in year 1£1.9m in year 1 £14.7m years 2 - 5 £14.7m years 2 - 5
Projected Cashable SavingsProjected Cashable Savings09/10 10/11 11/12 12/13 13/14
Derbyshire (12,000) 257,000 533,000 809,000
Nottinghamshire 1.282.000 2,416,000 3,582,000 4,780,000 4,780,000
Leicester City 65,000 1,121,000 3,021,000 4,968,000 6,969,000
Derby (Reablement) 299,910 539,352 539,352 539,352 539,352
Derby City(FOH) 272,784 562,310 859,798 1,165476 1,165476
Nottingham 15,000 32,000 33,000 34,000 35,000
Cumulative Totals 1,934694 4658662 8292150 11,480,476 14,778,304
National ThemesNational Themes
ReablementReablement Crisis InterventionCrisis Intervention Extra Care / Supported HousingExtra Care / Supported Housing Tele-care Tele-care
Regional PrioritiesRegional Priorities
High use of residential careHigh use of residential care High cost of care managementHigh cost of care management High cost of LD placementsHigh cost of LD placements High Cost of in-house servicesHigh Cost of in-house services
Next StepsNext Steps
Ensuring re-ablement services are as Ensuring re-ablement services are as effective as possible (working alongside effective as possible (working alongside Jan Clark)Jan Clark)
Preventative strategies (working alongside Preventative strategies (working alongside Margaret McGlade)Margaret McGlade)
Assistive technology (developing regional Assistive technology (developing regional work initialised by CSED)work initialised by CSED)
Tools to assist accurate costings of Tools to assist accurate costings of services to inform commissioning services to inform commissioning decisions and strategiesdecisions and strategies
How is the money spent in the East MidlandsHow is the money spent in the East Midlands
56%23%
10%6% 5%
Over 65 Learning Disability Physical Disability
Mental Health Other
Services for Older PeopleServices for Older People
54%35%
11%
Res and NH Domiciliary and Day Care
Care Management
Physical DisabilityPhysical Disability
19%
67%
14%
Res and NH Domiciliary and Day Care
Care Management
Learning DisabilityLearning Disability
52%41%
7%
Res and NH Domiciliary and Day Care
Care Management
Mental HealthMental Health
36%
31%
33%
Res and NH Domiciliary and Day Care
Care Management
Cost per AssessorCost per AssessorPSSEX1 2008/9 - Assessment & Care Management Costs / Number of Assessor Staff
(WTE)
0
10
20
30
40
50
60
70
80
90
510-
Rut
land
UA
**
506-
Der
bysh
ire
504-
Nor
tham
pton
shire
503-
Linc
olns
hire
512-
Not
tingh
am U
A
509-
Leic
este
r U
A
SfC
Eas
t Mid
land
sG
roup
508-
Leic
este
rshi
re
TO
TA
L E
ngla
nd
507-
Der
by U
A
511-
Not
tingh
amsh
ire
£'00
0
Assessment & Care Management Costs / Number of Assessor Staff (WTE) Average
Output per AssessorOutput per AssessorAssessments Per WTE Assessor Per Week
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
Leic
este
r
Not
tingh
am
Der
by
SfC
Eas
t Mid
land
s G
roup
Linc
olns
hire
Not
tingh
amsh
ire
Der
bysh
ire
Leic
este
rshi
re
Nor
tham
pton
shire
Assessments Per WTE Assessor Per Week Average
Trends in Home CareTrends in Home Care
Households Receiving Intensive Home Care (10 hours or more, 6 or more visits per week) for People Aged 65 and Over
0
500
1000
1500
2000
2500
Authority
Nu
mb
er
of
Pe
op
le
2008 643 1,629 1,153 66 598 1,368 720 479 1,837
2009 642 1,670 1,191 68 598 1,408 741 484 1,889
2010 636 1,713 1,230 70 600 1,451 765 494 1,940
2011 636 1,754 1,270 73 600 1,492 790 498 1,992
2012 643 1,821 1,329 77 609 1,556 829 512 2,073
2013 647 1,880 1,381 79 617 1,615 863 523 2,147
Nottingham Nottinghamshire Lincolnshire Rutland Leicester Leicestershire Northamptonshire Derby Derbyshire
Trends in Care Home PlacementTrends in Care Home Placement
Older People Aged 65 or Over Admitted to Permanent Residential and Nursing Care During the Year, and Financially Supported by the Council, Projected to 2025
0
200
400
600
800
1000
1200
1400
1600
1800
Number of People
2008
2010
2015
2020
2025
2008 258 1,075 1,002 40 312 817 726 301 1,019
2010 255 1,130 1,068 43 312 867 771 310 1,076
2015 262 1,301 1,273 51 333 1,020 926 336 1,255
2020 271 1,428 1,434 59 363 1,134 1,047 359 1,383
2025 291 1,570 1,612 66 405 1,253 1,181 391 1,527
Nottingham Nottinghamshire Lincolnshire Rutland Leicester Leicestershire NorthamptonshireDerby Derbyshire
Authority