East Sussex funding gap: Have your say on the Mental Health Community Outreach Service
Overview
East Sussex County Council is facing a financial gap of £55 million next year.
Most local authorities are experiencing similar cost pressures at the moment. Despite these pressures, we have a legal responsibility to set a balanced budget. That means we need to make some difficult decisions about what we spend.
Every part of the Council will need to find savings to help close the gap. Cabinet considered some of the savings proposals in September. Any proposed changes that affect services will have a public consultation.
The Adult Social Care and Health consultations start on 3 October and close on 28 November 2024. Decisions are expected to be made on the proposals in February 2025. Services will continue as normal while we are consulting on the proposals.
For more information about our funding gap, social care support, how savings proposals have been identified, expand this section by clicking here
Our funding gap
East Sussex County Council (the Council) has a net budget of £538.1 million for the year from April 2024 to March 2025. Our net budget is the money we have to spend which is financed by business rates, council tax receipts and the revenue support grant we get from the national government.
We expect our net budget for next year to be a similar amount. This means that we are facing a financial gap of £55 million for 2025/26. The financial gap is the difference between the funding available and the cost of keeping services at their present level.
Most local authorities are facing similar pressures. We face this gap even though we are a well-run and efficient council which has saved £140 million since 2010 and found new ways to work effectively through difficult times. Unfortunately, the cost pressures we face now are so great that efficiency alone is not enough and the limited reserves of money we have available would not be enough to meet the financial gap. Most importantly, reserves can only be spent once and could not repeatedly fill the financial gap which councils face every year. It is also not possible to close the whole gap by raising council tax as the increase that would be required is beyond the limit set by national Government.
We are legally obliged to close the financial gap and balance our budget. This means that some tough decisions will have to be made and reduced services are possible in all areas. When making these decisions, our priority will be to maintain protection and support, wherever possible, for the most vulnerable people in our community.
There is more information about why we have to make savings and what we are doing to highlight the issues local authorities face with the national Government on our website at https://www.eastsussex.gov.uk/your-council/finance/east-sussex-our-funding-gap.
Social care support
Adult Social Care and Health is a department of East Sussex County Council. We work with people aged 18 and over who live in East Sussex. We help people live healthy and independent lives, whatever that may look like for them. We look at people's strengths, capabilities, support network, community and difficulties and work with them to find solutions.
The Council has a legal duty to provide social care support to those who are eligible. About three quarters of the East Sussex budget goes on providing social care for children and adults, with adult social care accounting for nearly half of the budget (48%). Care and support for adults is not free and we charge for most of our services. The amount people pay depends on their financial situation, but most people have to pay something towards their care, with the remaining costs paid by the Council.
Nationally, social care is under pressure due to a combination of demographic, financial, and systemic factors. East Sussex is no stranger to this, facing unique challenges which impact on the need for support and services in the county. Around 25% of the East Sussex population is over 65 compared to a national figure of 18%, average wages remain lower than the national average and 30,000 people in the county are living in some of the most deprived areas of England. We have also seen a 40% increase in the average weekly cost of providing care in East Sussex since 2020.
As people live longer, they may require care and support for longer, and their care and support needs are likely to become more complex over time. There is also evidence that the cost of living challenges have increased demand for care, as well as making people less able to afford their contribution towards the cost of care.
As social care is such a large part of the Council’s budget, we will need to make savings to services in this area too. Reduced services are likely, and we will need to review staff numbers, but the amount we need to save can’t be achieved through reducing the workforce alone.
Developing the savings proposals
Given the financial gap we are facing, we know it is impossible to avoid some of our residents being negatively affected by the difficult decisions that we need to make. We have tried our best to identify proposed savings that would have the least possible impact on people’s care and wellbeing.
We know too that many of our external partners in the NHS, local authorities, providers and the voluntary, community and social enterprise sector (VCSE) are experiencing their own pressures in terms of demand for services and funding challenges. Where we can, we’ve tried to take that into account in looking for savings.
Our priority in Adult Social Care and Health is to meet our legal duties under the Care Act. To help us to do this, we have identified funding areas that we think need to be protected when we are looking at savings options.
The priority funding areas are:
- Community care budget: This budget covers the cost of care that is provided to adults who are eligible for social care support because of a disability or health condition. This budget is already under pressure because more people need our help, the cost of providing care is increasing, and our residents are increasingly struggling to pay their contribution towards the cost of care.
- Carers: As well as protecting the budget for community care which funds support for people who are eligible for social care support, we have tried to protect the direct support we provide to unpaid carers who are looking after their family members and friends. This is because carers play an invaluable role in meeting care and support needs for so many residents and reduce the amount of support residents need from other services.
- Voluntary and community enterprise sector (VCSE): These organisations make a huge contribution to preventing, reducing and delaying the need for care and support from the community care budget. For this reason, we want to protect the funding that we provide to support this sector as far as possible, particularly where we can demonstrate that services are supporting our statutory duties and other priority funding areas.
- Frontline workers: We need to ensure we have enough social work staff and occupational therapy workers to carry out assessments and put care and support in place. We also need to retain enough financial assessment staff to ensure we are funding those who are most in need and that people pay the correct contribution.
- Care market: We need to ensure we retain enough staff so that we can support the care market and ensure we have a good supply of services that deliver the best value.
What is this consultation about?
This consultation is about our proposal to stop providing the Mental Health Community Outreach Service and instead use existing community and bed-based services to offer support. The section below provides more information about the service, what we are proposing and why, and how people would be affected.
You can find out about the other consultations by using the link at the bottom of the page.
For information about the Mental Health Community Outreach, what we are proposing and why, and how people would be affected, expand this section by clicking here
How the service works now
The Mental Health Community Outreach Service is run by the Council. It is a short-term service, operating seven days a week. It offers support for up to four weeks to a maximum of 15 people at any one time. The service has seven members of staff, who are employed by the Council.
People are typically referred to the service by the Council’s Health and Social Care Connect contact centre, or by health professionals such as GPs and community nurses. They can also be referred to the service by other adult social care teams.
The service offers therapeutic interventions, such as assessment and support planning, to people with mental health needs living in the community. This includes older people with depression and/or anxiety, mild cognitive impairment, and dementia.
The staff carry out home visits to people, where they carry out assessments on topics like mobility, equipment, mental health and wellbeing. Through support planning, they then help people to identify ways of completing everyday tasks that they may be finding
challenging due to their mental health needs. The service also provides support and advice for carers.
The aim of the service is to:
- promote faster recovery from illness,
- support people to get home from hospital,
- prevent unnecessary hospital or care home admissions,
- maximise independent living at home,
- provide support for carers and allow them to continue in their caring role,
- identify any care and support needs the client has through a range of assessments, and
- support people to access and engage with other community support and activities.
The service supported 118 people between April 2023 and March 2024.
What we are proposing to change
We are proposing to stop providing the Mental Health Community Outreach Service. As the service is a short-term one, people already using it wouldn’t be affected by the change. If the proposal was agreed, we would stop accepting new referrals from February and the service would cease from April 2025.
There would still be support available to this group of people, but it would be provided by other Adult Social Care teams instead. As an alternative, people would be able to access other services such as occupational therapy, community mental health teams, the carer’s breaks team, and the mental health bedded service at Milton Grange in Eastbourne.
Why we are proposing this saving
While we recognise the importance of this service, the budget pressures we face mean that we have to make difficult decisions about how we spend our money. The support provided by the outreach service is available from other teams and it is therefore hard to justify providing this additional home-based service.
How people and organisations would be affected
People who are already using this service would not be affected by the proposal. Those who need the sort of support it offers in future would need to access our universal services.
The outreach service is able to see most people referred to it within a week. The alternative services people would need to access if it stopped are unlikely to be able to see people so quickly.
This would mean people face longer waits for support. It may also mean that they have to get the information and advice they need from multiple services, instead of one person. These other services may not have the same specialist knowledge as the outreach service. All of this may affect clients’ and carers’ experiences of accessing support.
One of the aims of the service is to help get people home from hospital and prevent unnecessary admissions to the hospital. Stopping providing this service could mean that more people with mental health needs stay in hospital longer than needed. It could also result in some additional admissions to hospital, although it is hard to determine the likelihood of this at this stage.
Consulting on the savings proposals
There are no easy choices and we know that some residents will be very worried about how they and their loved ones might be affected by these proposal. We are committed to consulting with you on these difficult decisions and providing as much information about their potential impact as we can to support decision making.
There are 11 savings proposals for Adult Social Care and Health that affect services. We are consulting with the public about all of these. As well as these savings, we are also looking at other funding, staffing and income generation opportunities.
A Government Budget is planned during the consultation period on 30 October 2024. If any Budget announcements affect these proposals, then that will be taken into account during the decision making process next year.
For frequently asked questions about the consultations click here
How much does the Council need to save? |
East Sussex is facing a financial gap of £55 million. This is the difference between the funding available and the cost of keeping services at their present level next year. |
What is the total budget for the council? |
The net Council revenue budget for 2024/25 is £538.1 million.
*Centrally Held Budgets include Treasury Management and contributions to the Capital Programme. You can read more about the council’s budget in the council plan: Council Plan 2024/25 | East Sussex County Council |
Where can I find information about the proposals? |
We published the initial savings proposals in the Cabinet papers for 26 September 2024. They are online here: https://democracy.eastsussex.gov.uk/ieListDocuments.aspx?CId=133&MId=5887&Ver=4 You can also ask for these Cabinet papers in hard copy by calling Democratic Services on 01273 481955. You can find more information on the consultation webpage for each proposal. Visit the consultation summary webpage for a list of the consultations: www.eastsussex.gov.uk/funding-gap-asch |
What about staff affected by the proposals? Have unions been consulted about this? |
The Council is talking to staff, and their representatives, in individual services. However, it should be noted that these are currently only proposals and no decision will be made until after the consultation period. A meeting was held with Union representatives on Friday 13 September 2024, to brief them on savings proposals for adult social care. |
When do decisions get made? |
Final decisions are expected to be made by Councillors in February 2025. |
Is it a done deal? |
No. However, if the proposals change, the Council would still need to find savings; so if the proposed savings from these areas didn’t go ahead, then we would need to find savings from somewhere else. |
Are all Council departments subject to finding savings? |
The whole Council is committed to identifying savings proposals that may address the funding gap. Statutory duties have to be considered when looking at possible areas where savings can be made, but it is expected that every department of the Council will need to find savings to close the funding gap. The size of departmental budgets varies significantly and some departments have large contracts which commit high levels of spend for the contracted period, such as waste facilities and highways. Some of the savings proposals were considered by the Council’s Cabinet in September, including the Adult Social Care and Health (ASCH) proposals that require consultations. More savings proposals for ASCH and the other departments will be discussed at a future Cabinet meeting. |
Why are you consulting? There’s not much scope for influence. |
It’s a legal requirement that the Council has due regard to the Public Sector Equality Duty when it is making proposals about services. The Council wants to better understand the impact and risks associated with the proposals, and if there are any alternatives or other ideas that can be identified. Consultation is one of the best ways to help us achieve this, and also ensures the Council complies with its common law duty of fairness. Having as much information as possible about the proposals and how they will affect people will also help our decision making process. |
I want to start a petition/ raise awareness about what’s happening. What will you do with it? |
You are welcome to start a petition or any other form or publicity. The East Sussex Petitions website lets you create an online petition that can be shared via social media such as Twitter and Facebook, and circulated in print. A petition may only be signed by those who live, work or study in East Sussex. There is more information about how to get started and what your petition can achieve here: Petitions | East Sussex County Council Petitions are presented to decision makers along with the consultation report. A petition counts as one submission, regardless of how many people sign it. |
The savings proposals show that many vulnerable groups will be affected. What impact assessments have been done? |
Equality impact assessments are being completed where required and will be considered by Councillors, alongside responses to the consultations, ahead of any decision being made. |
Who else can I speak to about this? |
Each consultation includes contact information if you want to request the consultation survey in another format or you need help to take part. Visit www.eastsussex.gov.uk/funding-gap-asch to find contact information. Local MPs, elected members for East Sussex County Council and district and borough councils have been made aware of the consultation. You can find out how to contact elected members on our website: Councillors | East Sussex County Council. Other partners such as NHS services, service providers and local voluntary sector representatives are also made aware of consultations and will usually comment on our proposals. |
I want to make a complaint about the proposals. How can I do that? |
Please respond to the consultation itself to let us know if you are unhappy with what is being proposed. If your response needs to be treated as a complaint then it will be managed by the complaints team. |
Where can I ask questions and get answers? |
If you are affected by the proposals and you have specific questions about changes to services you receive, please contact either your service provider or the relevant service and they will try to answer your question. If you are a journalist, please contact our Press office | The Newsroom (eastsussex.gov.uk) Due to the likely scale of enquiries, East Sussex County Council cannot guarantee answers to individual questions submitted via email and social media. Any questions received via the consultation will be presented to decision makers as part of the reporting process and will be considered alongside consultation responses. Where we are able to provide an answer, ‘Frequently Asked Questions’ will be published alongside each consultation. |
Why isn’t the consultation period longer?
|
The consultations are running for 8 weeks. We would usually aim to do 10 weeks, but in this case the timeline for decision making and the cost pressures we are facing mean that we need to do a slightly shorter consultation. To ensure people are still able to take part, we’ll be promoting the consultations widely and holding consultation meetings for people using long-term services. |
Have your say on the proposal
We are keen to hear from everyone with an interest, including:
- people who have used the services or whose family members or friends have,
- providers who run the services and the staff who work for the services,
- staff and organisations who work with the services or refer people to them,
- providers who support people who use the services, and
- our partners in the public and voluntary sectors who work with the services and would be affected by the proposed changes.
How you can take part
This consultation closes on 28 November 2024. Please note that if we receive any consultation responses after this date, we cannot guarantee that we will be able to take them into account.
You can fill in this online survey or download a survey to print and post back to us below. You can also contact us to request a paper copy by using the contact details on this page. The survey should take about 10 minutes to complete.
We can accept consultation responses via letter and email if you aren’t able to fill in the survey. These are a little harder to keep track of and analyse, so it would help us if you can use the survey if you are able to.
If you need the survey in another format or language, please get in touch with us.
How organisations can take part
Official responses from organisations should be submitted by email or post (see contact details for how to get in touch). Individual staff wanting to take part should fill in the survey.
What happens next?
Decisions about whether we go ahead with the savings proposals are expected to be made by Councillors in February 2025. This means there won’t be any changes to services before that date. Anyone currently using the services can continue to do so in the normal way and the services can continue to accept new clients.
Councillors will consider the results of the consultation alongside a report that sets out what we are proposing to do next and an Equality Impact Assessment (EqIA). An EqIA is a tool we use to understand how particular groups and communities would be affected by a proposed change. The papers, including the EqIA, will be available to the public on our website in advance of the meeting.
The time frame for any changes to services would reflect the legal and contractual requirements for the service in question and we would work closely with those people and organisations who would be affected.
How to get in touch with us
Questions about the consultation or your services
You can talk to the manager of your service or contact us by email or telephone:
Email: DPSOPSConsultation@eastsussex.gov.uk Telephone: 01424 724035
Submitting a consultation response
Your survey can be emailed, posted or hand to us. If you aren’t able to complete the survey you can submit your response by email or letter.
Email: consultationASC@eastsussex.gov.uk
Post: Funding Gap Consultations, North A Floor, County Hall, St Anne’s Crescent, Lewes, BN7 1UE
By hand: Give your survey to a member of staff at the day service
Privacy information
This survey is anonymous and we don't ask you to provide any personal information. There is an optional 'about you' section at the end. Please ensure that any comments you make don't include any names or personal details of you or anyone else.
You can find our privacy notice about how the data will be stored and processed by East Sussex County Council on our website: www.eastsussex.gov.uk/privacy/funding-gap-consultations-dps
Mental Health Community Outreach Service
Areas
- All Areas
Audiences
- Residents of East Sussex
Interests
- Care and support services (adults)
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