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Introduction to Personalisation

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  • Commitment from new gov
  • Reablement across leeds by April 2011
  • Key to this is that it’s not service led anymore, it’s an holistic process – designed to identify the persons care outcomes, apply an amount of money to them, allow creativity in care planning for a much improved quality of life
  • Called a self directed assessment because the person leads the process – can involve carers, friends and family – done together with a care manager. Large document – key questions – not direct answers, a good practitioner will tease out the information needed to ensue the assessment is as thorough as it needs to be
  • Support plan can include everything about the way a person lives their life including things they will do that cost nothing – where they will be supported by family and friends, where they want to use their personal budget to buy services and where they might be paying themselves for services
  • Transcript

    • 1.  
    • 2.  
    • 3. Today
      • Talk about Personalisation
      • Focus on Personal Budgets
      • Talk through the process…
      • … .So we can look at obstacles and opportunities for social enterprises
    • 4. In 30 seconds
      • Person-centred services must be the future
      • Real opportunity for social enterprises
      • But some big issues with system
      • We need to understand the system – to then work out where opportunities are
    • 5. Rob Greenland
    • 6. Gill Coupland
    • 7. Introductions to eachother
    • 8.  
    • 9.  
    • 10. Personalisation is….
      • About more than Personal Budgets
      • But they’re a big part of it…..
      • …And a lot of emphasis is put on them
      • …And there are opportunities there for social enterprises
      • So that’s what we’ll look at today
    • 11.
      • Putting People First (2007)
      “ The time has now come to build on best practice and replace paternalistic, reactive care of variable quality with a mainstream system focussed on prevention, early intervention, enablement, and high quality personally tailored services.”
    • 12. Gill Coupland Social Business Brokers CIC
    • 13. What does it all mean in practice?
      • The whole point is that people have more choice and control
      • YOU’RE the best person to decide what’s right for you.
      • A personal budget gives you more choice and control over the kind of social care support you use – and how it is
      • delivered.
    • 14. Talk through the process
      • Self-Assessment process
      • Resource Allocation System (RAS)
      • Indicative Budget
      • Support Planning
      • Brokerage
      • Approval
      • Delivery and Review
    • 15. OK, so how does a person get a personal budget?
      • Referral to adult social care for an assessment
      • FACS eligibility
      • Self directed assessment
    • 16. The RAS
      • Care Outcomes identified
      • Resource Allocation System
      • Person notified of their indicative budget
    • 17. What next?
      • Support planning
      • What do you want to change or achieve in your life, and
      • how will you do this?
      • How will you arrange and manage your social care support?
      • How do you want to manage your budget?
      • Contingency planning – what if something goes wrong?
      • How will you manage any risks?
    • 18. How is this different?
      • Creative planning
      • Brokerage support
      • Managing the money
      • Enabling a person to take risks
    • 19. What if there’s not enough money?
      • Indicative budget
      • Revisited when support plan complete
    • 20. Options for managing the money
      • “ Personal budgets are designed to be flexible and fit people’s individual circumstances”
      • Direct payment to an individual
      • Direct payment to a suitable person
      • Direct payment to a trust
      • ISF – Individual Service Fund
      • Local authority
      • Mix ‘n’ Match
    • 21. Could you blow it all on a world cruise?!
      • Review process
      • Meet agreed outcomes
      • Unforeseen costs
    • 22. Questions and comments
    • 23. Some issues with Personalisation
    • 24. Assessment process
      • Anecdotal evidence
      • It can take time to get an assessment
      • No mention - or active discouragement - of Personal Budgets
      • Complicated process - we’ve heard of 60 page questionnaires
      • FACS criteria, financial criteria
    • 25. RAS and Indicative Budgets
      • Anecdotal evidence
      • Who knows how the Resource Allocation System works?
      • Concern that not all needs are taken into consideration
      • Some lack of faith in the financial figure that comes out of the RAS
    • 26. Support planning and brokerage
      • Creative thinking could make a big difference
      • Evidence of social workers holding onto this role
      • Some Councils have put resources into this (so others can get involved) - some haven’t.
    • 27. Approval of Personal Budget
      • Anecdotal evidence
      • The amount approved can be lower than the Indicative Budget
      • It can be hard to get more creative ideas through the approval process
      • Budget cuts? Risk aversion? People not liking change?
    • 28. The Virtual/Managed Budget
      • Councils had targets to meet - and financial incentives - until April this year
      • It seems lots of people with Personal Budgets actually have “Virtual Budgets”
      • In how many cases are people getting something materially different?
    • 29. To summarise
      • It’s only natural that something like this will take time
      • But we’re not sure it’s just a matter of time
      • JRF research points to inadequate funding - and negative aspects of social care culture - as barriers to developing person-centred support.
    • 30. How could you get involved?
    • 31. Opportunities - customers
      • Tell people about Personal Budgets
      • Support people through the assessment process
      • Get involved in support planning & brokerage
      • Help people to pool budgets
    • 32. Opportunities: services
      • Develop person-centred services
      • Collaborate to develop service packages
      • Explore whether some people (eg PA’s, ex Council staff) want to set up social enterprises
      • Think beyond Personal Budgets - to self-funders
    • 33. Final thoughts
      • It’s not all doom and gloom
      • But there are real, practical issues stopping things working like we’d like them to
      • Isn’t that where we’re supposed to make a difference?
    • 34. www.ideasthatchangelives.org.uk
    • 35. www.scoop.it/personalisation
    • 36. www.thesocialbusiness.co.uk
    • 37. www.ideasthatchangelives.org.uk