1. East Sussex County Council
East Sussex County Council Putting People First Programme Update on Self Directed Support
Jane Goldingham : Putting People First (PPF) Workstream Lead
Access and Self Directed Support

2. Key Areas Activity update
Key Challenges around implementing Self Directed Support
Relationship between the Resource Allocation System and Care Funding Calculator
Key Developments for 2011/12

3. Background Small Personal Budget pilot : Feb 09 – April 10
Demonstrator site in Lewes and Wealden : Oct 09 – Dec 09
tested and re shaped tools and pathway
proportionate assessments and Supported Self Assessment (SSA)
Roll out of Self Directed Support (SDS) in most ASC teams: April 10
Phased roll out of SDS in Mental Health teams: From July 10
Introduced SDS – pilots helped us to test out and develop the tools and systems. We’re still continually reviewing and developing it until April 2011 and beyond. It is therefore vital that staff, along with service users and carers, help to shape and develop it.
Advocacy is about supporting individuals to have a voice or speaking up for someone
Advocacy pilots – offer advocacy for any ASC related issue April 09 – June 10 for carers, older people, disabled people
3 advocacy surgeries
Support Planning & Brokerage Learning Project – interim model for
Approved list of alternative providers of independent brokerage

4. Activity Update
Number of People on Personal budgets and /or Direct Payments between April and December 2010
Total of 4519 service users and 1506 carers
LD service users make up 8% of ESCC’s client base
230 LD service users have a Personal Budget
Deployment method for LD users
- 31% Direct payment only
- 52% using services arranged or paid for by the Council
- 17% with a combination of the two

5. What does it mean for People receiving support
More choice and control over how support is received
Different ways of meeting needs and outcomes
Flexibility over how support can be received
Working in partnership with services users, their families and other organisations
Working with other organisations to develop support plans
Working with the market to identify different solutions
Mention LEAN

6. Some Key Challenges Changing Culture and Practice
Shifting away from services to outcomes
Getting buy in from existing service users who may not want change
Working within current and increasingly tight financial climate
Demographic challenges with more people coming through the door and less available funding
Whole Systems change – ‘Lean’ Project

7. Getting the Money Right
Self Directed Support - the Resource Allocation System ( RAS) and the Care Funding Calculator (CFC)
What are these and how do they work on the SDS pathway?

8. Resource Allocation System (RAS)
Purpose : A calculating tool which is used to determine an ‘indicative’ level of funding based on an assessment of need
The ‘RAS’ is used for everyone with an ongoing eligible need for social care funding and support
It follows the assessment of need
The ‘indicative’ budget is an upfront figure used to assist someone with developing their Support Plan
RAS Figures are based on ‘average costs’ of packages for relatively similar levels of need
Ongoing Development of the RAS in partnership with FACE

9. Care Funding Calculator (CFC)
The CFC is a nationally recognised, regionally developed procurement and benchmarking tool used to determine ‘best value’ in relation to costs and quality of service for accommodation based care
It is only used for those people who require accommodation based services and support
The CFC is more specific to the package of support that will be purchased, and the factors that affect market prices, including location and size of service
The CFC will help to determine the ‘best value’ price for an accommodation based service and is used to inform the costing of the Support Plan

10. The Final Personal Budget Figure
The Final Personal Budget Figure will be informed by both the above tools ( where relevant) and will be based on the most cost effective way of meeting the needs and outcomes identified in the Support Plan
The LD RAS is currently undergoing development and further work is being done to confirm the relationship between the CFC and the RAS and the extent to which each tool will be used to determine fair and equitable funding decisions for the future.

11. Some Key Developments for 2011/12
Development and training of staff to support culture change and shift to outcomes – embedding this in practice
Collating examples of ‘best practice’
Update Self Directed Support Tool set
Ongoing work with the RAS and CFC
Increase in numbers of Direct Payment users
Personal Health Budgets
Involvement of users in working with us over the pathway and tools
Streamlining the whole pathway and User/Carer experience - Lean Project

12. Thank you
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