Roll out of personal budgets what will the mean for your organisation - workshop - virginia mc cririckPresentation Transcript
Roll out of Personal Budgets – what will it mean for your organisation? Virginia McCririck, Department of Health South West Region 9 th November 2010
Universal services –information and advice aimed at independence and quality of life
Early intervention and prevention – cost effective time limited intervention that enables people to carry on living their life without formal support
Choice and control – a system of choice and control for people who need formal support
Social Capital – building strong and supportive communities
Engagement – creating a new relationship of participation and engagement with people and communities
FACS eligible Citizenship Information Lifestyle Practical support Early intervention Enablement Crisis / flexible response Institutional avoidance Timely discharge Ongoing support / care needs
Self directed support
General population Complex needs Substantial needs
Plan & Chose
Self / family
Assisted by non-professional
Broker – with professional advice
Low to moderate needs
The Personalised Social Care Pathway Information/ Advice/ Guidance 1 st Contact/ Screening Assessment Re-ablement/ Further Assessment Rapid Response Assessment RAS Personal Buget issued Support Planning Brokerage Care & Support Delivery Review Reassessment Slide extracted from a presentation “Personalisation in Social Care Services, by Jeff Jerome at the National Homecare Council’s conference, Oct. 2008
Effective Re-ablement Principles
A holistic and person-centred approach for all people needing care or support
Occurs before receiving ongoing support with few exceptions
Working with the individual and their carer to ‘do for themselves’ rather than ‘do for them’.
One assessment and a short term flexible outcome focussed action plan. Typically up to 6 weeks for Older People, may be longer in other instances
Consistent, integrated approach to support.
Seamless and progressive and form the basis for self-directed support where ongoing support is needed.
Contact Service Delivery Ongoing Support Well Being & Independence Review and Monitor 1.Screening & initial information gathering 2.Establish dependency levels & action plan for improving independence 3.Establish ongoing needs, SAQ, RAS & support plan 40% with up to 40% less ongoing support requirement 80-95% 5-20% straight through to ongoing support Support required Exit Exit 60% with no ongoing support requirement Re-ablement – It’s Place in the Personalised Social Care Pathway
Re-ablement scope should include:
1 2 3 4 5 6 Weeks
Re-ablement – It’s Place in the
Healthcare and Social Care Continuum
Links to Acute Hospital Care Links to mainstream Social Care Community Equipment & Telecare Home based Social Care Re-ablement Intermediate Care in Day care setting Intermediate Care in Care home setting Home based rehabilitation Rapid response - Mobile response Acute care at home Specialist teams incl. OPMH Community Hospital beds Social Care Health Care Re-ablement Rehabilitation Means Tested Services Social Care Healthcare Free-at-Delivery Services
How do Personal Budgets change the dynamic? A ‘customer at the centre’ approach
Manageable way of dealing with multiple customers
Forum to collaborate
Good information tailored to customer
Ability to negotiate with suppliers
Forum to collaborate in purchasing
Ability to plan support, purchase and contract
Ability to provide feedback
IB Purchasing Power Council Customers Suppliers
What will you do to support the changes?
What role can your organisation take in ensuring availability of more choice and autonomy for people?
What are the issues for your workforce – paid and unpaid?
What key messages do you want to be communicated back?