2015 Adult Social Care Market Position Statement “to enable an improved understanding of the existing and future development of the local adult social care services market” Contents West Berkshire Council Market Postion Statement - Key Facts at a Glance 3 Executive Summary 4 Introduction 5 Setting the Scene – Our District Profile 6 Strategic Direction 9 Client Base 13 Market Opportunities: Supportive Communities 17 2 West Berkshire Council Market Postion Statement - Key Facts at a Glance Population and A population of just under Average age is exactly The predicted increase in the The district has a higher Demography 154,486 (Census 2011). the same as nationally proportion of the population than average proportion at 39.4 years (Census who are over 65 in the next of people with a learning BME (non-white population) 2011). 10 years will have significant disability, including young is 5% (Census 2011). implications for West Berkshire people. in the commissioning of health 3430 clients receiving a and social care services. (JSNA service in 2013-14 2014) Adult Social Care Total expenditure for 8% Total Gross Current 53% Total Gross Current 34% Total Gross Current Spending 2013-14 financial year 2013-14 Expenditure 2013-14 on Expenditure 2013-14 on older Expenditure 2013-14 on £48,348 people with a physical people (age 65 or over) learning disability (age 18- disability. 64) 5% on people with a mental health problem. Social Care 18-64: 1245 individual Physical disability: 1870 Learning disability: 390 Mental health: 1135 Customers clients provided with a clients provided with a individual clients provided individual clients provided 2013-14 service service receiving with a service with a service. Includes 525 Over 65’s: 2185 individual dementia sufferers. clients provided with a service Service Priorities Older peoples services and People with complex Transition services for younger Choice and Personal dementia needs adults budgets Commissioning Assist communities, families Respond to the Work proactively with providers Influence and shape the Principles and carers to support each requirements of the from the voluntary and market so people are other and develop a range Care Act 2014 to meet commercial market to promote given better outcomes. of preventative services the needs of an ageing quality, value for money and Develop a diverse, vibrant which enable to people population and promote meet appropriate quality market where innovation to live independently with choice in a challenging standards is encouraged and poor support financial climate. practice is not acceptable. 3 Executive Summary The purpose of the Market Position Statement is to set out our The aim is to explore the following key areas: vision for care and support services in West Berkshire and the Council’s intentions as a strategic commissioner of services. l Current supply; what we are commissioning and spending. The Market Position Statement communicates the commissioning intentions for West Berkshire and to engage with the care and l Future demand; what we need and want to commission support market on how we might best work together to achieve in the future. them. The intention is to enable an improved understanding of the existing and future development of the local adult social care l Desirable models of practice; what sort of services we services market. This is particularly important given a rapidly want the market to offer. altering and challenging environment for adult social care. We anticipate that this approach will provide a valuable guide to The primary audience for this document is intended to be: business opportunities and the potential for future innovation and development. l Providers of adult social care who can learn about the council’s intentions as a purchaser of services, and our Local Authorities are facing unprecedented financial and vision for how services might respond to the personalisation demographic pressures as budgets are limited and more people of adult social care and support. are living longer. We want to promote an innovative market which provides excellent quality services where people can achieve l Voluntary and community organisations can learn about better outcomes and live independently in their communities, as future opportunities and what would enable the development well as achieving value for money. of new activities and services. l People interested in local business development and social enterprise can read about opportunities in the market and help us to deliver a diverse social care market and offer innovative services. Our Market Position Statement will clarify the direction of travel for commissioning for social care and support services across the district. This will inform the vision for the future for local social care and support markets. 4 Introduction This Market Position Statement is aimed towards providers of In West Berkshire we understand we need to find new ways to services for adults who need support to remain independent. help people to find better solutions. We understand that we also There is a direction of travel for health and social care towards need to respond to a changing climate and work differently with greater choice and personal responsibility, integrated services and our partners to change our approach to enable us to: partnership working. We are moving away from the traditional practice of ‘doing to’ people and towards ‘doing with’ people. l Find new ways to engage individuals, families and communities working with them to deliver services This Market Position Statement contains information for: differently Providers of support who can learn about the council’s intentions l Focus on the individual to understand what matters to as a purchaser of services and our vision for how services might them and how to work together to deliver joint solutions respond to the personalisation of adult social care and support l Meet the demand of future social care needs and match Voluntary and community organisations can learn about future demand across the whole district, including the more opportunities and what would enable new activities and services remote rural communities. People interested in local business development and social l Ensure high quality safe care and support services are enterprise can read about new opportunities in the market and tell in place. us what would help them to enter into the social care markets and offer innovative services l Work with providers to deliver innovative services to meet changing demands and requirements. Social care providers and organisations that are not currently active in West Berkshire to find opportunities to use their strengths l Raise awareness of the cost of social care provision and skills to benefit local people and within local communities and provide information and develop their businesses. advice to support communities to help each other. 5 Setting the Scene – Our District Profile This section provides a useful overview of the composition of our district’s West Berkshire lies approximately 40 residents, helping to provide an informed background for service delivery. miles west of London. Good transport There is a lot more detailed information available in the West Berkshire links, areas of outstanding natural District Profile as well as the West Berkshire Joint Strategic Needs beauty and a high standard of living Assessment (JSNA), which was developed in conjunction with the local mean that it is a popular place to NHS. Both are available on the Council’s website. live. The 2011 census showed West Berkshire has a population of just fewer than 154,000. 70% (around To Abingdon 108,000) of people live in settlements To Wantage & Oxford & Oxford To Abingdon To Wallingford along the Kennet Valley and in the & Oxford & Oxford suburban areas just to the west of A417 Reading borough. The largest urban West Ilsley Streatley area in the district is Newbury / Fawley Farnborough East Ilsley Upper GORING Lambourn Catmore Aldworth B4049 A329 Thatcham, where around 67,000 (44%) B4000 South Compton B4001 Brightwalton Fawley A34 R.Thames Stanmore Lower Basildon of West Berkshire residents live. To Swindon LAMBOURN B471 Beedon Ashampstead PURLEY East Chaddleworth Peasmore Hampstead ON THAMES Garston World’s Norreys 16% of residents live in the eastern End A329 Eastbury R.Lambourn Upper Basildon PANGBOURNE suburban area adjoining Reading S Lambourn Woodlands Leckhampstead Tidmarsh Yattendon Downend Great Shefford B4494 Burnt Hill A340 Sulham borough. A338 Weston READING B4000 Tilehurst M4 Chieveley Bradfield Welford M4 Hermitage Frilsham Englefield 1 A4 14 Winterbourne Other significant towns in the district S Stanford 12 Calcot B4000 Hungerford Dingley Southend THEALE Newtown Wickham Bucklebury Boxford are Hungerford with just under 6,000 Cold M4 Ash Sheffield Elcot B4009 Bottom residents and Theale with a population B4000 A339 Upper A4 A34 Bucklebury Chapel Beenham Burghfield To London Donnington Row Sulhamstead HUNGERFORD Stockcross Burghfield of just under 3,000. The remainder of Halfway Shaw Hill A4 THATCHAM Ufton A4 Woolhampton Nervet the population is dispersed in small Speen Midgham Aldermaston Burghfield Avington Wharf Common A4 To Marlborough rural settlements across the district. Padworth Wokefield Kintbury Hamstead NEWBURY Kennet & Avon Canal Aldermaston Marshall A339 MORTIMER West Berkshire has one of the most Enborne Brimpton Beech A338 Greenham Wasing Hill Inkpen Stratfield A34 A340 dispersed populations in the South Lower Green Crookham Mortimer A343 A339 East with 253 people per hectare. To Pewsey Upper B3051 Green HEATH END West Woodhay To Andover To Winchester To Kingsclere & Basingstoke To Kingsclere To Basingstoke Coombe 6 Age Marital Status The average age of people in England and Wales in 2011 is West Berkshire has a much higher proportion of people living as 39.4 years: this is slightly higher in the South East at 40.0 years a couple than either regionally, or nationally: 66%, compared to of age. West Berkshire’s average age is exactly the same as 61% across the South East. The proportion of married couples has nationally at 39.4 years.