Growth and development.pdf

FalkirkThe Council led the joint preparation for retraction of the Royal Scottish National Hospital (RSNH).Forty people are still to move out. Those who first moved out into the community found it hardto make friends. The Council has to balance resources between the RSNH retraction and clientsalready in the community.Existing integrated teams for adults with mental health problems are to be reshaped from fiveto three, matching the boundaries of community care teams and primary care. Each team is tohave a single manager and a devolved budget. However, integrated management is notanticipated in the near future. There is a joint resource panel for supported accommodationand residential rehabilitation for mental health, and similar panels for learning disability andelderly services. Caledonia House works effectively on the clubhouse model, although its manyservices need to be integrated and linked to other services.The development of the single shared assessment process is building on partnership workingbetween social work and the local health care co-operative. The single shared assessment toolhas been agreed, and a separate tool has been piloted for people with learning disabilities.Accessing resources across agency boundaries is an area to be addressed.The Council is developing a multi-agency resource centre for people with sensory impairment.Resources and partnerships with health and the RNIB are in place but a site has still to beidentified. A senior social worker co-ordinates sensory impairment services; she is to coordinatethe register, manage staff and be involved in training. Other aspects of the localsensory impairment services are:• an intake service in the eye clinic and good joint working with ophthalmology;• a service user group which meets six weekly; and• deafblind communicators (10 in-house, with further service available from Deafblind Scotland).The Council and the Health Board have agreed to establish ‘aligned budgets’, although ‘pooledbudgets’ are anticipated in the future. A high-level joint management group has beenestablished. A financial management group will identify the resources as part of aligned budgets.A fundamental redesign of services is being examined, including residential care homes forolder people and sheltered housing.121