Enhanced Home Support Service

One of Norfolk County Council’s Improved Better Care Funding initiatives, the Enhanced Home Support Service, opened for referrals on Monday 5 February 2018. This small and targeted Social Care initiative aims to reduce delayed discharges from the three acute hospitals, as well as prevent unnecessary admissions from the community. The pilot Service is free for up to 72 hours and is not means tested.  However, if an individual requires support after 72 hours a fee may be charged.


The service will be piloted over a three year period and is delivered in partnership with three Home Support Framework providers: Allied Health Care, Carers Trust and Carewatch.


The Enhanced Home Support Service will provide:

  • Unplanned, short term, same day home support for up to 72 hours across all five CCG areas in Norfolk.
  • 24 hours/7 day home support with access to the service for new referrals between 8am-8pm
  • Person-centred, enabling support in the person’s home, which is focused on stabilising and supporting the individual, so they can live safely and independently at home.


Eligibility criteria:


Those accessing the Service need to meet the following criteria:

  • Be over 18 and a resident living in Norfolk
  • Have been assessed and confirmed as medically mobilised and ready to be discharged from hospital with short term support or
  • In need of short term support to avoid being admitted or readmitted to hospital.


Referral Pathway:


The Enhanced Home Support Service will be co-ordinated by dedicated assessors based at the three acute hospitals and practitioners in the community locality teams.


Aims of the Enhanced Home Support Service:

The aim is to provide:

  • A responsive and flexible service
  • A service which is enabling and suited to individuals with a low level of short term need i.e. to get back on their feet, rather than intensive support involving double-ups and numerous times per day.
  • Enabling Home Support services including meal preparation, personal care, shopping, welfare checks, medication monitoring and facilitation of the access to and the use of community resources.
  • A service that promotes the use of equipment and Assistive Technology where appropriate.


The impact of the initiative will be tightly monitored and reviewed to ensure it meets the aims of the pilot.


For more information about Enhanced Home Support Service please contact:

Hanne Lene Schierff – Commissioning Manager – Central team:  hannelene.schierff@norfolk.gov.uk

Winter Business Resilience Planning: Supporting Norwich clients to stay safe and warm

Norwich Age UK are organising a ‘Keep Warm, Keep Safe This Winter’ event in Norwich.

This might be of interest to those of you supporting people in the Norwich area, helping the people you support to stay as well and safe as possible.

The event features:

Free electric blanket testing: a check on each blanket and if it isn’t working correctly a new one will be given free.

Slipper swap: bring along old slippers and swap them for a new pair.

There will also be free advice on saving on bills, keeping fit and active and staying warm and well.

The event will be on 14 February 2018 and attendance is by appointment – bookable by calling 01603 496333.  The location is Norwich city centre – more details available when an appointment is booked.

For an event flyer click here: Norwich Age UK – keep warm, keep safe.

For those of you outside of the Norwich area, we will keep checking for information about similar events for other areas of Norfolk and will post any updates on this blog.

Norfolk County Council Home Support prices 2018/19

Norfolk County Council Adult Social Care Committee (the Committee) approved proposed prices for a range of care services including home support at its meeting on 15 January 2018. The prices will come into effect in April 2018 and will apply for the 2018/19 financial year.

In Norfolk we want to encourage the creation of effective and efficient home support rounds through much greater collaboration between providers, led by providers who have qualified for our new home support frameworks. We also want to encourage more flexible and responsive services that focus on maximising independence, seeing commissioned hours reducing wherever possible as independence increases. In order to incentivise these changes we have set framework home support prices at a level above our spot price and will introduce three cost bands to reflect the higher cost of services in less densely populated areas.

The Council worked with the Norfolk Independent Home Care Group (NIHCG) during last year and a cost model was developed as part of that work. The Council undertook further development work to produce a cost model for the framework prices and the United Kingdom Home Care Association have just published their average price of homecare model.

In the spirit of transparency the three models are reproduced in full here: Home Support Framework Cost Models.

We currently estimate that the average hourly rate for framework providers based on the Council’s model will be about £18.12 an hour which is one of the highest levels in the East of England and higher than the UKHCA average price for home care for 2018/19. Commissioners will carefully monitor the effectiveness of the framework approach throughout 2018/19 and reserve the right to reopen the framework if necessary in consultation with current framework providers.

 The spot price will rise to £17.28 an hour which is amongst the highest in the East of England. If any spot providers believe that they will not be able to sustain their businesses at this rate please do not hesitate to contact Steve Holland by email at: steve.holland@norfolk.gov.uk


The paper on fee levels, presented to the Adult Social Care Committee on 15th January 2018, can be viewed here:  ASSC paper 15th January 2018



Independent Provider Forum – minutes from 7th December 2017

The notes for the Independent Provider Meeting held on Thursday 7th December 2017 can be found here: IPF minutes 7 Dec 2017

There were a number of presentations at the meeting, information about these can be found below:

Links to demonstration videos about the Provider Portal are available on the blog here: Provider Portal demonstration videos

More information about Don Leggett’s Market Engagement work: Market engagement

The NCC Business Resilience team have a website here: Business Resilience team

Dave Rimmer also flagged the following websites during his presentation:

Met Office weather warnings

Environment Agency

BERG – Emergency resilience

If you have any comments on the content or accuracy of these minutes please don’t hesitate to contact Polly Cobb at polly.cobb@norfolk.gov.uk who will be able to update or correct them as necessary.

Winter Business Resilience Planning – Helping Clients Stay Well This Winter

We’re in the midst of winter now, but it’s not too late to look at your Business Continuity Plans and check that they are fit for purpose.  We know that January and February can bring the most severe cold weather and challenges for your businesses.

Business Continuity is about protecting three main areas of your business:

  • Safeguarding people
  • Safeguarding your assets
  • Safeguarding your processes

Staying Warm and Well

Ensuring that the people you look after are adequately warm over winter can increase their chances of staying well this winter.  Being cold can make health conditions worsen, particularly respiratory and heart problems.

Following the actions below can help to keep people you look after warm and well:

  • try to keep the house heated to at least 18C, drawing curtains as soon as dusk falls and closing doors to block draughts where necessary
  • find out if your service user can get the flu jab for free on the NHS, and encourage them to get this
  • ensure they are dressed in several layers of clothes rather than one chunky layer – clothes made from cotton, wool or fleecy fibres help to maintain body heat.
  • see if they can use a hot water bottle or electric blanket to keep warm in bed – but don’t use both at the same time
  • check they are having at least one hot meal a day – eating regularly helps keep you warm; and make sure they have hot drinks regularly
  • ensure they wear shoes with a good grip to help prevent falls
  • check whether they are able to be active – even those with limited mobility may be able to do chair-based exercises like moving arms and legs or wiggling toes to generate heat to keep them warm.
  • Ensure they are keeping their hands clean and keeping surfaces clean (telephones, door handles etc) to stop germs spreading


NHS and CCG advice

The Norfolk County Council, NHS and CCG websites also host a lot of advice about how to stay warm and well this winter.  The links to these sites can be found below:

Norfolk County Council: https://www.norfolk.gov.uk/what-we-do-and-how-we-work/campaigns/stay-well-this-winter

NHS: https://www.nhs.uk/Livewell/winterhealth/Pages/KeepWarmKeepWell.aspx

Great Yarmouth &Waveney CCG: http://www.greatyarmouthandwaveneyccg.nhs.uk/news_item.asp?fldID=759

North Norfolk CCG: http://www.northnorfolkccg.nhs.uk/stay-well-winter

Norwich CCG: https://www.norwichccg.nhs.uk/healthy-norwich/reducing-health-inequality/affordable-warmth

South Norfolk CCG: http://www.southnorfolkccg.nhs.uk/seasonal-health/winter

West Norfolk CCG: http://www.westnorfolkccg.nhs.uk/your-health/winter-health

Winter Capacity Incentive Payments – eligibility period extended

Norfolk County Council has been working closely with home support providers to try and ensure that Norfolk has the home support provision it needs over the winter period – as a result of this work we have identified that paying home support providers a premium for picking up new care packages over this pressured time would support both the people coming out of hospitals and those carers who are providing care.

We understand the difficulties of operating as a care provider or working as a carer during the winter holiday period and want to recognise that by offering a financial premium.  This premium will now be available up to and including Wednesday 31 January 2018.

To find out more about how this will work and when this premium will be paid, please see our page here: www.norfolkkpwah.com/winter-planning-for-home-support

Reminder: Fantastic opportunity for new registered managers in Norfolk

Just a reminder that Skills for Care wants to work with new registered managers in Norfolk as part of an exciting 12-month pilot, starting in April 2018.

A cohort of 10-12 new managers in the county, participating in the pilot will be supported to develop their confidence, knowledge and skills over 12 months. Every manager participating will also have the opportunity to engage with, and learn from, peers.

Places on this pilot are being offered at no cost and participants will be expected to commit to the full duration of the pilot.

Skills for Care are looking for people new to the registered manager role who, at the point of applying, have been in post for 12 months or less.

Managers taking part will:

  • participate in a programme of tailored Skills for Care events and webinars
  • benefit from peer support from other new managers in their area
  • tackle issues, challenges and opportunities through action learning
  • become registered manager members of Skills for Care

To find out more contact your Skills for Care locality manager, Fran Woodall on 07770 488 953 or by email: fran.woodall@skillsforcare.org.uk

To apply you need to email employer.engagement@skillsforcare.org.uk for an expression of interest form and return it by the deadline of 28 February 2018.