Presentation on theme: "Putting People First Carey Bamber Personalisation Programme Manager"— Presentation transcript:
Putting People First Carey Bamber Personalisation Programme Manager
JIPs are partnerships with multiple investment sources and multiple lines of accountability. Dept of Communities and Local Government Department of Health Member Organisations/Networks Regionally developed and managed Linked to RIEPs
Putting People First 10 December 2007 Concordat outlining national multi department, multi agency commitment to transformation of Adult Social Care “person centred planning and self directed support to become mainstream and define individually tailored support packages… Personal budgets for everyone eligible for publicly funded Adult social care support”
How did we get here? Disabled people’s campaigns Direct Payments In Control Individual Budgets pilots Putting People First (TASC) Darzi Report Staying in Control Personal health Budgets pilots 2009 Right to Control DWP 2009 Children's Pilots 2009
Information, advice and advocacy for all Self-directed support Personal budgets Self-assessment Early intervention Volunteers Putting People First Neighbours User Led Organisations Low level services
Direct Payments Since able to offer DP Cash in place of social care services for those meeting the Local Authority eligibility criteria Willing and able to manage (with support) Some exclusions relating to Mental Health Act status Since duty to make DP Take up consistently low in mental health and OP Lots of research Lots of solutions: Training, leadership, systems and processes, information for people, support to manage.
Direct Payments let people choose what works for them Buying a mobile phone Driving lessons Joining a violin group Joining a fishing club Taxi to a mainstream drama group Renting a workshop (two people together) Hiring an art teacher (four people together) Employing someone to manage a small enterprise (six people together) Travelling to stay with relative for a break Employing a PA
Focusing on ‘outcome’ rather than ‘activity’ “As a general principle, local councils should aim to leave choice in the hands of the individual by allowing people to address their own needs as they consider best, whilst satisfying themselves that the agreed outcomes are being achieved.” Direct Payments Guidance: Community Care, Services for Carers and Children’s Services (Direct Payments) Guidance England 2003 Department of Health
Local Authority Circular Jan 2008, Jan 09 “ The direction is clear: to make personalisation, including a strategic shift towards early intervention and prevention, the cornerstone of public services ” LAC (DH)(2008) 1 “ Significant Moves ” by 2011 National Indicator set - NI 130
What is self-directed support?
What are people buying? Changes depending on age, expectation, need etc Some “traditional” services PA support bike, dog, camera, art materials, car, hair extensions, reflexology Skills -driving lessons, art group, college course, tai chi, gym membership, job coaching / seeking Support -life coaching, managing bills and money, pooled money for group support, ironing, cleaning Respite - short breaks, holidays Assistive technology - telecare, home safety for streamed stories Using a range of deployment options
It’s different … I also bought a kite, a bike and other clothing for outdoor activities. I’m on my bike nearly every day…. My paranoia and suspiciousness is considerably better. This is because I feel more confident which is mainly down to me being a lot fitter. My mental health has improved. I am doing much more. Without individual budgets I would have probably have just struggled on as I was doing last year. It has given me a kick start. I am feeling alive.
What did the evaluation say? Complexity in integrated services What’s Health and what’s social care “Significantly higher” self reported quality of life for IB recipients than those in the control group. Mental health outcomes most significant
Risk and Audit Small number of people not at liberty to organise own care Get the timing right Fluctuating conditions Risk Enablement Approach developed by LA’s Independence, Choice and Risk (DH 2006) Signing off Support Plans Range of options: include agent, direct service, Trust, Individual Service Fund too Support through care manager, Support planners, brokers, user led organisations Light touch audit Monitoring through review Anecdotal evidence from sites
North West activity In Control total sites – Lancs, Oldham Cumbria 16/23 LA NI 130, all aiming for 30% minimum Generally good progress overall Personal Health Budget provisional pilots Ashton Leigh and Wigan Continuing Healthcare Blackburn with Darwen CHC and mental health Cumbria Continuing Healthcare, mental health and LTC East Lancs tPCT Mental health Heywood, Middleton Rochdale Learning Disability Merseyside Mental Health (joint project) West Cheshire LTC Manchester, Oldham and possibly Halton too.
What is the right to control? Regulations under this bill will empower disabled adults to take greater choice and control over support and services. This means being able to: require authorities to tell them how much money is available; require the authority to plan with them how best to use this money to meet their needs; being able to choose the degree of control over the support they receive. The individual will be able to receive a direct payment, continue to allow the public authority to arrange their support, or use a mixed approach The right to control recognises that disabled adults are the experts in their own lives
Which funding streams will the right to control cover? Access to Work Independent Living Funds Specialist disability employment programmes Other funding streams for inclusion will be determined through a national consultation exercise with disabled adults, providers and user-led organisations. They will be considering: Funding for equipment and adaptations Funding that enables disabled adults to access education and training Adult Social Care is excluded from the right to control as legislation already exists to enable direct payments. We will align the right to control with Adult Social Care.
How will right to control be implemented? From 2010 the right to control will be piloted in a small number of trailblazing public authority areas We want to test both ‘if’ the right to control should be implemented nationally, and also ‘how’ this should be done We will be asking local authorities, Jobcentre Plus and other agencies to develop proposals together and in co-production with disabled people, setting out how they propose to implement the right to control Neither social care, nor any other service should be the sole ‘gateway’ to choice and control The trailblazers will join up different services and funding streams to avoid the fragmentation of support too often experienced by disabled people The trailblazers are expected to run for two years. Funding will be made available to support trailblazing areas.
Next steps If you are interested in applying to become a trailblazer or want further information on the right to control, please contact Caroline Throssel si.gov.uk si.gov.uk iMPOWER 14 Clerkenwell Close London EC1R 0AN T F Jeremy Cooper, Director
Local plans Right to Control trailblazers Unit costs Critical mass approaching Talk to local commissioners Menu of services Map the pathways – develop new projects User led organisations / brokerage services Marketing your services Shop 4 Support? Stories Implications for Supported Employment schemes