Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 1,711 19 2 1,601 18 2Older people in private nursing homes 2,594 29 2 2,524 28 1Older people receiving home care 8,283 91 2 8,326 93 1Older people in special needs housing 18,473 203.7 1 17,758 198.6 1People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 14,314 160 3 23,046 254.2 2For mental health problems/dementia 2,444 6.3 1 2,267 5.8 1(aged 18-64)For physical disabilities (aged 18-64) 5,921 15.2 2 8,570 22.1 1For learning disabilities (aged 18-64) 1,814 4.7 1 1,658 4.3 2For drug/alcohol abuse problems 4,017 10.3 1 4,349 11.2 1(aged 18-64)Between 1999 and 2001 the number of older people receiving a community care serviceclimbed steeply; the number has almost doubled since 1998-1999. The rate of older peopleliving in residential accommodation is relatively high but has reduced since 1999. Rates ofolder people in nursing homes, in special needs housing and receiving home care are higherthan in many other authorities.In relation to hospital discharge, since 1999, hospital nursing staff have been able to orderhome care directly. Home care services are now constructed to meet more evenly the needsof older people in terms of both personal and enhanced care. A joint equipment store, withthe Primary Care Trust, has been established. Proposals for a unified occupational therapyservice across Health and Social Work Services are well advanced.Close joint working across all Community Care client groups is evident. In Learning DisabilityServices, single management arrangements have been established, single servicearrangements have been developed and aligned budgets are in place. Lennox Castle Hospitalhas been closed within the agreed timescale and all residents have been resettled in thecommunity. A major review of day services has been completed and new servicearrangements based on integrated care management teams have been set up.In Mental Health, single commissioning arrangements have been established under a jointcommissioning manager. Proposals are under consideration to develop an integrated mentalhealth network at a locality level across health and social care. This includes developing newprimary care services with LHCCs.In Addiction Services, a major review of provided services has been concluded and addictionteams have been established as a core element of every Social Work Services Area Team. Inaddition proposals have been agreed to develop new joint community addiction teams in eachlocality, involving clinical and nursing staff with Social Work Addiction Staff. Singlemanagement arrangements across all addiction services are currently being considered.136In relation to Homeless People, a new Homelessness Partnership has been establishedinvolving Social Work, Health, Housing and the voluntary sector under the management of asingle programme manager. Plans have been developed to close large-scale homeless hostelsand to develop a range of community based support services.