Report - London Borough of Hillingdon

To: 

COUNCILLOR PHILIP CORTHORNE 

CABINET MEMBER FOR SOCIAL 

SERVICES, HEALTH AND HOUSING 

Democratic Services 

Location: 3E/05 

Ext: 00693 

DDI: 01895 250693 

My Ref: GDB 

c.c. All Members of Executive Scrutiny 

Committee 

c.c. Chairman of Social Services, Health & 

Housing Policy Overview Committee 

c.c. Linda Sanders, Corporate Director 

c.c. Gary Collier/Paul Feven 

c.c. Conservative and Labour Group Offices 

(inspection copy) 

Date: 12 October 2011 

Decision Request Form INDIVIDUAL CABINET MEMBER 

SOCIAL CARE, HEALTH & HOUSING 2011/12 COMMISSIONING 

PROGRAMME: QUARTER 1 UPDATE 

Attached is a report requesting that a decision be made by you as an individual 

Cabinet Member. I can confirm that the decision has been identified in the Forward 

Plan and it is therefore in order for you to make a decision. You should take a 

decision on or after Thursday 20 October 2011 in order to meet Constitutional 

requirements about publication of decisions that are to be made. 

Please indicate your decision on the duplicate memo supplied, and return it to me 

when you have made your decision. I will then arrange for the formal notice of 

decision to be published. You may wish to discuss the report with the Corporate 

Director before it is made. If you do not wish to accept the officer’s recommendation 

and the reasons for it, you are urged to contact the Corporate Director before making 

this decision. 

Please note that your decision may be subject to call-in and will not therefore be 

implemented until 5 working days after it has been published. 

GILL BRICE 

Democratic Services Officer 

Title of Report: Social Care, Health & Housing 2011/12 Commissioning 

Programme: Quarter 1 Update 

Decision made: 

Reasons for your decision : (e.g. as stated in report) 

Alternatives considered and rejected : (e.g. as stated in report) 

Signed ………………………………………………………Date…………………….. 

Cabinet Member for Social Services, Health & Housing

Social Care, Health and Housing 2011/12 Commissioning Programme: 

Quarter 1 Update 

Cabinet Member 

Cabinet Portfolio 

Officer Contact 

Papers with report 

Councillor Philip Corthorne 

Social Services, Health and Housing 

Paul Feven, Head of Commissioning, Contracts and Housing 

Supply Ext 7902 

None 

HEADLINE INFORMATION 

Purpose of report 

This report is intended to: 

a) Inform the Cabinet Member of progress in delivering the 2011- 

12 Commissioning Plan and achievements in Quarter 1 (Q1). 

b) Inform the Cabinet member of a number of national and local 

strategic developments 

Contribution to our 

plans and strategies 

Financial Cost 

Relevant Policy 

Overview Committee 

Ward(s) affected 

Sustainable Community Strategy and the Health and Wellbeing 

Strategy. 

The local developments referred to in the report are already 

accounted for within existing SCH&H budgets. The work detailed 

within this report will be contained within the department’s existing 

budgets. 

Social Services, Health and Housing 

All 

RECOMMENDATION:- 

1. That the Cabinet Member notes the progress on the delivery of the 2011-12 Social 

Care, Health and Housing commissioning programme and achievements during Q1. 

2. That the Cabinet Member notes the national and local strategic developments outlined 

in the report. 

Reasons for recommendation 

The Cabinet Member needs to be aware of progress on delivering the 2011-12 commissioning 

programme and the implications of national and local strategic developments during Q1. 

Cabinet Member Decision – 12 October 2011 

PART1 – MEMBERS, PUBLIC AND PRESS

Alternative options considered 

No alternative options were considered. 

Comments of Policy Overview Committee(s) 

None at this time. 

Supporting Information 

Summary 

1. This is the first of a quarterly Social Care Commissioning performance report. It replaces the 

quarterly housing support commissioning performance reports that have been submitted for the 

Cabinet Member’s consideration for a number of years. The report is intended to provide the 

Cabinet Member with a much broader picture of commissioning activity within Social Care, 

Health and Housing. Children’s commissioning activity will be integrated into future reports. 

Key National and Local Strategic Developments 

2. There were four key national strategic developments during Q1 that will have significant 

implications for social care: 

a) publication of the Law Commission Review of adult social care 

b) publication of the Dilnot Commission’s review of long-term care and support 

c) NHS Future Forum’s report following its review of the government’s NHS reforms and the 

government’s response 

d) Adult Social Care Outcomes Framework 

3. Law Commission Review: the Commission proposes to create a single new statute that 

would determine the purpose of adult social care as being to promote or contribute to the 

wellbeing of the individual. The statute will establish a set of principles that would need to be 

taken into consideration when making any decision in respect of an individual. A decision 

maker would be required to: 

• assume that the person is the best judge of their own wellbeing, except in cases where they 

lack capacity to make the relevant decision; 

• follow the individual’s views, wishes and feelings wherever practicable and appropriate; 

• ensure that decisions are based upon the individual circumstances of the person and not 

merely on the person’s age or appearance, or a condition or aspect of their behaviour which 

might lead others to make unjustified assumptions; 

• give individuals the opportunity to be involved, as far as practicable in the circumstances, in 

assessments, planning, development and reviewing their care and support; 

• achieve a balance with the wellbeing of others, if this is relevant and practicable; 

• safeguard adults wherever practicable from abuse and neglect; and 

• use the least restrictive solution where it necessary to interfere with the individual’s rights 

and freedom of action wherever practicable. 

4. Other key recommendations made by the Commission were: 

• giving carers new legal rights to services, e.g. a right to an assessment if they are providing 

unpaid care to anyone and appear to the assessor as possibly benefiting from ‘carers’ 

services’ and the right to these services if assessed as needing them. 



• placing duties on councils and the NHS to work together 

• building a single, streamlined assessment and eligibility framework 

• protecting service users from abuse and neglect with a new legal framework; and 

• giving adult safeguarding boards a statutory footing. 

5. The Government’s response to the Commission’s recommendations will be reflected in the 

Adult Social Care White Paper, which is now expected in the spring of 2012. 

6. Dilnot Commission: the key recommendations of the Commission were as follows: 

• An individual’s lifetime contributions towards their social care costs should be capped. After 

the cap is reached, they should be eligible for full state support. The Commission proposed 

that £35K cap; 

• The means-tested threshold, above which people are liable for their full care costs, should 

be increased from £23.2K to £100K; 

• National eligibility criteria and portable assessments should be introduced to ensure greater 

consistency; and 

• All those who enter adulthood with a care and support need should be eligible for free state 

support immediately rather than being subjected to a means test. 

7. The response of the government to the Commission’s findings is expected to be reflected in 

the Adult Social Care White Paper. 

8. NHS Future Forum: the Forum proposed a number of changes to the Health and Social Care 

Bill that had previously been submitted to Parliament with a view to transferring control of 

approximately 80% of the NHS budget to consortia of GPs. For the purposes of this report the 

key recommendations concern the enhanced role of Health and Wellbeing Boards and are as 

follows: 

• Boards will have a statutory responsibility to promote joint commissioning and integration 

between health, public health and social care; 

• All NHS Commissioning plans will need to have regard to local health and wellbeing 

strategies 

• Local Clinical Commissioning Groups (LCCG and formerly known as GP consortia) must 

consult local Health and Wellbeing Board about any commissioning plans 

• Health and Wellbeing Boards will have the right to refer NHS commissioning plans back to 

the LCCG or the NHS Commissioning Body as appropriate for reconsideration 

• Where there is a deviation from the local health and wellbeing strategy the LCCG or NHS 

Commissioning Body must either make amendments to its plans or explain why they have 

not done so; 

• The NHS Commissioning Body will be required to take the views of Health and Wellbeing 

Boards into consideration when undertaking its annual assessment of the LCCG. 

9. These are very positive changes that should enhance partnership working between health 

and social care to the benefit of local residents. The Department of Health (DH) has made £15k 

available for each local authority area in order to support the capacity building of their local 

health and wellbeing boards to ensure that they are able to take on their new responsibilities 

when they come into effect in April 2012. A local proposal has been developed in discussion 

with the Health and Wellbeing Board and it is intended to submit an application for facilitated 

support to the DH in September 2011. 



10. Adult Social Care Outcomes Framework: This was published on the 31 st March 2011 and 

included a set of outcome measures that will be used to demonstrate the achievements of adult 

social care. It is not intended as a national performance management tool but rather a local tool 

that enables councils to benchmark against one another. It comprises of four domains: 

• Enhancing quality of life for people with care and support needs 

• Delaying and reducing the need for care and support 

• Ensuring that people have a positive experience of care and support 

• Safeguarding adults whose circumstances make them vulnerable and protecting them from 

avoidable harm 

11. Each domain contains a number of outcome measures and these are shown in Appendix 1. 

Many of these outcome measures replicate the indicators contained within the former national 

indicator set. 

12. There are similar outcomes frameworks for the NHS and Public Health and these will be 

revised by the DH on an annual basis. Although many of these outcome measures are 

reflected in the current Wellbeing Strategy, the Health and Wellbeing Board may wish to 

consider using these frameworks to develop a local balanced scorecard in order to demonstrate 

the effectiveness of local partnerships at delivering improved health and wellbeing outcomes for 

residents. 

Other developments in the first quarter 

13. The London Plan was examined in public by planning inspectors. The Plan is produced by 

the Mayor of London’s Office as the overall planning policy for London. As a result of inspector 

recommendations London councils will be able to introduce policies to control the development 

of gardens. Minimum space standards for 1 bedroom properties and studio flats of 37m² will 

also be introduced. The affordable housing target is also amended so that councils are not 

required to secure 50% of all new housing as affordable but instead ‘should aspire’ towards this. 

The changes to the London Plan will be reflected in Hillingdon’s Local Development Framework 

(LDF). 

14. Southern Cross runs 752 care homes nationally and four in Hillingdon. Financial difficulties 

arising from an unsustainable financial model has led to the collapse of the company. Two new 

providers will be taking over management of the homes within which Hillingdon has current 

placements – HC1 (a new company formed by Court Cavendish) and Lifestyle. As a result, no 

local homes will be closing and officers are working closely with the Relatives of Residents in 

Care Homes (RRICH) group to ensure that they are kept informed of any developments. 

15. During Q1 the Government also made nine housing policy announcements and these were: 

• New FirstBuy Scheme – the government and house builders will together offer a 20% equity 

loan, which with a 5% deposit from the buyer will enable first time buyers to take out a 75% 

mortgage on the rest of the property; 

• Planning Policy Statement (PPS) 3: Housing – this ensures that housing at affordable rents 

of up to 80% of market rents can be defined as affordable housing for planning purposes; 

• Tenant Cashback – tenants of councils and housing associations will be able to pool their 

resources to create a Community Cashback account which could be used to fund 

community improvements; 



• Build Now, Pay Later – this is intended to enable house builders experiencing cash flow 

problems to start building new homes without having to face the expense of buying the land 

upfront; 

• Community Right to Build – community organisations will be able to approve new local 

developments without the need to go through normal planning process where they have the 

support of 50% of local residents; 

• Self-build – the Government plans to help more people to build their own homes and will 

make available publicly owned land; 

• No Second Night Out – a 24 hour helpline and website is to be established that the public, 

emergency services and homeless people themselves can use to report and refer rough 

sleepers, with an outreach worker dispatched to contact the person as quickly as possible. 

• Planned release of public land for house building – enough public land to enable 100,000 

homes by 2015 is intended to be released by government and each government department 

will be expected to publish plans by the autumn 2011; and 

• Affordable Homes Programme 2011 – 15 - £4.5bn is being invested through a new 

programme and existing commitments from the earlier programme. Hillingdon is one of 

seven London boroughs that have been awarded funding to build additional affordable 

homes. 

16. Hillingdon’s response to the initiatives referred to in paragraph 15 will be reflected in the 

Housing Strategy, which will be considered by Cabinet early in the New Year. This will allow 

time for appropriate consideration to be given to any statutory guidance issued once the 

Localism Bill has been passed by Parliament. 

Commissioning Priorities 

17. The following drivers necessitate a change in the traditional model of social care currently 

provided by the council that is reliant on residential and nursing home provision and buildingsbased 

services: 

• Government policy: this is seeking to embed a more personalised model of care 

nationally; 

• Demographic changes: over the next five years and beyond Hillingdon will be 

experiencing an ageing population and more people with more complex needs, e.g. more 

than one disability or long-term condition; 

• Public expectations: residents want to enjoy the maximum independence in their own 

homes for as long as possible; 

• Resources: with less money available from central government, the council cannot afford 

to continue with the old service model. 

18. In response to these drivers the following six commissioning priorities have been identified: 

• Commissioning Priority 1: To work with private and registered providers, including private 

landlords, to make the best use of the housing supply to address need, including 

developing and expanding supported housing models, including extra care. 

• Commissioning Priority 2: To ensure that robust safeguarding infrastructures are in place 

within all commissioned services that promotes the wish of residents to exercise choice 

and control. 

• Commissioning Priority 3: To undertake strategic market management through: 



a) framework agreements for care and support services and maximise economies of 

scale through collaborative commissioning with West London councils and local 

health partners; 

b) stimulating the market to ensure that Hillingdon residents are able to exercise choice 

by having access to a range of providers able to meet their personal needs as well as 

those of their unpaid carers and also provide better value for money for the council. 

• Commissioning Priority 4: To integrate or jointly commission services with local health 

and other partners where this demonstrably provides improved outcomes and better 

value for money. 

• Commissioning Priority 5: Implement the framework agreement for home support and 

conclude the collaborative commissioning arrangements for residential and nursing home 

provision to achieve more efficient ways of working across the West London Alliance and 

to ensure value for money services 

• Commissioning Priority 6: Work with NHS Hillingdon and local GPs to ensure the 

seamless transition to GP commissioning arrangements that maximises the opportunities 

for reducing costs by preventing avoidable demand on services, including unnecessary 

hospital admission. 

19. These priorities are reflected in the 2011/12 commissioning programme attached as 

Appendix 2. 

Commissioning Programme Progress Report: Achievements and Key Issues 

20. Appendix 2 summarises progress against the commissioning programme for 2011/12. The 

following summarises the key achievements for Q1: 

• Carers – The Carers Conference was held on 7 th June 2011 and was attended by 225 

people of which were 65 carers, 72 professionals, 85 Board Members or staff of organising 

agencies. The conference theme was to enable carers to raise issues effectively and get 

the support they need. Information gathered will inform the development of a template to 

support carers in providing feedback. Information gathered will inform the development of a 

template to support carers in providing feedback and a steering group comprising of 

Hillingdon Carers, Rethink, Alzheimer's Society, Crossroads Care, Central and North West 

London Foundation Trust (CNWL) and SCH&H, will develop the template. A key objective of 

the conference is that providers of services to carers will be able to improve their businesses 

as a result of carers being able to raise concerns more effectively. 

• Carers – The Carers’ Fair took place in Mall Pavilions, Uxbridge on the 14 th June. This was 

a community event that was intended to make people who are undertaking a caring role 

aware that they are carers and therefore have a number of rights. It also gave access to 44 

organisations that provide support to carers in the local area. The event led to 61 new 

carers being identified, 25 new people offering to volunteer with support organisations, 63 

new enquiries for TeleCareLine and 96 enquiries about extra care housing. 

• Disabilities - A ‘Big Health Check’ Day was organised by the Council and the PCT to obtain 

views from people with learning disabilities and their carers about access to health services. 

This gave people with learning disabilities the opportunity to comment on the health services 

they have received and how they would like to see them developed and informed a selfassessment 

about what the council and its partners are doing to improve services for people 

with learning disabilities. 



• Housing Support – The implementation of the transfer of floating support services for people 

with mental health needs from three providers (Hillingdon MIND, Richmond Fellowship and 

Look Ahead Housing and Care) to one provider (Hestia) took place with no disruption to 

service users. This followed a tender process that took place in 2010 and will lead to a 

saving for the council of £126k over the three years of the contract. 

• Older People and Disabilities – Work started in partnership with West London Alliance 

(WLA) councils to develop an Accreditation, Purchasing and Contract (APC) management 

scheme, which is a project that is intended to enable West London councils to manage the 

care home market by working with providers to find solutions to such issues as quality 

standards, capacity management, risk management and pricing, etc. This is a very positive, 

although complex, initiative that should see standards improve in care homes in the West 

London area. The first phase of this will be the development of an Approved List of 

residential providers and it is intended that there will be a report to Cabinet in October 2011 

seeking approval for a West London Alliance Approved List and APC scheme to be 

implemented by 31 st March 2012. 

• Older People - The tender process for care provision to the 47 residents at the council’s 

flagship extra care schemes at Triscott House and Cottesmore House was completed and 

this led to the appointment of Sevacare as the provider by Cabinet at its July meeting. This 

means that care provision will be available to residents when they open in the autumn of 

2011. 

21. The commissioning programme is comprised of 23 detailed sub-tasks. At the end of Q1, 17 

of these were on target with a further 6 which will complete by the end of 2011/12 although not 

within the original timescale envisioned. These are identified as amber in Appendix 2. The 

following part of this report provides the Cabinet Member with commentary on the amber areas. 

22. Commissioning managers to develop commissioning plans approval at least 15 

months in advance of the expiry of service contracts: The vast majority of the contracts due 

to expire over the next fifteen months have plans in place in order to ensure there is continuity 

between the expiry of one agreement and the beginning of another. The two main reasons why 

commissioning plans have not been completed in all areas are that a) some services are jointly 

funded with the PCT which has been unable to make any commitment pending a review of 

expenditure and b) radical changes are being considered to the service model required in order 

to move away from block contracts towards 100% personalisation. On the latter issue, these 

changes (mostly concerning accommodation based services for people with a learning disability 

or mental health needs) will be reported to Cabinet later this year. 

23. Consideration of longer term agreements for some providers where value for money can be 

demonstrated is a feature of some expiry plans and further reports will be submitted to the 

Cabinet Member in Q2. 

24. Develop a sufficient supply of personal assistants to address demand: Officers are 

exploring options to bring this project back on track as part of the integration of personalisation 

within adult social care. 

25. Develop a specification and tender for a generic advocacy service: funding for this 

service expires in March 2012 and officers are seeking to identify continuation funding. Officers 

have been actively pursuing a potential procurement route through the WLA and two other 

councils (Brent and Hammersmith & Fulham) have expressed an interest. However, capacity 

within the WLA has delayed progress on this and it will not now be possible for any procurement 



exercise to conclude before the expiry of current arrangements. Officers are exploring options 

to address this, including the possibility of Hillingdon leading. 

26. Work with third sector providers of block learning disability residential services to 

change model of care to supported housing: officers have been exploring the different 

personalisation models and will be working with existing providers, the Care Quality 

Commission, users and their families to change the model of care as quickly as is feasible. It is 

intended that a report will go to Cabinet in November 2011 seeking approval to enter new shortterm 

contracts that will see a change of care model within the lifetime of the contracts. 

27. Introduce a personal budget pilot to enable carers to identify their own short break 

opportunities: work is in progress to develop a Resource Allocation System (RAS) for carers 

and this has delayed progress in developing the personalisation pilot. However, the results 

should be much better for carers by creating much greater transparency about the funding they 

are able to access to address their support needs. The revised implementation date for the pilot 

is November 2011. 

28. Develop proposals for the integration of commissioning arrangements with the PCT 

and with Children’s Services: the reorganisation within the NHS has delayed discussions 

about the integration of commissioning arrangements as the exact nature of the government’s 

intentions concerning the commissioning of health and social care services unfolds. 

Opportunities for integrating commissioning arrangements and services will be explored further 

in Q2. Work on integrating social care commissioning arrangements between children and 

adults will take place in Q2 and this will start with the co-location of the Council’s Children’s 

Commissioner with the Social Care Commissioning Team. 

Financial Implications 

29. The report sets out a number of potential national developments which could have a 

significant financial impact on the council, e.g. Dilnot. Once Government confirm decisions and 

the associated funding mechanisms Cabinet will be informed of the financial impact for 

LBH; this is likely to be part of the 2012/13 to 2015/16 MTFF report to December or February 

Cabinet. The local developments referred to in the report are already accounted for within the 

existing budgets of the department. 

30. The work detailed in this report will be contained within the existing budgets for SCH&H. 

EFFECT ON RESIDENTS, SERVICE USERS & COMMUNITIES 

What will be the effect of the recommendation? 

31. The following explains the effect of the recommendations on residents, service users and 

communities: 

• Recommendation 1: Effective commissioning is essential to ensuring the availability of 

quality, value for money services that will assist in preventing avoidable deterioration in the 

needs of residents and people using social care services. 

• Recommendation 2: There will be no direct effect on residents, service users and 

communities as a result of this recommendation. 



Consultation Carried Out or Required 

32. A range of consultation events took place during Q1 where a range of issues were raised 

and these included: 

• Carers’ Conference – this was held on the 7 th June and focused on enabling carers to raise 

concerns or compliments. Outcome: a template to support carers in providing feedback is 

being developed jointly between the council and Hillingdon Carers; 

• Carers’ speakeasy on 5 th May – this was one of a number of meetings taking place in 

different parts of the borough that are open to all carers. Issues raised included access to 

information in GP surgeries, which is being addressed by GP Project run by Hillingdon 

Carers. Another issue concerned having contact sheets to give details as to where to go in 

an emergency. The advice was to develop an Emergency Care Plan and a template was 

provided. 

• Disabilities Assembly – this took place in June and focused on the services disabled people 

would like to see provided from their GP surgeries or health centres. The Local Involvement 

Network (LINK) intends to feed the results of this meeting to the Health and Wellbeing 

Board. 

• Social Care, Health and Housing Conference – this was held on the 9 th June and was 

focused on how the independence of residents can be supported. A workshop about what 

needs to be in place to deliver the supported housing programme formed took place as part 

of the conference. This identified the provision of land by the council, the development of a 

joint provider framework, developing specifications to pertinent to the user group and 

reviewing provider housing stock that can be remodelled for supported housing as steps that 

can be taken. Officers will be considering all suggestions made by the workshop 

participants. 

• Access and assessment questionnaire – this was one of a number of satisfaction surveys 

sent to people assessed for community care services. It identified a need for a telephone 

contact service to help reduce loneliness and isolation experienced by older people. 

Commissioning will work with Hillingdon Housing Services and the voluntary sector to 

explore ways of expanding the remit of TeleCareLine 

CORPORATE IMPLICATIONS 

Legal 

33. There are no specific legal implications arising from this report. Legal advice will, of course, 

be provided once the proposals in the report are implemented. 

BACKGROUND PAPERS 

None 



2011/12 Adult Social Care Outcomes Framework at a glance Appendix 1 

1 

Enhancing Quality of life for people with care and support needs 

2 

Delaying and reducing the need for care and support 

Overarching measure 

1A. Social care-related quality of life 

Outcome measures 

People manage their own support as much as they wish, so that they are in control of what, how and 

when support delivered to match their needs. 

1B. The proportion of people who use services who have control over their daily life. 

1C. Proportion of people using social care who receive self-directed support, and those receiving direct 

payments. 

Carers can balance their caring roles and maintain their desired quality of life. 

1D. Carer-reported quality of life** 

People are able to find employment when they want, maintain a family and social life and contribute to 

community life, and avoid loneliness or isolation. 

1E. Proportion of adults with learning disabilities in paid employment. 

1F. Proportion of adults in contact with secondary mental health services in paid employment. 

1G. Proportion of adults with learning disabilities who live in their own home or with their family. 

1H. Proportion of adults in contact with secondary mental health services living independently, with or without 

support. 


2A. Permanent admissions to residential and nursing care homes, per 1,000 population 


Everybody has the opportunity to have the best health and wellbeing throughout their 

life, and can access support and information to help them manage their care needs. 

Earlier diagnosis, intervention and reablement means that people and their carers are 

less dependent on intensive services. 

2B. Proportion of older people (35 and over) who were still at home 91 days after discharge 

from hospital into reablement / rehabilitation services 

When people develop care needs, the support they receive takes place in the most 

appropriate setting, and enables them to regain their independence. 

2C. Delayed transfers of care from hospital, and those which are attributable to adult social 

care. 

Ensuring that people have a positive experience of care and support 

Safeguarding adults whose circumstances make them 

3 4 

vulnerable and protecting from avoidable harm 


People who use social care and their carers are satisfied with their experience of care and support 

services. 

3A. Overall satisfaction of people who use services with their care and support. 

3B. Overall satisfaction of carers with social services (deferred to 2012/13) 


Carers feel that they are respected as equal partners throughout the care process. 

3C. The proportion of carers who report that they have been included or consulted in discussions about the 

person they care for 

People know what choices are available to them locally, what they are entitled to, and who to contact 

when they need help. 

3D. The proportion of people who use services and carers who find it easy to find information about support. 

People including those involved in making decisions on social care, respect the dignity of the 

individual and ensure support is sensitive to the circumstances of each individual. 


PART1 – MEMBERS, PUBLIC AND PRESS 


4A. The proportion of people who use services who feel safe 


Everyone enjoys physical safety and feels secure. 

People are free from physical and emotional abuse, harassment, neglect and selfharm. 

People are protected as far as possible from avoidable harm, disease and injuries. 

People are supported to plan ahead and have the freedom to manage risks the way 

that they wish. 

4B. The proportion of people who use services who say that those services have made them 

feel safe and secure.

Ref 

No 

1. Undertake strategic 

commissioning to improve the 

health and wellbeing of adults 

and older people 

2. Deliver the Adult Social Care 

Commissioning Plan 

Commissioning Programme 2011/12: Quarter 1 Progress 

Task Sub-tasks Lead Target 

Dates 

a) Complete the Adult Social Care 

Gary 31/08/11 

Commissioning Plan 

Collier 

a) Commissioning managers to develop 

commissioning plans for Head of 

Service approval at least 15 months in 

advance of the expiry of service 

contracts. 

Gary 

Collier 

31/07/11 

Traffic 

Lights 

Green 

Amber 

Appendix 2 

Comments 

Plan to be 

considered by 

Cabinet on 

27/09/11 

Some slippage - 

See body of report. 

3. Develop the care and support 

provider market to support 

personalisation 

a) Develop a sufficient supply of 

personal assistants to address 

demand. 

Gary 

Collier 

31/03/12 Amber 



b) Ensure on line access for Hillingdon 

residents to universal information 

about health, social care and 

wellbeing services in the borough, 

including the NHS Directory of 

Services for unscheduled care. 

c) Implement the Accreditation, 

Purchasing and Contract (APC) 

management scheme. 

Adrian 

Firth 31/03/12 Green 

Tony 

Caplin 

31/03/12 

Green 

Software provided 

free of charge for 

use across West 

London. System 

should be in place 

in Oct 11. Linking in 

to development of 

libraries. 

The scheme will be 

reported to Cabinet 

in October for a 

decision and is due 

to be implemented 

on schedule. 




PART1 – MEMBERS, PUBLIC AND PRESS 

d) Extend personalisation to housing 

support with the development of two 

pilots 

e) Work with third sector providers to 

prepare for personalisation. 

f) Complete the tender for the Direct 

Payments Support Service in 

partnership with the West London 

Alliance. 

g) Develop a specification and tender for 

a generic advocacy service. 

h) Work with third sector providers of 

block learning disability residential 

services to change model of care to 

supported housing. 

i) Implement new housing-related 

support service contracts following 

tenders. 

j) Complete tender for a framework 

agreement for housing-related support 

in partnership with the West London 

Alliance. 

k) Roll out the retail model for community 

equipment to give residents more 

choice in the low value equipment 

they can access to meet their needs. 

Barry 

Newitt 

31/10/11 Green 

Gary 

Collier 31/10/11 Green 

Beverley 

Grayley 31/10/11 

Beverley 

Grayley 

Beverley 

Grayley 

31/03/12 

Barry 

Newitt 1/10/11 

Barry 

Newitt 

Beverley 

Grayley 

Green 

Amber 

31/03/12 Amber 

Green 

31/12/11 Green 

31/10/11 Green 

Currently looking at 

working with 

existing providers 

of mental health 

and learning 

disability services 

to personalise 

Meeting with small 

providers to take 

place in Q2. 

Providers to be 

what support they 

require. 

Tender in progress 

for a framework 

agreement. 

Cabinet decision 

will be sought in 

Nov 11. 





Implementation of 

new contracts with 

West London 

YMCA and P3. 

In progress – 

Cabinet decision in 

January 12 being 

sought. 

On target for roll 

out by the end of 

October.

4. Increase the support for 

carers to maximise the time 

they are willing and able to 

carry out their caring role by 

31/03/15 

Work with the PCT to provide good quality health 

5. Develop more integrated 

commissioning arrangements 

with the PCT and Children’s 

Services. 

l) Complete the tender for the provision 

of personal care at two new extra care 

schemes, Triscott House and 

Cottesmore House. 

m) Identify opportunities for the 

development of services at Hillingdon 

Centre for Independent Living (HCIL). 

a) Introduce a personal budget pilot to 

enable carers to identify their own 

short break opportunities. 

b) Undertake intensive work with 3 GP 

practices to raise awareness of carer 

needs and improve outcomes for 

carers. 

c) Develop fact sheets for carers about 

respite and emergency replacement 

care provision across health and 

social care. 

a) Develop proposals for evidence based 

model of intermediate care/step 

up/step down provision for 

consideration by Social care, Health 

and Housing and PCT senior 

management teams. 

Hari Pillai 

31/07/11 Green 

Beverley 

Grayley 31/03/11 Green 

Sue 

Tarling 31/08/11 

Amber 

Sue 

Tarling 31/03/12 Green 

Sue 

Tarling 31/10/11 Green 

Hari Pillai 31/08/11 Green 

Completed. Now in 

implementation 

phase. 

Officers continue to 

keep options under 

review in context of 

NHS reform 

programme. 



On target – 

practices identified 

are Orchard 

(Hayes), Heathrow 

Medical Centre 

(Harlington) & 

Glendale Practice 

(Harlington) 

On target – work 

being jointly 

undertaken with 

Hillingdon Carers. 

On target – data in 

process of being 

collected. 



) Develop costed proposals for an 

integrated community 

rehabilitation/reablement service for 

consideration by the GP Pathfinder 

Consortium. 

c) Develop proposals for the integration 

of commissioning arrangements with 

the PCT and with Children’s Services. 

Hari Pillai 31/08/11 Green 

Gary 

Collier 30/06/11 Amber 

On target – data in 

process of being 

collected. 



Continue to provide good quality housing and housing management to our residents 

6. Assist vulnerable people to 

secure and maintain their 

independence by developing 

extra care and supported 

housing as an alternative to 

residential and nursing care. 

Complete the delivery of new extra care 

schemes at Triscott House and 

Cottesmore House. 

Commission a sufficient number of 

supported housing units to address need 

by 2013: 

• Older people 90 

• Learning disabilities 217 

• Physical disabilities 50 

• Mental health 45 

Sheila 

Cawthorne 30/09/11 Green 

Marcia 

Gillings 31/03/11 

Green 

On target – 

schemes due to 

open late Sept. 

11 units planned for 

development in 

council owned sites 

is being reviewed. 

Learning Disability: 

16 units on track. 

Physical Disability 

(Wheelchair): 9 

already delivered.

Report - London Borough of Hillingdon

Create successful ePaper yourself

Delete template?

Save as template?