Democracy Spraffa

Appendix e Care Package Reviews EIA 2023

Argyll and Bute Council · 29 March 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 29 March 2023 and its agenda

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Version February 2020, to be reviewed 2022 
Appendix E 
Equality Impact Assessment 
Section 1: About the proposal 
Title of Proposal 
Review of High Cost Care Package (LD/MH/PD) 
Intended outcome of proposal 
This proposal is intended to deliver £250k in recurring savings during 2023/24. It is also
intended to ensure that individuals are supported appropriately, maximising independence of
service users and supporting them to live fulfilling lives in their own homes, for as long as
possible. 
Description of proposal 
The £250k recurring saving proposed is a prudent estimate made in respect of known likely
changes to high-cost packages across both Health and Social Care Packages, taking into
consideration that some of the anticipated changes may not be deliverable due to users’
individual circumstances or worsening of their condition 
Assessment and Care Management Team’s will assess and review existing high cost care
packages as part of the Assessment and Care Management process, to ensure that individuals
receive the correct level of support, maximising independence for service users and supporting
them to live fulfilling lives in their own homes, for as long as possible. 
The review process will continue to ensure that individuals receive the correct level of support.
Judgements on this will continue to be made on a needs assessment basis and will not be
driven by the proposal to reduce costs. Relevant SG guidelines (or the guidelines applicable for
each particular case) will continue to be applied funding allocations for each case will be
appropriate to individual circumstances and risk assessments. 
HSCP Strategic Priorities to which the proposal contributes 
Efficiently and effectively manage all resources to deliver best value 
Maximise independence of service users and support them to live fulfilling lives in their own
homes, for as long as possible 
People in Argyll and Bute will live longer, healthier, independent lives 
23/24 Quality and Finance Plan 
Lead officer details
Name of lead officer Jillian Torrens 
Job title Head of Service
Department Acute and Complex Care

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Version February 2020, to be reviewed 2022 
Appropriate officer details
Name of appropriate officer Gillian Maidment
Job title Service Improvement Officer
Department HSCP 
Sign-off of EIA 
Date of sign-off 
Who will deliver the proposal? 
Assessment and Care Management Teams, Health Professionals, Care Providers. 
Section 2: Evidence used in the course of carrying out EIA 
Consultation / engagement
Monthly meetings with Care Provider 
Service User/Guardian consultation/engagement will take place as part of the assessment and
care management process. 
Data
Financial Data– Carefirst/Social Work Finance Team/NHS Finance Team
Service User– SW/Health Assessment & Care Management Teams 
Other information 
N/A 
Gaps in evidence 
N/A 
Section 3: Impact of proposal 
Impact on service users: 
Negative No impact Positive Don’t know
Protected characteristics:    
Age  X  
Disability   X 
Ethnicity  X  
Sex  X  
Gender reassignment  X  
Marriage and Civil Partnership  X  
Pregnancy and Maternity  X  
Religion  X  
Sexual Orientation  x  
Fairer Scotland Duty:    
Mainland rural population  X  
Island populations  X  
Low income   X  
Low wealth  x  
Material deprivation  X  
Area deprivation  X  
Socio-economic background  X  
Communities of place  X  
Communities of interest  x

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Version February 2020, to be reviewed 2022 
If you have identified any negative impacts on service users, give more detail here: 
N/A 
The proposal will maximise independence of service users with a learning disability/physical
disability and/or complex mental health and support them to live fulfilling lives in their own
homes, for as long as possible 
If any ‘don’t knows’ have been identified, when will impacts on these groups be clear?
N/A 
How has ‘due regard’ been given to any negative impacts that have been identified? 
N/A 
Impact on service deliverers (including employees, volunteers etc.): 
Negative No impact Positive Don’t know
Protected characteristics:    
Age  X  
Disability  X  
Ethnicity  X  
Sex  X  
Gender reassignment  X  
Marriage and Civil Partnership  X  
Pregnancy and Maternity  X  
Religion  X  
Sexual Orientation  X  
Fairer Scotland Duty:    
Mainland rural population  X  
Island populations  X  
Low income   X  
Low wealth  X  
Material deprivation  X  
Area deprivation  X  
Socio-economic background  X  
Communities of place  X  
Communities of interest  X   
If you have identified any negative impacts on service deliverers, give more detail here: 
N/A 
If any ‘don’t knows’ have been identified, when will impacts on these groups be clear? 
N/A 
How has ‘due regard’ been given to any negative impacts that have been identified?
N/A 
Section 4: Interdependencies 
Is this proposal likely to have any knock-on Yes

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Version February 2020, to be reviewed 2022 
effects for any other activities carried out by
or on behalf of the HSCP? 
Details of knock-on effects identified
Review of High Cost Care Packages will link closely with the Core & Cluster development
programme. 
Section 5: Monitoring and review 
Monitoring and review
6 monthly Care Reviews for all service users involved as part of assessment and care
management process.
Project will be monitored through the LD/MH Savings Review Group