Decision Maker: Adult Health and Social Care Policy Committee

Outcome: Recommendations Approved

Is Key Decision?: No

Is Callable In?: No

Date of Decision: March 26, 2025

Purpose:

Content: 8.1 The Director of Quality, Strategy Delivery and Partnerships introduced the report which provides an annual update to Committee on progress in the delivery of the Learning Disability Strategy ‘Hear Our Voice’ and The Big Plan 2023 – 2025 and the adult future options delivery plan. 8.2 RESOLVED UNANIMOUSLY: That the Adult Health and Social Care Policy Committee:- Note the positive progress made on the Learning Disability Strategy delivery plan and the decision to refine the delivery plan priorities for 2025-2026. Note that the voice of people with a Learning Disability in the city continues to be strengthened and Sheffield’s co-production in this area is recognised nationally as an area of best practice. Note continued commitment to how we can do things differently to achieve improved wellbeing outcomes, better quality and best value so that people with a Learning Disability in Sheffield can lead better lives. This includes ongoing monitoring of out of area placements and exploration of new opportunities for people to return to the City, if it is in their best interests. Note the progress and next steps for the Adult Future Options Delivery Programme, specifically: • Improving systems and processes around Health contributions to care • Actions being taken to improve the Preparation for Adulthood pathway. • That an Adult Future Options Market Position Statement and Adult Future Options Commissioning Strategy be developed to set out commissioning intentions and delivery of new models of care in 25/26. Note that Newton Europe has been employed to undertake a diagnostic to support improved outcomes for people at best value. Approve that a follow up report is brought to Committee within six months with outcomes of Newton Europe diagnostic, and progress against Adult Future Options service and commissioning delivery plans and performance and impact of Continuing Healthcare delivery. 8.3 Reasons for Decision 8.3.1 From its inception, it was always agreed that the Learning Disability Strategy would be a live and meaningful document so the delivery plan similarly needs to be agile as we continue to listen to the voices of people with a learning disability and family carers in the city. The Learning Disability Partnership Board have concluded that we need to concentrate on specific priorities for 2025/26, and will also be discussing how we measure the impact of changes that are made. 8.3.2 The Adult Future Options Commissioning team and social work teams will complement the strategic priorities, working on a transport strategy and tech enabled care for example. We will also continue with market shaping and relationship building with providers specialising in complex care and property development, to further enhance our offer for people both in and out of area 8.3.3 The growing complexity, cost, and shortage of suitable accommodation for working-age adults necessitate the development of new delivery models, based on the actions and strategies outlined in this report. These models will guide market provision to offer financially sustainable options that provide efficient, effective, and cost-effective care solutions to meet individual outcomes. 8.4 Alternatives Considered and Rejected 8.4.1 The only alternative would be to ‘do nothing’ which would have led to a lack of strategic direction for some of the most vulnerable citizens of Sheffield.