Meeting documents

Cabinet
Wednesday, 12th June, 2002

Appendix 4

PROMOTING INDEPENDENCE AND BUILDING CARE CAPACITY

GRANTS

Promoting Independence Grant

The Promoting Independence Grant, totalling £473,000 for Bath & North East Somerset Council, is the major grant that the Government gives to foster partnership between health and social services in promoting independence as an objective of adult services. In particular the grant is used to support new patters of service for providing care closer to home, in particular:

· Through the prevention of unnecessary hospital admission.

· Improved discharge arrangements.

· Better rehabilitation after hospital treatment.

· Developing services to enable people to live independently.

· Developing contingency plans to deal with emergency pressures.

The grant this year has been used to enable the continuation of innovative schemes and other provision related to this objective, as follows:

PROMOTING INDEPENDENCE GRANT 2002/03

Item

2002/03

£'000

Supported Accommodation

100

Home Care Block Contract and Expansion

112

Keyring Scheme (Supported Living)

30

Winter Pressures

97

Rehabilitation Unit Expansion

60

Employment Schemes

10

Occupational Therapy Services

64

Total

473

Building Care Capacity Grant

The Building Care Capacity Grant, totalling £986,000 is the grant that the Government gives to enable local authority community care services, including housing partners, to work with local NHS partners to reduce the number of delays where people are awaiting a transfer of care from hospital to community and require community care facilities or support in the community.

The principal purpose of the grant is to reduce the numbers of delayed transfers of care from acute hospitals. This can be done, for example, through:

· Investing in new services (including specialist services for user groups such as older people with mental health problems).

· Stimulating or stabilising the local independent care sector.

· Commissioning additional services at the hospital/community interface, both to effect more efficient discharges, but also to prevent avoidable admissions.

The grant this year has been used principally to support the local nursing home and residential care economy, with specific emphasis on building capacity to care for older people who are mentally ill.

A number of other services have been developed to ensure more effective and efficient discharge from hospital, and to strengthen intermediate care facilities. This expenditure is closely linked to the modernisation of admission and discharge processes within the Royal United Hospital in which the local authority and the PCT are closely participating.

BUILDING CARE CAPACITY FUNDING 2002/03

Item

2002/03

£'000

Block purchase of EMI Beds

100

Enhanced payments to support capacity in nursing and residential care

500

Newly assessed needs in Home Care including increased budget for CTOP teams

52

Step down beds

20

Administrative Discharge Facilitator

20

Home Care Project-reviews/rehab/enablement service

50

0.5 Mental Health Social Worker (hospital discharge)

15

Direct Payments

30

Senior Practitioner for new Rapid Assessment Team at the Royal United Hospital (RUH)

32

Maintenance of mental health liaison service at the RUH

17

Community Teams for Older People - make permanent capacity delivered in 2001/02

150

Total

986