the surrey adult social care workforce context surrey partnership council 11 september 2014 ken...
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The Surrey Adult Social Care Workforce Context
Surrey Partnership Council11 September 2014
Ken Akers, Workforce Lead, Adult Social Care
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What is the future for adult social care?
• Workforce as enablers; new workforce groups
• Direct payment recipients as employers
Personalisation
• Locality focus• Joined-up workforce commissioningIntegration
• Workforce focussed on prevention and independenceCare Bill
• Workforce culture of dignity and respectQuality
• Able to draw on and develop community skillsSocial capital
• Workforce able to provide advice and information
• Support disabled people into work
Welfare benefit reform
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What is the future for adult social care?
• National Minimum Training Standards and Code of Conduct
• “Raising Standards, Putting People First”
• Social Work Reform Board
Professional
responsibility
• Workforce has capacity to support a greater number of assessments
• Workforce able to support or signpost residents with financial planning
Funding reform
• Employee-run businessesAlternative operating models
• Workforce supports carers within a whole family approach
• Support workers who are carersCarers
• Workforce able to support residents with complex and challenging behaviours
Dementia
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Surrey demographics: 2013 to 2035
These graphs show the % increase in the different adult groups between 2013 and 2035. The most significant increases are:
People aged 65+: increase of 55% from 2013 to 2035 (People aged 85+ 128% increase) Older People with a Learning Disability: increase of 55% from 2013 to 2035
Source: POPPI, PANSI and ONS
2013 2020 2035150000
170000
190000
210000
230000
250000
270000
290000
310000
330000
350000
Older People
Age 85+ Age 65-84
2013 2020 203568000
70000
72000
74000
76000
78000
80000
Adults with Physical or Sensory Disabilities
(18-64)
2013 2020 203510000
12000
14000
16000
18000
20000
22000
24000
26000
Adults with Learning Disabilities
Age 65+ Age 18-64
The Surrey adult social care workforce now
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•Out of an economically active population of 600,400 in Surrey,
10.6% of workers are employed in the human health and social work sector•Skills for Care estimate there were approximately 33,900 jobs in the adult social care sector in Surrey in 2010, employing around
29,400 people
64%15%
21% Private and voluntary sec-tor employersLocal authority employerDirect payment employers
Who employs the adult social care workforce in Surrey?Source: Skills for Care
The Surrey adult social care workforce now
6
7%
3%
62%
4%
4%
19%Manager
Social Worker
Care Worker and Senior Care Worker
Community, Support and Outreach Work
Registered Nurse
Non care-providing staff
Source: NMDS
What is the make-up by job role of the adult social care workforce in Surrey?
•The majority of frontline adult social care staff (66%) are in non professionally qualified roles
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Demand: Projected growth in number of adult social care jobs in Surrey (2010-2025)
2010 2015 2020 2025
"Restricted Resources" (24% growth) 33900 36612 39324 42036
"Contain and Community" (37% growth)
33900 38081 42262 46443
"Base Case" (65% growth) 33900 41245 48590 55935
"Maximising Choice" (82% growth) 33900 43166 52432 61698
32,500
37,500
42,500
47,500
52,500
57,500
62,500
Num
ber
of
adult
socia
l care
jobs
Source: Skills for Care
•Between 8,135 and 27,798 extra adult social care jobs will be needed in Surrey by 2025, depending on the model used
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Demand: Estimated number of adult social care workers which would need to be recruited/annum (2010-2025)
2010 2015 2020 2025
"Maximising Choice" (82% growth)
7017.3 8935.36199999998 10853.424 12771.486
"Base Case" (65% growth)
7017.3 8537.715 10058.13 11578.545
"Contain and Community" (37% growth)
7017.3 7882.767 8748.23400000001 9613.70099999999
"Restricted Re-sources" (24% growth)
7017.3 7578.684 8140.068 8701.45199999998
Turnover only (0% growth)
7017.3 7017.3 7017.3 7017.3
4,5005,5006,5007,5008,5009,500
10,50011,50012,50013,500
Num
ber
of
adult
soci
al ca
re w
ork
ers
needed t
o r
ecr
uit
annually
Source: Skills for Care and NMDS
•Current average turnover across the adult social care sector is 20.7%•Depending on the model used, by 2025 up to 12,771 jobs will need to be recruited every year to ensure all jobs are filled (assuming turnover does not change)
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2010
2015
2025
2035
100,000 300,000 500,000 700,000 900,000 1,100,000 1,300,0002010 2015 2025 2035
0-17 245700 257500 279500 274900
18-64 688300 696900 722600 740200
65+ 190800 217400 259000 322400
Size of Surrey population by age
Year
•Although Surrey’s population is projected to grow by 19.5% by 2033, over half of this increase is accounted for by people of pensionable age (i.e. 65 years old and over)•The ratio of adult social care jobs to economically active population almost doubles between 2010 and 2025 (assuming “maximising choice“ scenario)
Supply: Proportion of the Surrey population who are economically active (2010-2035)
Source: ONS
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Supply: Surrey economy
Region % JSA claimants
England 3.77
South East 2.50
Surrey 1.60
Surrey
% of JSA claimants aged 24 and under
21.3
21.3% of JSA claimants who have been
claiming for over 6 months
35.2
Region Gross hourly pay across whole
workforce (full time)
Gross hourly pay of care worker (full
time)
Living wage (hourly)
England £14.24 £6.72 £7.45
South East £15.44 £7.03 £8.55 (London)
Surrey £18.07 £7.35 -•Compared to other regions, Surrey has a relatively small unemployed population. A significant percentage of these are aged 24 and under.•Compared to other regions, gross hourly pay in Surrey is relatively high. It is almost x2.5 times the gross hourly pay for care workers.
Unemployment
Pay
Source: NMDS and ONS
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Supply: Distance to work
Less than 1 mile
1-2 miles 2-3 miles 3-4 miles 4-6 miles 6-10 miles
10-15 miles
15-25 miles
All Resi-den-tial
0.2012987012987
01
0.1714594928880
65
0.1243042671614
1
0.0907544836116
268
0.1541434755720
48
0.1530612244897
96
0.0746753246753
247
0.0303030303030
303
All Non-Resi-den-tial
0.0993555316863
587
0.1162728249194
41
0.1157357679914
07
0.0966702470461
869
0.1769602577873
26
0.2126745435016
11
0.1160042964554
24
0.0663265306122
449
Surrey adult social care workforce: distance to work office from home
Perc
enta
ge
Source: NMDS
•Almost 75% of the residential care workforce live within 6 miles of their work base. •60% of the non-residential care workforce live within 6 miles of their work base.
Developing social care workforce strategy
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DEVELOPING, MONITORING AND REVIEWING
Workforce Board
Health Education Kent, Surrey and
Sussex
District and borough
authorities
Surrey County Council
Skills for Care
Surrey Care Association
Surrey Independent Living Council
Acute, community and
other health providers
Skills for Care Regional Network
Clinical ccommissioning
groupsAction for Carers
Engagement forums
Surrey Community
Action
Health and Wellbeing Board
Better Care Fund Board
Public Sector Transformation
Network Commissioners Reference Group
Surrey County Council Member Reference Group
Partnership boards and joint projects
Surrey residents
Health Education Partnership Board
EN
GA
GIN
G A
ND
CO
NSU
LTIN
G
Workforce organisations, service providers and
community organisations
EN
AB
LING
AN
D S
ETTIN
G
DIR
EC
TIO
N
Partner organisations leadership teams
DELIVERING AND IMPLEMENTING
Workforce development initiatives
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Theme Potential projects/initiatives Potential partners
Image and supply
Develop a pre-employment programme in Surrey through Education Business Partnerships and SCC links to schools and careers advisory services, to include both a health and adult social care focus (including graduate element)
JCB, CSF, FE Colleges, HEKSS , EBC, SCA
To develop a rotational apprenticeship pilot across health and social care in Surrey, potentially using the National Skills Academy for Health – job vacancies at the end for apprentices (includes mapping and joining up apprenticeship frameworks)
Health Education Kent Surrey Sussex (HEKSS), SfC, SfH, LEPs, SCA, Public Service Transformation
Develop a joint apprenticeship hub providing coordination and support for adults social care apprentices
SCA, JCP, FE colleges, CSF, SfC, LEPs
Work with Further Education colleges to improve understanding and promotion of health and social care careers, opportunities and apprenticeships
SCC, SfC, FE colleges,
Investigate possibility of a joint bid to both LEPs in conjunction with SCC, NHS, SfH and SfC to access EU funding, on a matched funding basis, around a HUB or employer model with a focus on community support workers/domiciliary care
HEKSS, SfC, SfH, SCA, Public Service Transformation
Workforce development initiatives
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Theme Potential projects/initiatives Potential partners
Image and
supply
Developing regional approach to workforce planning and commissioning sharing data and supply information
HEKSS, LAs, SfH, SfC
Continue development of the Target Operating Model and financial modelling to better understand workforce supply challenges
Health and social care commissioners
Review workforce elements of SCC commissioning specifications to promoted good employment practice and the Social Care Commitment
SCC
Improve education commissioning information for social care professionally qualified staff
SCC, SfC, higher education sector
Work with the Domiciliary Care Sector to address develop a recruitment and retention action plan
SCC, providers
Work with providers and SfC to implement the SfC recruitment and retention strategy in Surrey
SCC, SfC
Work with elected members to support their role as champions for the social care sector
SCC, SfC
Work with Skills for Care to improve the take up social care accolades to help improve the image of social care with the media and public
SCC, SfC
Continue to develop and improve NMDS take-up and access to the WDF to support training and development
SCC, Surrey and South East WDF
Workforce development initiatives
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Theme Potential projects/initiatives Partners
Career pathways/skill development
Look at developing common career pathways across adults social care and health
SCC, SfH, HEKSS, SfC
Investigate possibility of developing a skills passport across adults social care and health including core training standards
Skills for Health, HEKSS, Public Service Transformation, LEPs
Implement Surrey Skills Academy for multi-agency training and to support new training initiatives
SCC, SCA, H&SC JTP
Developing a new approach to systems leadership between public, private and voluntary sector
SfH, NHS Leadership Academy, SABT, SfC, SCC
Supporting links with care homes in respect of training and with a focus on dementia extending the Dementia Friendly Surrey project
SCC, Dementia Consortium, HEKSS
Increasing take up and promotion of joint training through work with care home forums and closer working with health partners
SCC, SABPT, HEKSS
Review training support for Personal Assistants making sure there is access to workforce development support
SCC, SILC
Workforce development initiatives
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Theme Potential projects/initiatives Partners
Care pathways/skill development
Review social care commissioning specification to include career and skills development
SCC, SCA
Work with SfH&C and HEKSS on development and promoting of the new Fundamental Certificate in Care and Health
SCC, SfH, SfC, HEKSS
Work with commissioners in health and care to support integration of services to support community based care and health services through the Better Care Fund
SCC, CCGs, local health economies
Work with the independent, voluntary and health sector to understand, define and support new workforce and skills development to support the Care Bill (including rapid response and integrated services)
SCC, providers and voluntary sector
Work with HEKSS to review on-going education commissioning frameworks for health and social care to facilitate joint health and social care education models
HEKSS, SCC, SfC, SfH
Supporting implementation of statutory safeguarding board with ongoing improvement to skills development and training offer
Safeguarding Board, SCC
Continue to promote carers training needs
Workforce development initiatives
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Theme Potential projects/initiatives Partners
Volunteering Extending and increasing support to develop volunteers services in District and Boroughs as part of Friends, Families, Communities Project (Surrey County Council) and Dementia Friendly Surrey
SCC, Ds&Bs, voluntary organisations
Supporting development of community skills programmes to support community volunteers working in social care provision as part of community asset mapping
Voluntary organisations, SCC