Putting People First - Individual Budgets and Social Care Transformation Housing LIN Presentation by Sarah Shatwell 4 th March 2009.

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Presentation transcript:

Putting People First - Individual Budgets and Social Care Transformation Housing LIN Presentation by Sarah Shatwell 4 th March 2009

Putting People First Provides a vision based on OHOCOS principles Signals Government commitment to fundamental system change Ethos of self determination and achievement of individual potential Foundations are leadership, partnership, quality and shared outcomes

Cornerstones of Transformation Universal Services Early Intervention & Prevention Social & Community Capital Choice & Control

Putting People at the Centre Individual In Context Information & Advice Choice & Flexibility Early & Social Interventions Single Self Directed Assessment Advocacy & Brokerage Quality Assured Financially Independent Safeguarded

Commissioning Priorities Universal Services – Advice & Information, Single Point of Access, User Led Organisations Early Intervention & Prevention – Self Assessment, Equipment and Home Improvement, Specific Telecare, Floating Support, Intermediate Care

Commissioning Priorities Social & Community Capital – Social Prescribing, Employment Development, Generic Telecare Choice & Control – Individual Budgets, Support Planning & Brokerage, Workforce Development

What is an Individual Budget? Safeguarding and support Integrated assessment or review of needs Allocation of financial resources Care & Support Plan Purchasing of services

Methods of Delivery

Individual Budgets in B&NES National IB Pilot Nov Dec 2007 B&NES one of 13 pilot sites – only one in SW region Delivered IBs to older people, physically disabled people, people with learning difficulties, people with mental health problems Developed internal brokerage service

Individual Budget Users Total IB users since 2006 Current IB users Total DP users since 2006 Current DP users

Roll Out of Individual Budgets Go live in B&NES planned for April 2009 Development of detailed manual Training for staff Ongoing support for roll out Market development Target is 30% of all adult Social Care users by 2010/11

Individual Budgets and SP Since April SP IBs in B&NES £1200 and £3800 per year SP resources could support nine/ten clients per year SP IB users unable to access housing related support SP IB users have purchased domiciliary care or personal assistants Now considering other options for SP IBs

Individual Budgets - regional Integrated Assessment – very few authorities have one Resource Allocation System – very few authorities have finalised this Dorset – varying allocations depending on postcode/local market Bristol – exploring current unit costs to refine approach to resource allocation

Individual Budgets - regional Regional work commissioned to explore local/regional variations/sustainability Support Planning & Brokerage – four authorities selected to pilot this with external partners – Plymouth, B&NES, S Glos, Bournemouth Evaluated by Living Options, a user led organisation

Individual Budgets - regional Supporting People IBs - Plymouth have trialled a RAS for learning difficulties that includes SP Various LAs are looking to develop floating support Wider issue of housing choice and personalisation is under developed B&NES has commissioned SP IB research

SP IB Development Review impact of SP IBs - evaluation of support plans, services purchased and personal accounts Survey market options and choice available to SP IB users - stimulate appropriate market development Consider sustainable options future SP IBs - early intervention/prevention e.g. expansion of Telecare services

Challenges Culture change Shift from care management to personalisation Stimulating the market Eligibility criteria Managing risk Finding efficiencies Measuring success Managing transitional commissioning arrangements

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