Working towards a new target operating model (TOM)
To meet the challenges of the future, Adult Social Care service must transform. Central to this will be a greater level of preventative support, including early intervention, to prevent, reduce and delay the need for statutory care.
We have developed a new TOM that takes a multi-layered approach to identifying and supporting people who may require support to manage their wellbeing and care needs proactively.
Adult Social Care target operating model (TOM)
- the model is designed to prevent, reduce and delay the need for statutory care
- support is organised across four connected levels
Level one: pre‑front door
- focuses on community wellbeing and prevention
- includes information, advice and universal services
- aims to identify need early and avoid escalation
Level two: front door
- provides skilled advice and wellbeing support
- includes digital and telephone access to services
- focuses on early help and short‑term intervention
Level three: targeted prevention
- provides early intervention for people at increased risk
- includes reablement and preventative services
Level four: assessment and support
- provides statutory assessment and ongoing care where required
- focuses on proportionate, strengths‑based support
Cross‑cutting principles
- safeguarding applies at all levels
- strengths‑based practice underpins all interactions
- technology is used to support independence
- services are delivered through integrated neighbourhood teams
The TOM brings together the vast array of formal and informal support available to people in Lincolnshire, organising how these work with one another, and monitoring and developing their impact on strengthening support for people in the face of increasing demand and complexity. The four layers do not represent specific services, but rather a model for integrating and maximising the effect of different services operating. The TOM is framed by eight key principles:
- tackling adult safeguarding concerns as a matter of priority
- truly person-centred and strengths-based interactions at all levels in assessment and support planning
- co-producing support through improved listening and focusing on the outcomes that people prioritise
- information, advice and guidance to enable people to access support they want and determine their own futures
- a ‘pre-front door’ in relation to adult social care to identify opportunities to intervene before people are referred for an assessment, spotting much earlier people experiencing difficulties and working together to return them to stability
- early intervention and reablement-led prevention at the Front Door to prevent, reduce and delay the need for statutory care and support
- technology enabled support at every level
- care and support plans that help people become more independent, step by step