1. Helen Jones Director – Community Inclusion One Nottingham: Lunchtime Learning Self-Directed Support and Nottingham

2. Putting People First Government Agenda To transform how we deliver social care services. The agenda responds to lobbying from disabled groups about increasing choice and control for disabled and older citizens. Links to government’s broader personalisation agenda. Cross party support for self-directed support. Recent social care green paper relating to funding options, given demographic changes, in particular ageing population.

3. Local Programme Self-Directed Support – Helen Jones Evidence Based Commissioning – Anne Carswell Prevention and Early Intervention – Elaine Yardley Financial Sustainability – Sallyanne Johnson Workforce Strategy – Gwen Doswell Improved Support Services – Gwen Doswell Community Sustainability – Helen Jones

4. Self-Directed Support Nottingham “Our vision is that Nottingham will be a place where, supported by responsive services and inclusive communities, people eligible for social care services can exercise choice and control to maximise their quality of life and well-being”

5. What is Self-Directed Support? Self-Directed Support (SDS) is a new model of social care driven by the belief that disabled adults and the elderly will have a better quality of life if they can design their own social care according to their individual needs. Control is transferred from social services to the individual, who decides what form their support will take, when it will take place and who will care for them.

6. Traditional Model SDS signifies a break with ‘traditional’ or ‘service-based’ care in which an individual’s care was designed for them and provided by social services and its partners. The individual received support as gift and had little or no involvement in negotiating and creating support. Residential/ day care/ home care

7. Self-Directed Model SDS puts the individual at the centre of support. This model is a reciprocal one in which the service user actively designs their own care package in partnership with social services.

8. Target (NI 130) 30% of eligible people to receive a Personal Budget by end March 2011

9. Personal Budgets 2 key elements … 1.Direct Payments 2.Indirect Payments How Does SDS Work?

10. 1. Direct Payments Person eligible for social care is given a regular cash sum with which they purchase their own preferred forms of care and support. Either look after it themselves or broker manages it for them.

11. 2. Indirect Payments Person eligible for social care receives budget total. Money is held by Local Authority and purchasing done on citizen’s behalf. The individual is then free to spend this budget in ways that meet the outcomes they wish to achieve.

12. This Type of Care is Often Described as Outcome Based There are very few restrictions on what form someone’s care programme takes, as long as it serves the individual’s needs or goals, as agreed by them and their social care assessor in a support plan.

13. Examples The personal assistant The art class The football season ticket The car The dog

14. Nottingham’s Journey 3rd October 2007 Executive Panel 3rd December 2007 Full Council January 2008 “Putting People First” - Personal Budgets for all 2008 Adult Services Task Group (final session 7th November). Commitment to on-going member overview. January 2009 Pilot November 2009 Pilot Personal Budgets

15. Neighbourhood Pilot “Nurture the growth of trustworthy support for local people by local people, offering increased choice and power to those who need support” What would our communities need to be like if there were no adult care services?

16. Neighbourhood Pilot Portfolio Holder leadership Beechdale/ Bilborough starting point “Market Development” Mainstream services more inclusive Transport / information / social isolation and Personal Budgets Brokerage for older and disabled citizens by local and disabled citizens

17. The Bigger Picture A commitment to SDS means the commitment of Nottingham as a whole to choice, control, inclusion and greater equality.