1. Pushing Boundaries Consumer Choice
Carlo Calogero
Executive Director Aged Care Services

2. Overview Self Directed Services (SDS) SDS HACC WA project
Client perspectives
Implications

3. Where are we going?

4. HELP

5. Australian SDS Links to UK developments
Disability services early 2000 (WA & Vic)
Links to individualised funding & services
Innovative SDS services eg My Place – self Management & shared management
WA Health interest in SDS for HACC 2012

6. MERCYCARE
SDS: N

7. SDS in HACC Trial testing SDS model in HACC
MercyCare partnered Perth Home Care Services
Trial commenced in May 2014 – ended 2016
Key objective to develop SDS model to operate within HACC & assess its applicability & effectiveness
Key element testing choice & control (pre CDC)
Curtin University evaluation report due

8. MercyCare’s Trial Group
29 participants (PHCS 90)
17 new to HACC & 12 current
SDS option offered by RAS at review
21 females & 8 males
Six under the age of 65
Youngest 40 & eldest 90
3 CALD participants

9. Supports Accessed

10. Client employing a Support Worker
SDS Client Agreement
Support plan
Information booklet
Price lists for our services & others
Guide to Engaging own Support Worker
Guide to responsibilities

11. Content Developing your plan Your plan (template)
Writing a duty statement
Choosing a support worker
Sample interview questions
Contract to engage your support worker
Training & supervision
Safety
Insurance – workers compensation & public liability
Termination of employment
Agreement to engage a support worker
"Statement by a supplier" form
Sample invoice
Payment advice

12. “WE SPEND A LOT OF TIME DESIGNING THE BRIDGE BUT NOT ENOUGH TIME THINIKING ABOUT THE PEOPLE WHO ARE CROSSING IT”
Dr Prabhjot Singh

13. Curtin University some findings
SDS is effective in meeting older clients needs to live independently, safe, securely in their homes
SDS flexibility a key component in achieving success
SDS benefits from support agency and client readiness
SDS improve the quality of service users and their family’s quality of life

14. How far can this model go?
Neurological disease
Towards the end - high care, unable to communicate, non mobile, no signalling
Employed his own workers
Management & support circle

15. Key Learnings Consumer can employ own SWs Provides greater flexibility
Reduces consumer costs – value for money
SW paid more
Consumer greater choice & control
Removes employment from industrial arena
Opportunity to maintain consumers
Opportunity to sell additional supportive services
Marketing analysis of a parallel service

16. Key Messages
UK experience supports personalised services but there are differing views on outcomes
Personalisation moving to integrated care models & direct payments
Consumers employing their own worker works, its price competitive, flexible and quality option
Can work in parallel with traditional service models

17. Thank You