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Health and Social Care

Health and Social Care

The Council’s Role

In Gateshead we want residents to live longer and have healthier lives by:

  • reducing health inequalities
  • focusing on prevention and reducing the need for high quality treatment and care
  • enabling communities to improve their own health and wellbeing.

The Health and Social Care Act 2012 extended the Council’s role in protecting and improving health and providing public health services for Gateshead.

The Council has a role in supporting adults and their carers, keeping people healthy, safe, equal and feeling good about living in Gateshead, this includes our most vulnerable adults. We aim to meet the needs of our residents in the most efficient way and keep vulnerable people as independent as possible.

The Council has a role in supporting children and young people in Gateshead to be safe from neglect and harm, receive the best possible education, get the right support when they need it, achieve their full potential and be as independent as possible when they become adults, and support parents to create loving, stable and supporting families. 

Possible destination

Health and Social Care will be delivered in the following way:

  • A strong Early Help offer that supports people in difficulty early and with pace reducing the likely need for costly packages of support
  • Making every contact count
  • It will be built around community universal services – including GP Practices and Schools
  • It will build on strength based approaches – what people can do rather than can’t, and be promoting of independence and empowerment
  • It will focus on inequality and vulnerability. Targeting and prioritising services to greatest need
  • It will see the delivery of quality integrated care and health packages based on need:
    • At home
    • In care/nursing
    • In hospital
  • A service better able to cope with demand, but a likely smaller service delivering in a different way.

Key actions to get to the destination

  • Developing a plan to redesign Care Wellbeing and Learning, with a view to start implementation by April 2017. 
  • Partnership approach with aligned priorities and a focus on prevention and early intervention and with the impact of reducing high cost care.
  • Integration
    • Integrated commissioning unit between the Council and the Clinical Commissioning Group
    • Closer working with hospitals and GP Practices
    • Integrated commissioning structure to ensure more choice for customers and a thriving market that in turn improves the quality of provision.
    • Integrated Health and Social Care co-located teams that are coordinated around the needs of the customer.
    • Quality assurance integration across Adults and Children’s would strip out duplication, provide more effective performance management and assurance for the Chief Executive, Director of Children’s Service and Director of Adult Social Services.
    • Assessment and care management (Adult Social Care) – resources realigned to focus on front door and enablement. Focus on maximising independence and wellbeing. Reducing demand and diverting/signposting those who don’t have an assessed need. Immediate response for customers with needs addressed at first point of contact.
    • Review of Adult Social Care provider services.
    • Streamlined in house provider service focussing on enablement.
    • A strong independent sector providing various services. The aim would be to reduce costs. The customer will benefit by being supported to live independently in their own home, better quality of life, greater range of opportunities for service users and carers.
    • More targeted activity – specifically focused on the needs that lead to high cost acute services (both in Children and Adult Services).
    • A sustainable system focused on prevention and  permanence.
    • Manage demand and reduced cost to the system – clear pathways and thresholds in Adults and Children’s services.
    • An increase in Learning and Schools traded income that eliminates the need for ‘Council support’ generated through reducing costs and increasing customer base.
    • To have a marketable, sustainable, competitive and quality Learning and Schools offer that is customer focused and continues to improve outcomes.
    • Achieving more together with communities and partners, in particular the Voluntary and Community Sector (VCS), through recognition of community assets and to support community development.
    • Development of empowered communities to take greater  responsibility for themselves and their environment.
    • Better use of assets, community capacity and public sector resources.
    • More joined up working and collaborating with residents and communities to identify the best long-term solutions to problems.
    • Efficiency savings and reduced costs.
    • Health Improvement and reducing health inequalities.

Budget proposals

Easy read version of the Health and Social Care budget proposals (263Kb)

Ref.Draft proposals
1 Delayering of management structure within Care, Wellbeing and Learning
2 Recommission Independent Supported Living Schemes*
3 Recommission Learning Disability Care Packages*       
4 Review of support for people to live independently*
5 Recommission Day Services*
6 Reduce Residential Care Admissions (Adults)*
7 Adult Social Care trading and income generation including fees and charges
8 Supporting people/voluntary organisation savings
9 Review our approach to Adoption Services*
10 Children’s Social Care – reduced demand through Early Help investment*
11 Early Help efficiencies*
12 Early Years Childcare Service – charge into Early Years block of Dedicated Schools Grant 
13 Parent Partnership - fund from High Needs block of Dedicated Schools Grant
14 Reshape and revise our approach to Home to School Transport
15 Review of Commissioning requirements for respite/family support with increased Direct Payments/Personal budgets where appropriate.
16 The Avenues Building Closure – Youth Services
17 Removal of vacant posts that are being held against children centre staffing establishments 
18 Fully fund Educational Psychology from High Needs funding of the Dedicated Schools Grant and trading income 
19 E-learning – fully trade or reduce  
20 Governors Support – fully trade  
21 School improvement service income and efficiencies*
22 Reducing elements of the Drug and Alcohol programme*
23 Reducing funding for the LiveWell Gateshead programme*
24 Reducing funding for NHS Health Checks
25 Public Health team efficiencies*
26 Remodelling 0-5 (Early Years) and 5-19 Children’s Public Health Services*
27 Reductions in Sexual Health funding 

Year 2 and year 3 will see the following further work:-

  • Extra Care Schemes reprovision
  • Demand management – Adult and children’s services
  • Integration of health and social care
  • Reduction in Provider Management costs
  • Recommissioning of Enablement, Domiciliary Care and Independent Supported Living
  • Recommissioning of directly provided Independent Supported Living
  • Commissioning team efficiencies
  • Further implementation of Achieving More Together with communities and the VCS.

* These proposals formed part of last year’s budget consultation exercise