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Learning disability services efficiency project: report
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2016
- Pagination:
- 17
- Place of publication:
- London
This report outlines the findings from the Learning Disability Services Efficiency Project and pulls together the evidence and some key messages for the sector. The project was set up by the Local Government Association in 2014 and is part of the Transforming Care programme. The Project aims to enable local authorities to develop and share new and innovative approaches to improve care and support for people with learning disabilities and to make efficiencies. The practice examples are based on the principles of promoting independence; working collaboratively to develop person centred solutions; maximising the use of resources, including digital technology and reducing costs. Five councils were tracked over a two year period and learning is being shared for the benefit of the wider sector. The Councils who took part were the London Borough of Barking and Dagenham, Darlington Borough Council, Cumbria County Council, Kent County Council and Wiltshire Council. The findings are described using the following headings: understanding need and the cost of meeting that need, the progression model, carers, transitions, NHS as key partners, staff, housing, transport and efficiency savings. (Edited publisher abstract)
Economic impact of inclusion of disabled persons in the labour market
- Author:
- BEYER Stephen
- Publisher:
- EASPD
- Publication year:
- 2017
- Pagination:
- iv, 80
- Place of publication:
- Brussels
This literature review was commissioned by EASPD to improve its understanding of the employment of people with disabilities in Europe and the strength of the financial case for inclusive employment. It provides cost-benefit analyses of labour market inclusion of people with disabilities can have for governments and public authorities, as well as the wider benefits for businesses and individuals. The review carried out extensive and structured searches on a number of database for research articles in English, published between 1980 and 2016. The main findings show that disabled people, taxpayers and government are likely to benefit financially in the long term from greater investment in employment in the open labour market of persons with disabilities. It also identified a large variety of models, working to different objectives, which support people with disabilities in work, training and employment. In terms of models supporting persons with disabilities into the open labour market, supported employment and individual placement and support have proved to be effective in doing so and with high cost-benefit return to the taxpayer. (Edited publisher abstract)
Independent research and cost analysis of the use of Just Checking and the Just Right approach to identify appropriate levels of care for adults with learning disabilities
- Authors:
- UNIVERSITY OF BIRMINGHAM, KPMG
- Publishers:
- University of Birmingham, KPMG
- Publication year:
- 2017
- Pagination:
- 10
- Place of publication:
- Birmingham
Summarises the findings of research on the use of Just Checking activity monitoring equipment to help determine the most appropriate level of care for people with learning disabilities living in residential or supported living accommodation. The research involved nine local authorities working with 33 care providers in England. The Just Checking technology was installed in a sample of accommodations units, most of which were supported living accommodation. The data were used by care staff, with advice about person-centred planning, to discuss whether the current package of support is appropriate, or whether care could be reduced or adjusted to better meet the needs of the service user. The results found that care providers were able to use the technology to achieve improved outcomes for individuals, improved person-centred support and achievement of goals, as well as greater independence and autonomy for individuals. KPMG’s financial analysis of the findings, found that care providers identified no change in the level of care for 38 per cent of tenants, a potential over-provision of care for 34 per cent and a potential under-provision of care of 28 per cent of tenants. The analysis estimates that, even taking into account under-provision, Just Checking would pay for itself within 9 weeks. The report concludes that the Just Checking activity monitoring approach is viable, acceptable and useful to service providers and commissioners of care for adults with learning disabilities. It highlights factors that support the successful implementation of Just Right/Just Checking. (Edited publisher abstract)
Adult social care spending efficiency tool
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Place of publication:
- London
This tool identifies statistical neighbours – or similar areas – for adult social care delivery for older people and working age adults with learning disabilities. These are the two largest groups who receive adult social care. The comparable indicators include spending per head, quality of services and access to services. The tool provides a basis for comparing spending and outcomes between councils and helps directors of adult social services and local authority financial leads to find new opportunities for improving adult social care efficiency. It is for use by councils to assess their own performance, and to identify where different approaches in comparable local authorities may provide examples to learn from. It is not meant to be used to make judgements about the relative performance of councils in delivering adult social care services, nor can it provide answers as to what the ‘correct’ price is for care. (Edited publisher abstract)
Economic evidence around employment support
- Authors:
- WILKINS Anita, et al, NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2012
- Pagination:
- 36
- Place of publication:
- London
Supporting disabled people into paid work is a policy priority for local authorities, and commissioners need evidence on which to base investment decisions. The School for Social Care Research (SSCR) commissioned the National Development Team for Inclusion (NDTi) to carry out a scoping review to see what economic evidence is currently available within published literature. The review particularly focuses on two client groups: people with learning disability, and those with mental health problems. The review found that the field of employment support in the UK is currently characterised by a complex, interrelated array of approaches, pilots and schemes, which frame the issue in a variety of ways. In order to present evidence relating to these different approaches, the researchers grouped them into six main categories of models of support, and presented them in tabulated format, referencing any related economic evidence found for each approach. They found that there is a limited body of economic evidence, mainly focussing on particular kinds of employment support e.g. Supported Employment, and Individual Placement and Support (IPS). The evidence is often comparative (e.g. forms of cost-benefit analysis) rather than absolute (e.g. looking at cost-effectiveness, and how many successful job outcomes can be expected for a given financial input). There are also many gaps and inconsistencies in the evidence, compounded by variable and liberal interpretation of certain models as practiced, particularly Supported Employment. The review concludes by making a number of recommendations for future study, and raising further questions that need answering in order to help local authorities commission effective support. (Edited publisher abstract)
'A home of my own': developing cost effective housing options for people with learning disabilities across the East Midlands
- Author:
- EAST MIDLANDS IMPROVEMENT AND EFFICIENCY PARTNERSHIP
- Publisher:
- East Midlands Improvement and Efficiency Partnership
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- Melton Mowbray
This Good Practice Case Study describes a housing solutions programme to reduce reliance on residential care for people with learning disabilities. The programme was stimulated by the initiative taken by Nottinghamshire County Council to engage the Care Services Efficiency Delivery programme (CSED) to undertake a local strategic housing analysis. Nottinghamshire’s findings were shared at a regional housing event in July 2009 and resulted in the other 8 local authorities in the East Midlands signing up to undertake a similar programme of support. The programme set out to achieve a target of a 5% reduction in the number of people with learning disabilities who live in residential care, whilst increasing other local housing options. Phase one of this project will support over 200 people with learning disabilities moving back into the community, with a further 110 identified. The potential to save over £10.8 million has been identified across the 8 local authorities through the development of a range of new housing and support options.
Assessing the quality of service provision for people with challenging needs placed out of borough
- Author:
- BECKER Paul
- Journal article citation:
- Tizard Learning Disability Review, 11(4), October 2006, pp.12-18.
- Publisher:
- Emerald
This article describes the secondment of a health professional to the care management team to assess the efficacy and cost-effectiveness of out-of-borough placements for individuals who present challenging behaviour. Lambeth Partnership agreed that dedicated psychology/challenging needs time of a practitioner with more than 10 years' experiences in the borough would be available to the care management team, creating collaborative working and enhancing the existing service. To assess the quality of services, a questionnaire was developed that covered demographics, types of service provision and intervention package employed (including monitoring and outcome measures), implementation of person centred-planning (PCP) and the views of stakeholders. This paper summarises the finding of five months of assessing the quality of service provision for people with challenging needs placed out of the London Borough of Lambeth.
Best value for whom?
- Author:
- HOLMAN Andrew
- Journal article citation:
- Community Living, 12(1), July 1998, pp.18-20.
- Publisher:
- Hexagon Publishing
Cumbria is one of the 37 authorities to be chosen for a pilot project for the Government's 'Best Value' scheme and the only authority to specifically include learning difficulties in their application. This article looks at what it will mean for service users.
Care and Health Improvement programme: efficiency project
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2018
- Pagination:
- 24
- Place of publication:
- London
This report provides practice examples from ten councils who took part in the Care and Health Improvement Programme during 2016/17. It describes the innovative approaches they took to achieve greater efficiencies from their adult social care budgets and draws conclusions as to what other councils might learn from them. The examples cover three main areas: managing demand for social care by offering residents a different type of service; more effectively using the capacity in communities to help find new care solutions; and working closer with partners in the NHS to reduce pressures in the care and health system. They highlight the importance of councils dealing with people effectively at their first point of contact; the benefits of using strength-based approaches; that developing social enterprises can be a cost effective way of meeting demand and reducing shortage of supply; and the potential of collaboration between councils to reduce costs and demand for services. The 10 councils are: Bristol City Council, Poole Borough Council, Swindon and Wiltshire Councils; Norfolk County Council; Waltham Forest Council; Somerset Council; Newcastle City Council; Nottingham City Council; and Nottinghamshire County Council. (Edited publisher abstract)
Supporting people: administrative guidance October 2001; 3a steady state processes
- Author:
- GREAT BRITAIN. Department for Transport, Local Government and the Regions
- Publisher:
- Great Britain. Department for Transport, Local Government and the Regions
- Publication year:
- 2001
- Pagination:
- 139p.
- Place of publication:
- London
The Supporting People programme offers vulnerable people the opportunity to improve their quality of life by providing a stable environment which enables greater independence. It will deliver high quality and strategically planned housing-related services which are cost effective and reliable, and complement existing care services. The planning and development of services will be needs led. Supporting People is a working partnership of local government, service users and support agencies.