Health, Social Care & Well-Being Strategy for Caerphilly County Borough 2011-2014 Better Better Health, Social Care Better Response Access and Well-being Better Choices G A V O Registered Charity No. 1113558 Company Limited by Guarantee: 5590517 This logo must appear in black and PT 286 only. Do not change colour. Acknowledgements Contents The Health Social Care and Well-being Partnership would like to thank all those who gave their time Foreword 2 and shared their knowledge and expertise throughout the development of this strategy. Executive Summary 4 Chapter 1 About the Partnership 12 Who we are 12 What we do 13 Our Achievements 13 Chapter 2 Where we are now 17 National Drivers 17 Local Drivers 21 Caerphilly County Borough Needs Assessment 2010 27 Consulting 34 Chapter 3 Where we want to be 36 Our Vision 36 Outcomes & Priorities for work 36 Chapter 4 How as partners we will deliver 43 Working in Partnership 43 Resources 52 Action Planning 55 Chapter 5 How we will know we’re achieving 56 Progress Reporting 56 Outcome Indicators 56 Chapter 6 Conclusion 61 Points of contact 61 Acknowledgements 1 Foreword Improving the Health and Well-being of a Reflecting on past strategies provides us with 5. To develop and strengthen preventative ●●The health and social care systems are population is not, and cannot be, the sole an important opportunity to see the journey work and service provision for vulnerable rebalanced to ensure more people are responsibility of one or two organisations, we have been on since 2005, and will continue children and adults to prevent crisis. supported at home or in the community and therefore the development of this to take over the next three years: ●●The second 2008-2011 strategy built on they live. Health, Social Care & Well-being Strategy ●●The first Health, Social Care & Well- these strategic objectives and proposed ●●Innovative models of health and social care reflects a multi-agency approach to further being Strategy 2005 – 2008, saw the further action to ensure the most effective are developed which makes accessibility improving the health and well-being of the development of the strategic vision for the outcomes for the population were secured. to services easier, and makes service population of Caerphilly county borough. county borough, the development of firm The 2011-2014 Strategy will not only reflect integration, integrated management and The Strategy is being developed at a time partnership relationships and started the the significant agenda of change within the seamless delivery possible. when there are significant challenges facing programme of systematic investment into locality, but also emerges at the mid-point in ●●Developments that have been underway for us all, and never has it been more important joint priorities. It was an important period its transformation. The Strategy will therefore many years are completed, for example the to find suitable, affordable and sustainable in determining the roadmap for the journey retain the strategic objectives previously set; new General hospital Ysbyty Ystrad Fawr. solutions to meet the needs of the population we continue to pursue today. seek to strengthen the strategic direction that ●●Commissioned services are reviewed in line of our county borough. The strategic objectives set at this time has been pursued over the past years, and with local priorities. Partners in Caerphilly county borough are were: endeavour to accelerate the pace of change to In order for this Strategy to make the pleased to present their third Health, Social ensure that: 1. To improve public health by promoting generational changes that we need, and Care & Well-being Strategy which will cover the factors which contribute to healthy ●●The aspirations set out in ‘Our Healthy for it to make any sustainable difference, its period from 1st April 2011 to 31st March 2014. lifestyles and well-being Future’ are realised. implementation needs to stimulate, encourage The Strategy has been prepared in order to 2. To reduce health inequalities by tackling ●●We make best possible use of the public and support every individual within Caerphilly ensure that the Local Authority and the Local the effects of deprivation and the wider resources available to us within a period of county borough to take more control and Health Board meet their statutory duty under determinants of health financial challenge. responsibility for their own, their families and Section 40 of the National Health Service ●● Strong relationships between providers and their communities health and well-being. We 3. To expand and develop community based (Wales) Act 2006. recipients of services in relation to health cannot do this alone – YOUR actions will make health and social care services to enable and social well-being are built. the difference that we all need. The Strategy comes at an exciting time for people to live safe, fulfilled lives that are as the locality and endeavours to build upon the active as possible. successes of the previous two strategies, to ensure health, social care and well-being issues 4. To enable independent living for families and carers by empowering them to Albert Heaney Sian Martin are planned, delivered and resourced in a co- Caerphilly County Borough Council Corporate Director Social Services Aneurin Bevan Health Board Locality Director (Caerphilly Locality) ordinated way, and expertise integrated across make informed choices, and offering Joint Chair of Health, Social Care & Well-being Partnership Joint Chair of Health, Social Care & Well-being Partnership public sector boundaries. opportunities for them to become involved in developing local services Foreword 2 3 Executive Summary What we want to achieve These outcomes are: Theme 4: To enable independent living In addition, the Welsh Assembly Government has for families and carers by empowering them stated that they wish to see Health, Social Care This will be the third Health, Social Care & Theme 1: To improve public health by to make informed choices and offering and Well-being Strategies focus more on: Well-being Strategy. Our Vision for what we promoting factors which contribute to healthy opportunities for them to get involved in ultimately want to achieve for the county lifestyles and well-being. ●●Improving health and well-being and developing local services. reducing inequities, that is inequalities in borough has not changed from that set in Outcome 1: ‘People recognise and take health that are unfair and avoidable 2005. This Vision is that: responsibility for their own health and well- Outcome 6: ‘Individuals, families and being, and make use of the opportunities carers feel engaged, empowered and able to ●●Improving the provision, quality, integration, “Caerphilly county borough and support available to them.’ make informed choices about their own lives and sustainability of ‘overlapping services’, and lifestyles.’ that is services provided by the NHS, local Theme 2: To reduce health inequities by is a place where people live government and their partners to certain tackling the effects of deprivation and the Theme 5: To develop and strengthen specified groups. longer and healthier lives.” wider determinants of health. preventative work and service provision for vulnerable children and adults to prevent crisis. Specific achievements we hope to see The Strategy covers all ages within the Outcome 2: ‘The health and well-being Outcome 7: ‘Vulnerable Children, Adults materialise during the lifespan of this strategy are: population and will focus on services provided of individuals experiencing disadvantage and Families will be supported to prevent ●● by: will improve to the levels found among the Integrated teams providing services in advantaged.’ and reduce the negative impacts of crisis.’ the community, and based around the ●● The Local Authority individual (e.g. frailty model, integrated Theme 3: To expand and develop Using the findings contained within the ●●Aneurin Bevan Health Board mental health provision); community based health and social care 2010 Caerphilly Needs assessment and from ●●The Voluntary Sector and Community services to enable people to live safe, fulfilled consultation with the public and partners the ●●Delivery of modern health and social care organisations lives that are as active as possible. following areas have been identified as requiring environments (e.g. Ysbyty Ystrad Fawr, more focused joint action: Integrated Health and Social Care Resource ●●The Independent Sector, such as domiciliary Outcome 3: ‘People will have easier ●● Centre in the North); care, nursing and residential care homes, access to services and holistic care, Promoting Healthy Lifestyles looked after children and support services experienced in a seamless way irrespective of ●●Improving Mental Health and Well-being ●●Alignment of available resources to deliver for children and families. the joint priorities of the strategy; the organisation providing the service.’ ●●Tackling Deprivation In order to realise our Vision, the Health, Outcome 4: ‘All treatment and support ●●Decommissioning of environments of care Social Care & Well-being Partnership has set will be provided within acceptable timescales that are no longer suitable; and 7 long-term outcomes. These outcomes based on need.’ ●●A growing relationship with communities are ‘conditions of well-being’ that we want Outcome 5: ‘Wherever possible, services and a shared responsibility residents of Caerphilly county borough to are provided locally in community and towards securing health and experience. neighbourhood care settings by the most social well-being benefits. appropriate organisation.’ Executive Summary 4 5 How we’ll know that we’ve made a difference Theme 3: To expand and develop Theme 4: To enable independent living community based health and social care for families and carers by empowering them Key to us knowing that the actions we are taking Theme 2: To reduce health inequities by services to enable people to live safe, fulfilled to make informed choices and offering are the right ones, and ultimately achieving the tackling the effects of deprivation and the lives that are as active as possible.