Agenda and draft minutes

If any

Cllr Alexander

Cllr Wilson

Cllr Adamou

Llyoda Fanusie

Due to the lack of a quorum this meeting was informal.

The Chair will consider the admission of any late items of urgent business.  (Late items will be considered under the agenda item where they appear.  New items will be dealt with at item 9 below).

None

A Member with a personal interest in a matter who attends a meeting of the authority at which the matter is considered must disclose to the meeting the existence and nature of that interest at the commencement of that consideration, or when the interest becomes apparent.

None

To approve the minutes from previous meetings.

To be carried forward to the next meeting.

To hear from Tom Brown (Interim Assistant Director, Adult Services) with regards to resource allocations for the Older People’s Service.

There have been large changes in those aged 65 years of age and over in recent years.  For example, there has been an increase in the number of ‘older older’ people, especially in the 85 years of age plus population.  Amongst the 85 years there is an increased prevalence of cognitive impairments.  This will undoubtedly put pressure on statutory services.

Those present were taken through a number of projections for Haringey which were sourced from the Projecting Older People Population Information system (POPPI). POPPI has been developed by the Institute of Public Care for the Care Services Efficiency Delivery Programme designed to help explore the possible impact that demography and certain conditions may have on populations aged 65 and over.  Office of National Statistics (ONS) data is used for this projections and it is important to note that there are differences in these projections when put alongside the Greater London Authority (GLA) projections.  However, ONS statistics are used to determine local authority budget allocations.

Haringey’s over 65 years population is expected to increase by almost 2,000 over the next 17years with those over 85 years expected to increase by 600 over the same period.

Along side these it is also projected that there will be an increase in the number of;

Ø      people receiving community based services;

Ø      people helped to live at home;

Ø      households receiving intensive home care;

Ø      people projected to have dementia;

Ø      people unable to manage at least one self-care activity on their own;

Ø      people unable to manage at least one domestic task on their own.

All of the above will put increased pressures on the older people’s service budget.

Resources are tied up in the acute end of services.  Preventative services for older people receive approximately 5% (£937,000) of resources for the service as a whole.

2% (£417,000) of this is on drop-in centres.

There are investment proposals in the forthcoming budget for older people‘s services.

With regards to efficiency savings the service is looking at ways of providing services more efficiently whilst not compromising the quality or level of service and where possible improving these.

An example of this is the Community Transport System where vehicles that are linked to centres, and may be left unused for periods of time are being centrally coordinated and therefore able to provide a more flexible service to more groups. (

Noted that this needs to be widely publicised to address user concerns)

The Community Transport System will train drivers from groups who wish to hire the vehicles.

There is still an East/West divide with a 10 year difference in the East of the borough – people in the east of the borough are more likely to get the same type of illness as people in the west of the borough, but ten years earlier.

Points of Discussion

There are concerns about the issues surrounding census data for Haringey, including the projections.  This is due to a number of reasons including the high transience amongst the  ...  view the full minutes text for item 23.

To hear from Alex McTeare (Head of Strategic Commissioning – Adults and Older People, Haringey Teaching Primary Care Trust) with regards to resource allocations for services for older people.

Due to the absence of Alex McTeare, Tom Brown took the attendees through the figures provided by the TPCT.

Noted that the definition of prevention may not be the same for the TPCT as for Haringey Council.

To hear from Tom Brown and Alex McTeare on partnership working between Haringey Older People’s Services and Haringey Teaching Primary Care Trust.

There is a good partnership working relationship between front line workers.  For example, Social Workers, Occupational Therapists and Nurses.

However, the partnership working has not been quite as good on a more formalised basis.  For example, Joint Appointments.  There are currently no joint appointments in Older People Services, however this is something that is being discussed.

There is a desire to work towards a joint commissioning unit for improved service delivery.

There are currently two pooled budget arrangements between the TPCT and Haringey.  One of which is the Prevention Enabling Team which provides a range of services including Physiotherapy, Occupational Therapy and Domiciliary Care.

This service identifies and intervenes in cases to prevent people going into hospital and works to enable independence.  It is accessed via the home care service and receives a number of referrals from people who have gone to A&E but who do not need to be admitted to hospital.

The service receives forty plus referrals a month.

An area for improvement is the joint working between Community Matrons and the Assessment and Care Management Teams, especially with regards to a more joined up system for identifying people in need of intervention.

Another area for improvement is in budgeting, it is hoped that in the next financial year this will have greatly improved but both parties need to be wary of pushing budgetary pressures onto each other.

To hear evidence from Matthew Pelling (Supporting People Commissioning Manager) with regards to services provided for older people.

The Supporting People Programme is funded by Central Government and managed in partnership between Haringey Council, Probation and Haringey Teaching Primary Care Trust.

There are two main areas that Supporting People is responsible for:

1 – Supported Housing for example Sheltered Housing for older people.  This is different from residential and Nursing Care.

2 – Support services for example support workers who visit people in their own homes to provide support.  The support they are offered includes benefit help (for example advocating on behalf of the client), money management (for example budgeting and managing arrears).  This service is about people’s independence and is very different from domiciliary home care. 

The emphasis is about enabling people to ultimately do things for themselves, however the issue can be slightly different for older people.

Supporting People provides a robust monitoring framework  for providers.  For example:

Ø      Health and safety

Ø      Complaints procedures

Ø      Managing of support planning

Ø      Performance Indicators

The programme currently receives £20,000,000  of funding annually.  This is, at present, ring-fenced.

Ø      This supports approximately 19 client groups, including older people, people suffering from domestic violence and the community alarm service.

The average age for a person entering sheltered housing is going up.  It is now people aged 75 years and above that are entering whereas it was previously those aged 65 years and above.

Supporting People undertook a needs mapping exercise approximately 18 months ago.  The information showed that there is a need to consider alternate types of provision, for example Extra Care Sheltered Housing.  It also showed that there would be a need for 300 units of extra care over the next 10-15years in Haringey.

Supporting People also funds the Sixty Plus scheme, which is a support service.

This service is accessible over the telephone and anyone can refer someone to the service.  For example, self referral, neighbour, councillors, doctors.

The scheme offers a support worker who sets outcomes with the older person, if after these outcomes are met further ones are identified then support will continue.

Supporting People is monitored through the Partnership Board and also through the Haringey Association Voluntary Community Organisations (HAVCO).

The Audit Commission recently praised the Supporting People Programme for its strong governance arrangements.

The Council does not have powers to inspect schemes that it is not funding or where there is no contract in place (there is no statutory framework in place).

Do Older People know this?

Extra Care Sheltered Housing

Becoming increasingly popular.

Buildings are adapted, for example corridors are wide enough for wheel chair users.

There is overall a higher level of facilities than in normal sheltered housing.  This can include hydro pools, rehabilitation rooms and assisted bathing facilities.

There is a 24/7 support service plus care services e.g. domiciliary care.

Extra Care Sheltered Housing can bridge the gap between supported housing and residential care or even provide an alternative to residential care.

There are currently two new Extra Care schemes going through the Planning Committee stages in Haringey:

1 –  ...  view the full minutes text for item 26.

To hear feedback on the Commissioning panel

Deferred

None

Monday 14^th January – To be confirmed

Monday 4^th February.

13:00-15:30