PUTTING PEOPLE FIRST WORKSHOP FRIDAY 7 MARCH 08

Key documents Vision, specific expectations, proposed support mechanisms and resources set out in two key documents: Putting People First Concordat (Dec 07) Transforming Social Care Local Authority Circular (Jan 08)

Overall vision/direction of change To make personalisation the cornerstone of public services To see a strategic shift towards early intervention and prevention For social care, to give every person across the spectrum of need the opportunity to have choice and control over the shape of his or her support To see councils working across the boundaries and resources of social care, housing, benefits, leisure, transport, health along with independent, voluntary and community organisations

Why the need for change? Demographic changes; people living longer Higher expectations of what people need/want Increasing recognition of the importance of early intervention and prevention Impact of demographic changes on carers

What is personalisation? For social care, it means everyone who receives social care support having choice and control over how that support is delivered, regardless of: - their level of need - the setting they are in - where support comes from - whether or not they receive funding from the local authority The scale of this ambition should not be under- estimated

What are some of the key issues? Increasing emphasis on self-assessment Person centred control and direction of use of resources Everyone having a personal budget Person centred planning at the heart of everything

What is meant by a ‘personal budget’? An upfront allocation of funding that an individual can make decisions on how to use to best meet their needs Can be taken in total or in part as a direct payment An individual can opt to have the council continue to pay for their preferred care package directly

What might a person centred process mean? Person centred questions What might I need and what’s around? Will the council help me? Do I want help in working out my care and how to pay for it? Are there services there? Do I want help in buying this care? Did I get the care I paid for? Do I still need the same level of care? Organisational responses Information provision/self-assessment/planning /provision of immediate care where needed First point of contact/Needs assessment Resource allocation if person qualifies Brokerage/Support for individual budget management (via user led organisation?) Procurement Planning Review

What are the potential impacts? Council Increasing strategic emphasis on early intervention and prevention is not just about social care, but involves other service areas and wider partnerships Need to capture exactly how the wider contribution of other services such as housing, leisure, adult education, transport and environmental services can support personalisation Reviewing and determining the role of relevant Thematic Partnerships, etc.

What are the potential impacts? Council (contd) Changes towards the use of personalised budgets will have implications for finance processes and systems e.g. need for an effective resource allocation system (RAS) Supporting the development of a workforce development strategy alongside health and private and voluntary sector partners Supporting the increased need for dialogue with users and carers

What are the potential impacts? Council (contd) Availability of universal, joined-up information and advice for all individuals including those who self- assess and fund Supporting a market development and stimulation strategy Performance management and the new Local Performance Framework

What are the potential impacts? Health Continuing to work together on strategic and practical approaches to investment in early intervention and prevention Development and review of appropriate joint commissioning strategies for all care groups Use of a Common Assessment Framework across health and social care Completion of Joint Strategic Needs Assessment (JSNA)

What are the potential impacts? Adult Social Care Greater emphasis on self-assessment; changing role of social workers in relation to this Person centred planning and self directed support to become mainstream Mechanisms to involve family members and other carers as ‘care partners’ Development of advocacy/peer support and brokerage systems with links to user led organisations

What are the potential impacts? Adult Social Care (contd) Review and development of appropriate safeguarding arrangements Market development and stimulation strategy Workforce with capacity and capability to deliver choice and support control Increasing opportunities and support for direct payments Review of current Transformation Programme and potential redefinition and prioritisation of projects

Timescales and resources Expectation that by 2011, councils will have made significant steps towards redesigning and reshaping services Social Care Reform Grant each year for next three years, to be used to undertake range of process reengineering, capability and capacity building activities required Expectation that councils will spend some of their existing resources differently

Timescales and resources Development of a sector support programme e.g. Regional Improvement and Efficiency Partnerships (RIEPs); joined up approach with Care Services Efficiency Delivery programme (CSED) Not intended as a vehicle for savings although recognises there may be some efficiencies that, given increasing call on resources, may be needed for re-investment Government intention to produce a Green Paper on issues and options for reform of long term funding of social care