Presentation on theme: "East Sussex County Council"— Presentation transcript:
1 East Sussex County Council East Sussex County Council Putting People First Programme Update on Self Directed SupportJane Goldingham : Putting People First (PPF) Workstream LeadAccess and Self Directed Support
2 Key Areas Activity update Key Challenges around implementing Self Directed SupportRelationship between the Resource Allocation System and Care Funding CalculatorKey Developments for 2011/12
3 Background Small Personal Budget pilot : Feb 09 – April 10 Demonstrator site in Lewes and Wealden : Oct 09 – Dec 09tested and re shaped tools and pathwayproportionate assessments and Supported Self Assessment (SSA)Roll out of Self Directed Support (SDS) in most ASC teams: April 10Phased roll out of SDS in Mental Health teams: From July 10Introduced 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 someoneAdvocacy pilots – offer advocacy for any ASC related issue April 09 – June 10 for carers, older people, disabled people3 advocacy surgeriesSupport Planning & Brokerage Learning Project – interim model forApproved list of alternative providers of independent brokerage
4 Activity UpdateNumber of People on Personal budgets and /or Direct Payments between April and December 2010Total of 4519 service users and 1506 carersLD service users make up 8% of ESCC’s client base230 LD service users have a Personal BudgetDeployment 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 receivedDifferent ways of meeting needs and outcomesFlexibility over how support can be receivedWorking in partnership with services users, their families and other organisationsWorking with other organisations to develop support plansWorking with the market to identify different solutionsMention LEAN
6 Some Key Challenges Changing Culture and Practice Shifting away from services to outcomesGetting buy in from existing service users who may not want changeWorking within current and increasingly tight financial climateDemographic challenges with more people coming through the door and less available fundingWhole 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 needThe ‘RAS’ is used for everyone with an ongoing eligible need for social care funding and supportIt follows the assessment of needThe ‘indicative’ budget is an upfront figure used to assist someone with developing their Support PlanRAS Figures are based on ‘average costs’ of packages for relatively similar levels of needOngoing 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 careIt is only used for those people who require accommodation based services and supportThe 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 serviceThe 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 PlanThe 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 practiceCollating examples of ‘best practice’Update Self Directed Support Tool setOngoing work with the RAS and CFCIncrease in numbers of Direct Payment usersPersonal Health BudgetsInvolvement of users in working with us over the pathway and toolsStreamlining the whole pathway and User/Carer experience - Lean Project