Royal Borough of Windsor & Maidenhead A Market Position Statement 1 Contents Contents .............................................................................................................................................. 1 1. Executive Summary ....................................................................................................................... 3 2. Key Themes from the Market Position Statement ......................................................................... 4 The Council’s vision for Adult Social Care .......................................................................................................................................... 4 3. Introduction .................................................................................................................................. 6 Chapter Summary ......................................................................................................................................................................................... 6 3.1 National context for Adult Social Care ..................................................................................................................................... 6 3.2 What is a Market Position Statement and why have one? ............................................................................................... 6 3.3 Who is this document intended for? ......................................................................................................................................... 6 3.4 Population and market seGment the MPS aims to address ............................................................................................. 7 4. Understanding the needs of RBWM’s population .......................................................................... 8 Chapter Summary ......................................................................................................................................................................................... 8 4.1 BorouGh statistics ............................................................................................................................................................................. 8 4.2 DemoGraphics ..................................................................................................................................................................................... 8 4.3 Levels of (child) deprivation ........................................................................................................................................................ 9 4.4 Service user group demographics .......................................................................................................................................... 10 5. What do people want? ................................................................................................................ 15 Chapter Summary ...................................................................................................................................................................................... 15 What do people want? ............................................................................................................................................................................. 15 6. Current and Future Market Supply .............................................................................................. 17 Chapter Summary ...................................................................................................................................................................................... 17 6.1 Care Homes ....................................................................................................................................................................................... 18 6.1.1 Care Homes – purchasing trends ......................................................................................................................................... 18 6.1.2 Care homes- Current provision ............................................................................................................................................ 20 6.2 Living at home ................................................................................................................................................................................. 21 6.3 HousinG ............................................................................................................................................................................................... 23 6.4 Carers .................................................................................................................................................................................................. 24 6.5 YounG people cominG into adult services ............................................................................................................................ 25 6.6 Autistic Spectrum Condition ..................................................................................................................................................... 26 6.7 Substance Misuse ........................................................................................................................................................................... 26 6.8 Voluntary and Community Sector services ......................................................................................................................... 27 6.9 In-House services ........................................................................................................................................................................... 27 6.10 Quality and SafeGuardinG ......................................................................................................................................................... 28 7. Population changes ..................................................................................................................... 29 Chapter Summary ...................................................................................................................................................................................... 29 7.1 OverarchinG Population chanGes ............................................................................................................................................ 29 7.2 Specific issues regarding the Older People population ................................................................................................. 30 8. Delivering services in the future .................................................................................................. 32 Chapter Summary ...................................................................................................................................................................................... 32 8.1 How can the market deliver chanGe? .................................................................................................................................... 32 8.2 Future impact of procurement law changes ....................................................................................................................... 32 8.3 Quality and Efficiencies throuGh procurement ................................................................................................................. 32 8.4 Impact on providers ...................................................................................................................................................................... 32 8.5 Systems to support personalisation ....................................................................................................................................... 33 8.6 CraftinG the environment for personalised care services ............................................................................................ 33 9. Resourcing Services in the Future ................................................................................................ 35 Chapter Summary ...................................................................................................................................................................................... 35 RBWM Market Position Statement/ Version 0.13/ 31.1.13 2 9.1 The realities: increasing expectations and decreasing budGets ................................................................................ 35 9.2 Current spend .................................................................................................................................................................................. 36 10. Reviewing our Market Position Statement: A Partnership Approach ........................................ 37 APPENDIX 1: Local Strategy and Policy Context ................................................................................. 38 APPENDIX 2: Strategic Partnerships for delivering change ................................................................. 39 APPENDIX 3: Southampton Case Study .............................................................................................. 40 APPENDIX 4: Details of Grants 2012-13 ............................................................................................. 42 APPENDIX 5: Sources ......................................................................................................................... 43 RBWM Market Position Statement/ Version 0.13/ 31.1.13