Choice & Control Richard Wilson Project Manager, Personalisation Leicestershire County Council Adult Social Care Service
Customer Journey
Prevention & Early Intervention <ul><li>More problems will be solved before Adult Social Care needs  to be involved </li><...
<ul><li>More information and advice available in the community </li></ul><ul><li>Easier to find out what services are avai...
<ul><li>Getting people back on their feet </li></ul><ul><li>Supporting people to do things for themselves to maintain thei...
<ul><li>RAS (Resource Allocation System)  – A set of questions to work out the person’s needs </li></ul><ul><li>Support pl...
Live your life <ul><li>Leicestershire County Council need  to authorise your plan </li></ul><ul><li>Decide who will manage...
<ul><li>The move towards Personalisation of services and Self-Directed Support, although a positive step in improving choi...
<ul><li>Wherever possible service users and their carers, where appropriate, should be involved in identifying risks to th...
Checklist for working with Personal Budgets <ul><li>What is the Mental Capacity of the person? Remember this has to be est...
<ul><li>Is the proposed employee within the group of persons who may be employed under direct payments or does the close r...
<ul><li>What are your anxieties / opportunities? </li></ul><ul><li>How can we ensure quality services and balance positive...
Brokerage
What is Brokerage? <ul><li>Dictionary definition: </li></ul><ul><li>“ an agent who functions as an intermediary between tw...
Where is Leicestershire? <ul><li>Co-event held on the 4 th  Feb `10 </li></ul><ul><li>Facilitated by iMPOWER </li></ul><ul...
Different levels of brokerage <ul><li>Would we need a different range of options to suit different service user needs?  </...
Who could deliver brokerage? Social Enterprise Arms length service delivery body  Carers / Support network / Family  VCS o...
Which models for Leicestershire? Social Enterprise Arms length service delivery body  Carers / Support network / Family  V...
Advantages and Disadvantages  <ul><li>Likely to be a subjective advisor </li></ul><ul><li>May not be commercially aware </...
Advantages and Disadvantages  <ul><li>Influenced by own particular cause </li></ul><ul><li>Services offered are likely to ...
<ul><li>What do you think is the most appropriate model for delivering brokerage – who should deliver? </li></ul><ul><li>H...
We need your help! <ul><li>Aim   </li></ul><ul><li>To build as detailed knowledge base; of Private and Voluntary Providers...
Contact details: <ul><li>Richard Wilson </li></ul><ul><li>Service Manager - Market Shaping  </li></ul><ul><li>[email_addre...
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Val Event Workshop 2

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  • Workstream in place looking at this across the whole authority and Health Well being clinics etc Problems being identified by the individual and using the information we provide Information in Libraries etc Workstream in place looking at this across the whole authority and Health Well being clinics etc Problems being identified by the individual and using the information we provide Information in Libraries etc
  • All people involved in PPF have to make information available in appropriate language and formats. Applies to Police, Health, Local Authorities
  • This is not just Hart we want to develop other providers to provide this service also
  • Advocacy is being expanded so that we have more providers than just age concern
  • Val Event Workshop 2

    1. 1. Choice & Control Richard Wilson Project Manager, Personalisation Leicestershire County Council Adult Social Care Service
    2. 2. Customer Journey
    3. 3. Prevention & Early Intervention <ul><li>More problems will be solved before Adult Social Care needs to be involved </li></ul><ul><li>For example: Information to help you get a grab rail installed before you fall, or services to help people stay healthy and independent </li></ul><ul><li>‘ Nipping it in the bud’ </li></ul>
    4. 4. <ul><li>More information and advice available in the community </li></ul><ul><li>Easier to find out what services are available, and easier to access them </li></ul><ul><li>Advice on how to stay healthy and active, and maintain independence </li></ul>Advice & Information
    5. 5. <ul><li>Getting people back on their feet </li></ul><ul><li>Supporting people to do things for themselves to maintain their independence </li></ul><ul><li>Re-skill e.g. cooking, dressing </li></ul>Re-ablement
    6. 6. <ul><li>RAS (Resource Allocation System) – A set of questions to work out the person’s needs </li></ul><ul><li>Support plan – Lays out what the person wants to achieve with their life, and what support needs to be in place to do this </li></ul><ul><li>Personal Budget – Money is allocated to the person to buy the support in their plan </li></ul>Support Plan
    7. 7. Live your life <ul><li>Leicestershire County Council need to authorise your plan </li></ul><ul><li>Decide who will manage your Personal Budget – You, family, organisations, the Council etc. </li></ul><ul><li>Advocacy and support – people who can help you </li></ul><ul><li>Brokerage – help to find the best services for you </li></ul>
    8. 8. <ul><li>The move towards Personalisation of services and Self-Directed Support, although a positive step in improving choice and control for service users, does not replace, or reduce the local authority’s duty of care towards the people it serves. </li></ul><ul><li>Currently, there is no evidence that the increasing number of service users choosing to have the support they need provided through SDS has led to a disproportionate increase in safeguarding referrals. </li></ul><ul><li>What it can mean, particularly for people choosing to receive Direct Payments, is that there may not be the same safeguards in place of checking and monitoring mechanisms such as those in current contracting arrangements within local authorities. Therefore robust risk assessments need to be undertaken by assessing workers. </li></ul>Safeguarding and Personalisation
    9. 9. <ul><li>Wherever possible service users and their carers, where appropriate, should be involved in identifying risks to themselves, and potential risk management strategies (see Independence, Choice and Risk: A guide to best practice in supported decision making ,DoH 2007). </li></ul><ul><li>Workers should ensure that the service user is aware of 3rd party support available for Direct Payments, which can be an additional monitoring mechanism in identifying any risks. </li></ul><ul><li>Service users should also be aware that often the Local Authority with pay for CRB checks on prospective employee where a service user wishes to use a PA. </li></ul>Safeguarding and Personalisation
    10. 10. Checklist for working with Personal Budgets <ul><li>What is the Mental Capacity of the person? Remember this has to be established in respect of each decision for which consent is required. </li></ul><ul><li>Where the person lacks capacity, has a ‘suitable person’ been identified who has agreed to manage direct payments for the person </li></ul><ul><li>Are there existing Safeguarding concerns? </li></ul><ul><li>Does the person wish to receive Direct Payments as part/all of their Individual Budget? </li></ul><ul><li>Does the person wish to use direct payments to employ a personal assistant? If so who do they wish to employ? </li></ul>
    11. 11. <ul><li>Is the proposed employee within the group of persons who may be employed under direct payments or does the close relative restriction apply? </li></ul><ul><li>Are there known risks around the proposed employee? </li></ul><ul><li>Will the service user agree to CRB checks for employees? </li></ul><ul><li>Does the service users have any other monitoring mechanisms around their support package, e.g. family, friends, college tutors? </li></ul><ul><li>If there are any risks identified regarding the above issues, or in any other areas, the worker should discuss with their line manager before proceeding any further. </li></ul>Checklist for working with Personal Budgets
    12. 12. <ul><li>What are your anxieties / opportunities? </li></ul><ul><li>How can we ensure quality services and balance positive risk? </li></ul><ul><li>What will need to change? </li></ul><ul><li>What will we / you have to do to achieve those changes? </li></ul>What does it mean for you?
    13. 13. Brokerage
    14. 14. What is Brokerage? <ul><li>Dictionary definition: </li></ul><ul><li>“ an agent who functions as an intermediary between two or more parties in negotiation agreements, bargains, or the like” </li></ul><ul><li>The In Control definition of a support broker is: </li></ul><ul><li>An individual who: </li></ul><ul><ul><li>Has the role of helping people plan and organise and support they need </li></ul></ul><ul><ul><li>Does not have the job of rationing resources </li></ul></ul><ul><ul><li>Does not have the job of providing services </li></ul></ul>
    15. 15. Where is Leicestershire? <ul><li>Co-event held on the 4 th Feb `10 </li></ul><ul><li>Facilitated by iMPOWER </li></ul><ul><li>Attended by service users </li></ul><ul><li>Looked at different options and models </li></ul>
    16. 16. Different levels of brokerage <ul><li>Would we need a different range of options to suit different service user needs? </li></ul>SU broker SU acts as own broker using the web Generic support broker Specialist support broker
    17. 17. Who could deliver brokerage? Social Enterprise Arms length service delivery body Carers / Support network / Family VCS organisations Private sector – independent / Self employed Commissioners Service user Centres For Independent Living Private sector commercial organisations Front line staff INDIVIDUALS 3RD SECTOR PRIVATE SECTOR PUBLIC SECTOR
    18. 18. Which models for Leicestershire? Social Enterprise Arms length service delivery body Carers / Support network / Family VCS organisations Private sector – independent / Self employed Commissioners Service user Centres For Independent Living Private sector commercial organisations Front line staff INDIVIDUALS 3RD SECTOR PRIVATE SECTOR PUBLIC SECTOR
    19. 19. Advantages and Disadvantages <ul><li>Likely to be a subjective advisor </li></ul><ul><li>May not be commercially aware </li></ul><ul><li>Seen as an “old” way of working </li></ul><ul><li>Support planning maybe less creative and innovative than external partners </li></ul><ul><li>May be less able to negotiate “creative” or cost effective services </li></ul><ul><li>Able to use existing contractual arrangements </li></ul><ul><li>Already have an existing relationship with service user </li></ul><ul><li>Allows changes to he existing system to be made in a more controlled and cost effective manner </li></ul>Provided by the council Disadvantage Advantage Type of model
    20. 20. Advantages and Disadvantages <ul><li>Influenced by own particular cause </li></ul><ul><li>Services offered are likely to be for one user group only </li></ul><ul><li>If offers services in the same market, likely to be a subjective advisor </li></ul><ul><li>Brokerage market is currently under-developed </li></ul><ul><li>Uses community services in the local area </li></ul><ul><li>May encourage innovation </li></ul><ul><li>Likely to already have a good understanding of needs and possible solutions </li></ul>Provided by the 3 rd sector Disadvantage Advantage Type of model
    21. 21. <ul><li>What do you think is the most appropriate model for delivering brokerage – who should deliver? </li></ul><ul><li>How can we minimise conflict of interest and maximise the market? </li></ul><ul><li>What resources do you have available to do this? </li></ul>What does brokerage mean for you?
    22. 22. We need your help! <ul><li>Aim </li></ul><ul><li>To build as detailed knowledge base; of Private and Voluntary Providers </li></ul><ul><li>Including as much detail on services available as possible </li></ul><ul><li>How you can help </li></ul><ul><li>Keep in contact </li></ul><ul><li>Think about different services you can offer </li></ul><ul><li>Send us details of your service including areas covered, services offered etc. </li></ul>
    23. 23. Contact details: <ul><li>Richard Wilson </li></ul><ul><li>Service Manager - Market Shaping </li></ul><ul><li>[email_address] </li></ul><ul><li>Chhaya McDonald </li></ul><ul><li>Engagement Officer – Personalisation </li></ul><ul><li>[email_address] </li></ul><ul><li>Claire Payne </li></ul><ul><li>Team Support Officer </li></ul><ul><li>[email_address] </li></ul><ul><li>Edd Tillen </li></ul><ul><li>Communication Officer- Personalisation </li></ul><ul><li>[email_address] </li></ul>
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