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This summary provides evidence on the need and demand pressures in adult and children's social care, and highlights the financial challenges faced by Slough Borough Council. The report informs strategic priorities, supports the prevention of future demand, and outlines plans for transformation and sustainability.
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Purpose • To understand need and demand pressures particularly around adult and children’s social care • To understand our role as a Council and what we currently do • To support our ambition to prevent future demand • To ensure we remain sustainable as a Council • To inform our strategic priorities in the Five Year Plan • To inform agreement on our purpose and future direction • To feed into our plans for Transformation and our Operating Model
Medium Term Financial Strategy As at October 2018 Cabinet • Slough Borough Council (SBC) is facing financial challenges: • Demand for services is increasing • Government funding is reducing • Council tax income is restricted by capping • Reserves are low • The MTFS sets out the Council’s future financial plans and the context for the 2019/20 Revenue Budget. • It has three guiding principles: • SBC will operate within its financial means. • SBC will seek to increase its reserves to the Unitary average over the next four years (approx. £30m). • SBC will use Slough Urban Renewallprofits to firstly increase reserves and then to fund one-off growth initiatives.
Budget for 2019/20 • The total income net budget available to the council for 2019/20 is £105.001m. • The chart to the right shows how this will be spent. • The budget includes: • £8.1 million of growth • 43% of growth need is to meet demand - majority of which is adult social care and children’s services • £2.5 million of growth is for contract inflation • Within the budget there is £1.38 million of permanent growth to improve services.
Demographics Slough has a total population of 148,768 and has asignificantly younger median age (34.4 years) than the national average and a distinctive working age cohort. Despite this, Slough still has an ageing population. In 2016, 9.68% of Slough’s population were estimated to be over the age of 65, estimated to grow to 15.94% by 2041. Slough is one of the most ethnically diverse local authorities in the country and a large proportion of its citizens were born outside of the UK.
The council’s role: Children, young people & education • What we currently do • Promote high standards and the fulfilment of young people’s potential in schools. • Identify and assess young people with SEND and ensure they are provided with the support they need to achieve good outcomes. • Manage free early education, provide advice and support for families, and ensure standards and effectiveness across the early years sector. • Ensure there are sufficient early years and school places where parents want them, coordinate admissions processes and monitor attendance. • Provide targeted support for young people age 11-19 - including to reduce the number of young people who are NEET. • Our partnership work • Supporting Slough Children’s Services Trust to ensure vulnerable young people are protected and supported. • As corporate parents we work closely with partners on the Joint Parenting Panel to achieve the best outcomes for Children and Young People in Care and Care Leavers. • SBC also collaborates with Headteachers through the Slough Education Partnership to ensure that there is strategic oversight and leadership on key education issues, using data and evidence.
Slough’s journey: Children, young people & education • Through the Education Partnership, we have sought to improve our dialogue with schools and put our relationship on a better, and more strategic footing. • Together we have set up initiatives such as the Slough Local School Improvement Fund to address local priorities. • In recent years SBC has also sought to enhance our partnerships in the Early Years sector to raise the proportion of children securing a ‘good level of development’. Plans are in place to increase the number of Early Years places across the sector. • SBC have launched our first ever Multi-Agency Early Help Strategy for children, young people and their families, to ensure timely interventions for those who need them most. • The council has sought to raise the profile of safeguarding in schools and has worked in partnership with Slough Children’s Services Trust to improve the support and protection provided for the most vulnerable children and young people in the borough. • The council has also continued to drive improvements in attainment across all age ranges - with a particular focus on improving outcomes for the borough’s most disadvantaged children and young people, looked after children, and care leavers.
Children, young people & education As of January 2018, there were 31,814 pupils in Slough. 17,915 of these were in state-funded primary schools and 12,106 in state-funded secondary schools. The graphs below shows how school populations have changed over the last five years.
Children, young people & education Slough schools show a good overall level of performance (16 Outstanding, 26 Good, 5 Requires Improvement, 2 Inadequate and 2 are waiting their first inspection). Attainment in Slough schools has improved in recent years and sits above the national average in multiple areas, including the Early years foundation stage, Key Stage 2 and Key Stage 4. Only 3.2% of young people in Slough are NEET or not known about, down from 13.7% in 2012/13.
Children, young people & education • In terms of educational inequalities - only White British and SEND pupils have lower attainment than the national average for their pupil group. • 1,295 young people with SEND have been identified as requiring an education, health and care (EHC plan). This number decreased over the last year, but prior to that, has been increasing steadily.
Children, young people & education Though it has improved markedly since 2012-14, Slough still has a higher than average infant mortality rate. The borough also has an increasing incidence of premature births and low birthweight births. Slough has the highest proportion of obesity in Year 6 children in the South East and children’s oral health is poor. Both these issues are getting worse. Demand on the Children and Adolescent Mental Health Services (CAMHS) Rapid Response team is increasingly high and demand is outstripping capacity in several areas.
Children, young people & education • On 31 March 2018, there were 165 children who were subject to a Child Protection Plan, giving a rate of 39.1 per 10,000 of the 0-17 population, and lower than both the statistical neighbour average and the England average in 2016/17. • In the six months prior to 31 March 2018, Child Protection figures ranged from 182 (the highest) and 151 (the lowest). • Of these 165 children, 39% were categorised under neglect, 1% under physical abuse, 0% under sexual abuse, 34% under emotional abuse and 25% under multiple abuse (due to the complex nature of the risks identified). • Slough has a high prevalence of domestic abuse, poor parental mental health, substance and alcohol abuse. • The Safer Slough Partnership has identified tackling ‘hidden harms’ as a priority for Slough - which includes issues like domestic abuse, forced marriage, honour-based violence, child sexual exploitation - as well as tackling gangs and serious youth violence.
Children, young people & education • On 31 March 2018, there were 181 children who were looked after - a rate of 42.9 per 10,000 of the 0-17 population, lower than the statistical neighbour average in 2016 /17 of 59 and the England average of 52. • In the six months prior to 31 March 2018, the numbers of children looked after varied between 216 (highest) and 202 the lowest. This figure changes on a monthly basis as children enter or leave the looked after system. • In March 2018, 83.5% of children looked after were up to date with health and dental checks. • The most recent virtual school annual report highlights significant improvements in attainment and the KS2 results for last year were exceptional. • At the end of March 2018, there were 163 young people who were Care Leavers (aged 16+). • 67.3% Care Leavers aged 16+ were in education, employment or training, 81.9% were in suitable accommodation and 57.2% had a Pathway Plan in place.
The council’s role: Adult health & social care • What we currently do • Commission services and provide advice and support to improve the health of residents - including advising the CCG on public health matters. • Ensure access to a range of leisure facilities and programmes of activity, catering for a range of needs. • Provide information, advice and support to enable people to be independent, stay living in their own home for as long as possible, stay involved in social activities and live their life the way they want. • Commission person centred adult social care services for older people, adults with a learning disability and adults with mental health issues that promote early intervention and prevention. • Ensure vulnerable adults are protected from abuse. • Our partnership work • Working with Slough Wellbeing Board to deliver strategic leadership on health and wellbeing in the borough. • Working with the Slough Safeguarding Adults Board to protect vulnerable adults and promote their wellbeing. • Supporting the delivery of the Frimley Health and Care Integrated Care System. • SBC also contributes to the: • Health and social care PDG • Slough Carers Partnership Board • Slough Older People’s Partnership Board • Development of a new co-production network
Slough’s journey: Adult health & social care • In recent years, SBC has sought to respond to the changing adult social care landscape by focussing on wellbeing and prevention. • In 2017/18, we embedded a “Strengths based Conversation” model in our operational teams and have also sought to link our service users to their local communities to reduce the need for long-term care. • SBC have also embraced reablement as an effective way of providing short-term support to people, and to help them regain their independence. • The council has invested substantially in developing state of the art leisure facilities, and has ambitious plans to get more people, more active, more often. • We have worked in partnership with the Slough Wellbeing Board to target those individuals most at risk of poor health and wellbeing within the borough - including by promoting the uptake of health checks. SWB has also launched a series of campaigns to: • Reduce the prevalence of a number of preventable diseases • Encourage people to make small changes to improve their health; • Promote greater levels of physical activity; • Tackle social isolation; and • Raise awareness of the importance of mental health.
Adult health & social care • Slough has significantly worse healthy life expectancy (the average number of years a person would expect to live in good health) at birth than the national average - for both men and women. • HLE for men in particular has been declining consistently, down from 61.2 years in 2009-2011 to 59.6 years, and there are also large gaps in life expectancy between Slough’s different wards liked to income deprivation. • Slough has decreasing levels of physical activity, with 34.8% of Slough’s population estimated to be inactive - up from 28.2% in 2015/16. • Though there has been a slight improvement in recent years, a large proportion of Slough’s adult population are still estimated to be obese or overweight. Slough also has a high estimated prevalence of diabetes. • The proportion of adults smoking in Slough is decreasing, but Slough still has a comparatively large number of deaths attributable to smoking. • Slough has above average mortality rates from strokes, coronary heart disease, preventable cardiovascular disease and alcohol related deaths. • Though these mortality rates have been generally in decline in Slough, this broadly mirrors the national picture and there is still a notable gap between Slough and the national and regional averages.
Adult health & social care South East Slough Slough England England South East 61.9% 61.3% 59.7% 59.6 59.5 63.3 63.9 66.1 66.3 Healthy life expectancy (years) Proportion of the adult population obese or overweight 34.8% 25.7% 22.7% 10.2% 8.5% 8.1% Estimated prevalence of diabetes (16+) Proportion of the adult population inactive 69.3 46.7 38.4 238.5 272.0 310.6 Smoking attributable mortality rate (per 100,000) Preventable cardiovascular mortality rate (per 100,000 <75)
Adult health & social care Slough performs well in a number of sexual health indicators – including teenage pregnancy, but has low rates of chlamydia detection and high rates of HIV. Slough’s performance across key immunisation and screening indicators is markedly lower than national and regional averages. Vaccination rates had been in decline but have improved over the last year. Though screening rates have improved for bowel cancer, the proportion of the eligible population screened for breast and cervical cancer is in decline.
Adult health & social care • Slough performs well in a number of areas - such as the low number of permanent supported care home admissions and the high proportion of new clients who receive reablement or rehabilitation services, who are then able to stay in their own home. • Slough also performs well on the proportion of adults with a learning disability in Slough living in their own home or with family (84.5%), which demonstrates the high proportion in stable and appropriate accommodation. This is up from 65.9% in 2014-15. • However, Slough has performed in the lowest quartile nationally in a number of indicators from the Adult Social Care Outcomes Framework, including: • Social care -related quality of life (only year of data) • Carer-reported quality of life (getting worse) • The proportion of service users who say that they have control over their daily life (worse than the previous three years though similar to 2010-2013 levels). • Demand for adult social care is expected to increase dramatically over the next decade, as the proportion of the population aged 65+ increases.
Adult health & social care • Slough residents have reported less overall life satisfaction than residents in nearby boroughs, though this has improved in recent years. • They also reported lower levels of happiness, and higher levels of anxiety. • In 2016/17, only 22.7% of carers in Slough reported that they had as much social contact as they would like, compared to an England average of 35.5%.
The council’s role: Community • What we currently do • Maintain Slough’s parks and open spaces and encourage their wider use and enjoyment. • Promote community development, engagement, community cohesion and full integration opportunities for our diverse community. • Provide public protection services to ensure the safety of residents, businesses and visitors by identifying local risks and ensuring that legislation, governance and guidelines are adhered to. • Run Slough’s libraries and promote literacy, reading, access to information and learning. • Our partnership work • Collaborating with other agencies on the joint delivery of the Wellbeing Board priorities • Supporting the Safer Slough Partnership and the strategic management of crime and disorder in Slough. • Working in partnership with Slough CVS to support the voluntary sector in meeting the needs of Slough’s communities. • Joint delivery of the Slough Prevent Boardaction plan which seeks to tackle risks of radicalisation.
Slough’s journey: Community • The council continues to worked in close collaboration with the Safer Slough Partnership - including: • Promoting Thames Valley Police’s ‘Hidden Harms’ campaign, which seeks to address a number of abuse-related crimes; • Developing a new Multi-Agency Gangs Strategy for the borough; and • Rolling out the Choices programme to Slough schools to support our young people. • In 2018 the council formed a ‘Town Team’ which was successful in making rapid improvements to the Town Centre over a period of 100 days to deliver the Clean, Safe, Vibrant project & the ‘Meanwhile‘ approach. • We are working on co-creating stronger, more attractive neighbourhoods - focussing initially on Trelawny & Foxborough and Chalvey. • We have brought our environmental services back in house and are investing in innovative solutions to provide a better service for residents. • SBC has continued to invest in our parks to maintain their position as some of the best in the country, encouraging wider use of our spaces and have provided new green gym equipment. • We have also sought to enhance our community resources by investing in new, state of the art facilities such as the Curve and Arbour Park Football Stadium
Community • Slough has a higher reported crime rate than the national average. The total crime rate for Slough increased by 7.5% between 12 months ending March 2018 and 12 months ending June 2018. • We are missing data on the prevalence & causal factors of some of the ‘Hidden Harms’ - such as youth and gang violence and CSE owing to the sensitive nature of the data - both are key priorities of the Safer Slough Partnership. • Though it is now quite dated, research from 2013 suggests that community cohesion is, in general, very good in Slough. Six in seven surveyed felt that ethnic difference was respected in their local area and four-fifths agreed that people from different backgrounds get on well together. • There are 259 hectares of parks and open spaces in the borough. Herschel Park and Salt Hill Park have won the prestigious Green Flag award for the sixth and seventh year running respectively. • There are outdoor green gyms in 21 locations across Slough and 12 allotment sites. • Given the small size of the borough, and with Slough having fewer trees per hectare than London, Slough’s parks have been identified as being important ecological resources. • Slough has a higher rate of physical library visits and total book issues per 1,000 of the population than most of our neighbours. Slough does however have lower levels of total stock and supplies a lower proportion of requests within a week.
Community The Index of Multiple Deprivation combines a number of indicators to measure the level of deprivation in an area across seven different domains. Slough is ranked 78 out of 152 upper-tier unitary authorities in England in terms of deprivation, where a ranking of 1 is the most deprived. Slough has however improved on its 2010 position, when Slough ranked 69. 20 out of 80 Lower Layer Super Output Areas rank in the 20% most deprived in the country. 47 rank in the in the 20% most deprived in Berkshire. From the beginning of April to the end of September 2017, Slough Food Bank distributed 1,892 three-day emergency food parcels - 658 of which were for children. This constitutes a 27% increase on the previous year.
The council’s role: Housing • What we currently do • Develop a strategy to meet the need for housing in the area. • Provide neighbourhood services to council tenants and leaseholders. • Monitor and improve the quality of housing stock in the borough, and regulate private sector landlords. • Work to prevent homelessness, manage temporary accommodation and provide advice. • Our partnership work • Working with Slough Wellbeing Board to address inequalities in housing and the impact on residents’ health. • Co-ordinating our approach to homelessness and rough sleeping with partners from the voluntary sector in the Slough Homelessness Forum. • Facilitating engagement with our housing work via both the Residents Board and the Landlord’s Forum.
Slough’s journey: Housing • Slough is experiencing a growth in its population which, combined with the geographically small size of the borough (the third smallest in the country), has put significant pressure on our housing supply. • The council is committed to supporting the development of high-quality housing in the borough to meet the needs of Slough’s Communities - including in delivering more affordable homes and council homes - with sites identified for the development of 500 new council house units over the next five years. • SBC has established our subsidiary housing company James Elliman Homes, to give us more control over the local housing market whilst developing a rental portfolio, and providing accommodation for a range of vulnerable groups in Slough, including homeless households and young people leaving care. • Much work has been undertaken by the council to assess and improve the safety of council owned housing stocks - with the council investing £140 million in our partnership with Osborne - and plans are in place to develop new empty property and renovation grant schemes to enhance standards in the private sector. • SBC is also undertaking work to reduce homelessness and rough sleeping through effective prevention work and is developing a new strategy in collaboration with clients, landlords, the voluntary sector and other partner agencies.
Housing • Slough needs to build an average of 927 homes a year over the period 2016 to 2036 to meet the Government’s Objectively Assessed Need (OAN) for the Town. • The council’s own target is to complete an average of 550 new homes a year over the period. There were 846 net completions of new homes in 2017/18. • A 2016 sustainability appraisal identified significant issues around the scarcity of developable land, potential increases in congestion and the impact on the borough’s environment. • As of July 2018, average property prices were below the regional average, but rising at a faster rate. Prices for first time buyers were higher than the regional average. England South East Slough • As of 2017, the median house price in Slough was 11 times the median annual earnings for residents, compared to a ratio of 7.91 across England and 9.79 across the South East. • As of March 2018, median rents in Slough were generally above regional medians, and significantly higher than national medians. £248,611 +3.0% £306,200 +3.0% £327,002 +1.8% Average house price (all property types, July 18)
Housing • In 2017/18, there were 28 new builds and 9 existing homes acquired for social rent. However, 64 dwellings were sold as a result of Right to Buy. • At the time of the last housing statistics data return, there were 2,312 households on the housing waiting list. • At the end of Dec 2018 (Q3), there were 428 households in temporary accommodation in the borough. • Rough sleeping is increasing. Official estimates put the number of rough sleepers in Slough at 27 in the Autumn of 2017, but partners indicate that the real number may be as high as 65-75.
Housing We are missing up to date data, but as of 2011, Slough had the second largest average household size in England and 12.8% of households showed evidence of overcrowding in terms of sleeping space. As of August 2017, 4,341 dwellings in Slough were estimated to have category 1 hazards which pose a serious threat to health or safety. This equates to 8% of properties, equal to the regional average, and better than the national average of 13%. In their modelling of Slough’s housing stock, BRE found that the private rented sector is generally worse than other tenures across all the key indicators (with the exception of all hazards and excess cold).
The council’s role: Economy, regen & infrastructure • What we currently do • Develop planning policy, and provide development management and planning enforcement. • Develop and deliver the Local Transport Plan - the borough’s long-term transport strategy. • Provide community learning and skills development opportunities. • Protect Slough’s environment and manage air quality. • Provide waste collection and management services and street cleaning. • Our partnership work • Leading major regeneration and capital projects in the borough, in close collaboration with Slough Urban Renewal. • Working with Thames Valley Berkshire LEP, Thames Valley Chamber of Commerce, Slough Business Community Partnership and others to develop the borough’s economy and promote growth.
Slough’s journey: Economy, regen & infrastructure • Slough Borough Council has begun an ambitious programme of regeneration to make the town both an attractive place to live, work and stay; and a place where businesses want to locate and invest. • The council is focussed on utilising improvements of infrastructure - including the arrival of Crossrail, the expansion of Heathrow airport and the new Western Rail Link to Heathrow - to promote economic growth. • We have also sought to enhance our residents’ skills, and the council will shortly be launching the Slough Academy, which will help the council to ‘grow our own’ talent and generate training opportunities for our residents. • SBC have promoted the uptake of more sustainable modes of transport through improved cycling infrastructure and the installation of electric vehicle charging points; and we have recently launched a new Low Emissions Strategy to improve air quality. • The council has also sought to reduce journey times and gridlock, and has introduced the A4 Slough Mass Rapid Transit (SMaRT) dedicated bus lane.
Economy, regeneration & infrastructure • 79.3% of Slough’s population are economically active. This is higher than the national average of 78.4%. • Both adult and youth employment has been growing steadily since 2011/12 and Slough has a lower percentage of workless households than the national average. • The average gross weekly pay for residents of Slough working full time is £604.60, compared to a GB average of £571.10, and a regional average of £614.50. • By contrast, the gross weekly pay for all those who work in Slough working full time is £679.20, a gap of £74.60 per week, which implies that those who are commuting in to the borough are generally in higher paid work. • A comparatively small proportion of Slough’s population hold NVQ-recognised qualifications, however the gap between Slough and the whole of Great Britain has decreased markedly over the last decade. • A higher proportion hold ‘other’ qualifications - which may reflect the large number of non-UK born residents. • The total number of enterprises in Slough has grown significantly over the last 5 years.
Economy, regeneration & infrastructure - regeneration Slough has been rated as the best town in the UK to work in for the last two years. Slough was also identified as the most productive place in the UK by the Centre for Cities in 2017, and won Town of the Year in the 2018 Thames Valley Business Awards. This goes some way to tackling our outdated reputation e.g. in 2014, Slough was rated as the third ugliest town centre in the UK by the Telegraph. In response to the council’s ‘Issues and Options Consultation’ for the Review of the Local Plan, there was ‘almost universal agreement that something needs to be done to the town centre’. The vast majority of respondents thought that there should be a wide range of uses of the Town Centre. SBC’s Place survey will help improve our knowledge of what Slough’s citizens want for the future.
Economy, regeneration & infrastructure • In 2016/17, the proportion of roads ‘where maintenance should be considered’ was slightly higher than national and regional averages. • In 2017, there were 473 casualties from road accidents in Slough - a large drop from 627 in 2015. There were no deaths. • Though good in certain areas of the borough, Public Transport Access Levels (PTAL) are generally poor. • Slough has significantly fewer journeys per head on the bus than the national average. This figure has been decreasing in Slough since 2011/12. • The vast majority of journeys in the borough were made by car, shown below, and there has been minimal change over the last twenty years.
Economy, regeneration & infrastructure England Slough South East 43.7% 26.3% 46.2% • In 2016/17, only 26.3% of household waste in Slough was sent for reuse, recycling or composting. This is well below the national and regional averageand down from 31.4% in 2011/12. • A large proportion of Slough’s waste is incinerated to produce energy, rather than being sent to landfill. • The estimated level of C02 emissions per person is currently slightly below the national and regional rate, and has been decreasing since 2012.
