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 |