This document outlines a proposed new model for care management and planning. It shows that currently, care managers spend only 44% of their time on core functions like assessment and planning, with the rest spent on crisis management (24%) and other residual tasks (32%). The document proposes reallocating the 32% of residual time towards reinvestment, which could provide £1,399,512.88 or an additional £212.76 per person for support. It raises questions about how to implement this new model in practice and support the necessary changes to social work practices, rules, communication and commissioning.

1. New Script for Care
January 2011
© Simon Duffy. Rights Reserved. The author must be cited if images or slides are used

7. Individual
Family/Friends
Provider
Broker
Care Manager 17%
23%
12%
13%
34%
Who is the best planner?

8. Individual
Family/Friends
Provider
Broker
Care Manager 16%
9%
17%
31%
28%
Who is the best organiser?

10. Share Expenditure Cost PP Hours PP
1. First point of contact - initial
9.5% £414,437 £63 2.6
sign-posting
2. Overview assessment 13.7% £599,514 £91 3.7
3. Comprehensive/full 19.0% £831,038 £126 5.2
assessment
4. Basic planning 13.7% £597,272 £91 3.7
5. Intensive planning, service
16.3% £713,343 £108 4.4
design or support planning
6. Problem solving & responding
16.0% £700,749 £107 4.4
to crises
7. Short reviews - basic 7.5% £327,924 £50 2.0
8. Long reviews - intensive 4.3% £189,200 £29 1.2
Total £4,373,478 £665 27.2

13. Number of care managers (WTE) 111.55
Cost of care management £4,373,477.75
Number now served by authority 6465
Ratio (number of people to 1 care 68.73
manager)
Total hours of care management 185507.18
available
Hours available per person 27.24
Average cost per person £664.87
Time on slimmed down core functions 81623.1592 44%
Time on crisis management 44521.7232 24%
Residual time to reinvest 59362.2976 32%
Share of residual time 32%
Residual time expressed as money £1,399,512.88
Residual time per person 8.7168
Residual money per person £212.76

16. • How can we help change social work
practice within our teams?
• How do we equip teams to use this new
script?
• How do we need to change rules,
information and accountability to support
these changes?
• How will commissioning practices will fit
with these changes?
• How do we communicate this change in

17. Contact Details
Simon Duffy
Centre for Welfare Reform
The Quadrant,
99 Parkway Avenue, Parkway Business Park
Sheffield, S9 4WG
T +44 114 251 1790
M +44 7729 7729 41
admin@centreforwelfarereform.org
www.centreforwelfarereform.org