Presentation on theme: "‘Staying in Control ’ Gemma Newbery ‘Staying in Control’ Pilot Project Manager Steve Upton ‘The Willows’ Manager."— Presentation transcript:
‘Staying in Control ’ Gemma Newbery ‘Staying in Control’ Pilot Project Manager Steve Upton ‘The Willows’ Manager
The Purpose of Nottingham’s ‘Staying in Control’ pilot To practice the extension of self direction into the NHS with people with dementia and their carer.
The ‘Staying in Control’ Pilot Population Pilot Population – Be admitted to the intermediate care service, either at home or at the Willows Have a cognitive impairment (including diagnosed dementia) recognised by the Intermediate Care Team. Able to live at home following discharge from the intermediate care service Have a carer
‘Staying in Control’ Pilot Objectives 1)To explore patient experience of receiving a personal budget. 2)To explore carer experience of receiving a personal budget 3)To explore the impact of patients and carers receiving a personal budget on service providers 4)To explore the impact of patients and carers receiving a personal budget on the use of health and social care services 5)To explore the systems and processes that are required to enable Nottingham to provide a personal budget, including healthcare resources, to a service user with dementia and their carer.
Nottingham’s ‘Staying in Control’ Pilot – ‘John’ Nottingham’s draft SAQ has been completed ‘John’s’ Individual Budget = £142 per week
Nottingham’s ‘Staying in Control’ Pilot – ‘John’ Support Planning Doesn’t like women to help him to have a shower Likes people to be on time Doesn’t really like to socialise too much Used to like going swimming everyday Used to like Tae Kwon Do
Issues so Far… Integrating health and social care budgets: Not many healthcare needs BUT -The Intermediate Care Service is jointly funded -Members of the team thinking in a more person centered way -Highlighted issues regarding PBs -Identified systems and processes required -Peer support network -Got NHS Nottingham City talking about personalisation
Issues so Far… Training and Development Formal Training Peer Support Promotion
Issues so Far.. Workforce Capacity oSupport Planning takes a long time oCurrent local targets do not allow time for support planning oHard to recruit to the pilot
General Risks oFinancial abuse oMental capacity oReduced economies of scale oService provider regulation oQuality of care oTraining of Personal Assistants oClinical evidence
NHS Personal Health Budget Pilot Site NHS Nottingham City have been identified as a provisional Department of Health Personal Health Budget Pilot Site The full project plan will: Build on the findings of the ‘Staying in Control’ pilot site evaluation. Focus on long term neurological conditions. Include service users who are currently receiving a direct payment and become eligible for NHS continuing care.