Issue details

Managing Social Work (SW) and Occupational Therapy (OT) Capacity and Demand - To support ASC transformation aligned to budget action plans and stabilisation of the service

Brief Description

This report is requesting two decisions to be approved by the Director of Adults and Health as follows:


Decision 1

  • Approval of the expansion of the current staffing structures to support the transformation as set out in the exec board report, which would support an increase in staffing numbers for both Social Work and Occupational Therapy roles. In addition to this, appropriate plans will need to be in place to ensure the management structures are appropriate in line with this plan which will also include an expansion of the team manager numbers.


  • The exact numbers are not yet confirmed so the report is seeking a decision that is flexible and enables this resource modelling to be undertaken alongside HR and finance colleagues so the post ID’s can be created as posts are recruited to.


Decision 2

  • Variation to the contract(attached) to enable the continued funding of the Peri Team.  The current funding ends on 29/04/22 and is not re current. This report is seeking ongoing funding for a further six months.

·  For six months total cost (at full capacity) = £319,042.


Service transformation 2022/23

An Exec Board report was approved in December 2021 to support Adult Social Care (ASC) service transformation in the following areas:


1)The proposal to invest £660,253to deliver a pilot that uses Occupational Therapy and additional Social Worker staff at “the front door” to maximise capacity to meet growing demand for information and advice and demand for a social care assessment of needs, embedding an “independence first” approach.


2)The proposal to invest £646,323 to deliver a pilot of a new Community Reviewing Team that includes Occupational Therapy and Social Work staff to enhance the capacity of the current Adult Reviewing Team in order to deliver an increased reviewing schedule. Note that this investment is anticipated to deliver £3.3m from 2022 – 2025.


Impact On Wards


Financial and procurement implications

The value of the investment approved at Exec Board for the two transformation projects is £1,306,576 (£660,253 and £646,323 respectively) so the expansion would be within this previously approved funding amount. Continuation of the Peri Team for a further 6 months is £319,042.


Partnership working

N/A internal the service only



Decision type: Key

Reason Key: Financial Impact>£500K;

Decision status: For Determination

Wards affected: (All Wards);

Notice of proposed decision first published: 25/03/2022

Decision due: April 2022 by Director of Adults and Health

Lead director: Director of Adults and Health

Department: Adult and Health

Contact: Nyoka Fothergill 07891278038 Email:

Consultation process



Executive Member for Adult Social Care, Children’s Social Care and Health Partnerships