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National Body for Home Improvement Agencies
Improving Delivery of the Disabled Facilities Grant
DFG Champions
Roadshows
April/May 2017
Roadshow
24 April 2017 - Bristol
WELCOME
TO
BRISTOL
RECAP
DFG v RRO
Use of RRO Policies
No Policy Has Policy
• Since 2008 LAs have been
able to develop their own
policy to improve the delivery
of DFG
• 47% of Local authorities do
NOT use a RRO policy for
adaptations
Use of ‘Prescribed Form’
Prescribed Form Bespoke Form
• Since 2008 LAs have been
able to develop their own
more ‘user-friendly’ and less
bureaucratic forms
• 45% of Local authorities still
use the ‘prescribed form’
CHANGE
Barriers to
Change
• Permission or Efficacy?
DFG
Lone Wolves
Build change by expertise and information – through
advocacy, oversight, contributing to committees,
public comments and other forms of consultation
Organisers
Build change by growing leaders – identifying, recruiting
and supporting future leaders in a distributed network:
building a community and protecting its strength
Mobilisers
Build change by mobilising people – being able to
call on large numbers of people to contribute,
engage in and take action
REBEL
Troublemakers v Rebels
Troublemaker Rebel
Complain Create
Me-focussed Mission-focused
Anger Passion
Pessimist Optimist
Energy-sapping Energy-generating
Alienate Attract
Problems Possibilities
Alone Together
ROAR
School for
Change
Agents
• http://theedge.nhsiq.nhs.
uk/school/
• FREE TRAINING
• We're seeking partners (HIAs, Local
Authorities or Suppliers) to be at the
forefront of a new approach –
making change happen by working
together
• Working with the Social Change
Agency to take a fresh look at DFG
delivery
• Moving on from “systems thinking”
• Max cost would be £1,200 plus VAT
Social
Change
Agency
• DFG Transformation
Proposal
Question Time
With introduction from the Royal College of
Occupational Therapists
Works v Staffing Costs
Work Type Average
Staffing
Average
Works
% Staff Costs
Level Access Shower £857 £4,782 17.93%
Stairlift (straight) £506 £1,927 26.30%
Stairlift (more complex) £814 £4,693 17.36%
Convert room for downstairs WC/washroom £1,431 £10,134 14.12%
Build downstairs extension for WC washroom £2,290 £23,199 9.87%
Build downstairs extension for bedroom and en-
suite facilities
£2,512 £34,578 7.27%
Typical DFG Staffing Costs
0%
16%
31%
29%
17%
7%
Level Access Shower
Initial Enquiry
OT
Grants Officer
Technical Officer
Caseworker
Admin
Total Cost:
£857
Trusted
Assessor
Training
• NEW Courses
Coming Soon
dfgtenders.co.uk
Free to use for HIAs and Local Authorities
Small charge to builders on awarded jobs
How it works
• Schedule of standard works items for a shower adaptation
• Local builders submit their prices for each item
• Technical officer inputs quantities for each job
• System generates instant quote from every contractor
• Choose successful quote – instant email to contractor
Consultation on the 10 Quality Statements
10. Value for money
• Local Authorities provide value for money home adaptations
• Regular review of specifications
• Efficient procurement through frameworks / tender portals
• Engagement with the supply chain
• Management of contractors
• Aspirational design / client choice
• Recycling
9. Housing Options
• Disabled people will be supported to move home if they want
to.
• Housing options advice
• Register of adapted properties (across tenures)
• Support to move home available
8. Tenure neutral approach
• Disabled people can access assistance with adaptations
regardless of their tenure
• Protocols in place with housing associations
• Equivalent procedures for retained council housing
• Awareness raising with private landlords
7. Assistance Policy
• Local Authorities have a policy in place that allows DFG
funding to meet local needs
• Current Housing Assistance / RRO policy that addresses:
• Works costing more than £30k
• Use of the test of resources
• Appeals process (not fettering discretion)
• Appropriate (minimal) bureaucracy
• Review process
6. Timescales
• Disabled people know from the outset how long an adaptation
is likely to take to complete
• Timescales are published as part of service standards
• Timescales are monitored and reported
• Prioritisation is used where appropriate
• NHS Number is logged against all cases
• Benchmarking with other areas
5. Staffing
• Local Authorities deploy staff to deliver efficiently and
effectively
• Single person responsible for customer journey
• Co-location of staff (OT, caseworkers, technical officers)
• Trusted assessors
• Disabled staff
4. Combined services
• Disabled people do not have to search out other services
• Single holistic assessment
• Home adaptations are delivered collaboratively with other
complementary services including:
• Equipment and minor adaptations
• Handyperson services
• Repairs and affordable warmth
• Home from hospital
• Telecare and assistive technology, etc…
• Includes support for ‘self-funders’
3. Public information
• Disabled people know where to go for help and support with
home adaptations
• Availability of assistance and support is publicised
• Good quality public information is designed in consultation with
disabled people
• GPs and community health workers are trained
• Initial point(s) of contact are well known, and include triage and
signposting
2. Co-production
• Disabled people are involved in the design of adaptation
services
• Service users are involved in reviewing and improving delivery of
services
• Could be as part of an advisory group / user board
• Satisfaction surveys and feedback are monitored and used to
improve delivery
1. Commissioning
• Local Authorities understand the needs in their area and hold
a joint commitment to meeting them.
• JSNA or other needs analysis
• Representation at Health & Wellbeing Board or a subcommittee
• Senior officer commitment
• Concordat between Districts and Counties
• Funding allocated in accordance with need
• Memorandum of Understanding on housing and health
Workshop
•Working in table groups:
•Anything we’ve missed?
•Anything we should omit?
•Is this useful?
•How would you rate now?
CLOSING
REMARKS
We’ll be back in the Autumn!
Thank you for Coming

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DFG Champions Roadshows Spring 2017

  • 1. National Body for Home Improvement Agencies Improving Delivery of the Disabled Facilities Grant DFG Champions Roadshows April/May 2017
  • 4.
  • 7. Use of RRO Policies No Policy Has Policy • Since 2008 LAs have been able to develop their own policy to improve the delivery of DFG • 47% of Local authorities do NOT use a RRO policy for adaptations
  • 8. Use of ‘Prescribed Form’ Prescribed Form Bespoke Form • Since 2008 LAs have been able to develop their own more ‘user-friendly’ and less bureaucratic forms • 45% of Local authorities still use the ‘prescribed form’
  • 11. Lone Wolves Build change by expertise and information – through advocacy, oversight, contributing to committees, public comments and other forms of consultation Organisers Build change by growing leaders – identifying, recruiting and supporting future leaders in a distributed network: building a community and protecting its strength Mobilisers Build change by mobilising people – being able to call on large numbers of people to contribute, engage in and take action
  • 12. REBEL
  • 13. Troublemakers v Rebels Troublemaker Rebel Complain Create Me-focussed Mission-focused Anger Passion Pessimist Optimist Energy-sapping Energy-generating Alienate Attract Problems Possibilities Alone Together
  • 14. ROAR
  • 16. • We're seeking partners (HIAs, Local Authorities or Suppliers) to be at the forefront of a new approach – making change happen by working together • Working with the Social Change Agency to take a fresh look at DFG delivery • Moving on from “systems thinking” • Max cost would be £1,200 plus VAT Social Change Agency • DFG Transformation Proposal
  • 17. Question Time With introduction from the Royal College of Occupational Therapists
  • 18. Works v Staffing Costs Work Type Average Staffing Average Works % Staff Costs Level Access Shower £857 £4,782 17.93% Stairlift (straight) £506 £1,927 26.30% Stairlift (more complex) £814 £4,693 17.36% Convert room for downstairs WC/washroom £1,431 £10,134 14.12% Build downstairs extension for WC washroom £2,290 £23,199 9.87% Build downstairs extension for bedroom and en- suite facilities £2,512 £34,578 7.27%
  • 19. Typical DFG Staffing Costs 0% 16% 31% 29% 17% 7% Level Access Shower Initial Enquiry OT Grants Officer Technical Officer Caseworker Admin Total Cost: £857
  • 21. dfgtenders.co.uk Free to use for HIAs and Local Authorities Small charge to builders on awarded jobs
  • 22. How it works • Schedule of standard works items for a shower adaptation • Local builders submit their prices for each item • Technical officer inputs quantities for each job • System generates instant quote from every contractor • Choose successful quote – instant email to contractor
  • 23.
  • 24. Consultation on the 10 Quality Statements
  • 25. 10. Value for money • Local Authorities provide value for money home adaptations • Regular review of specifications • Efficient procurement through frameworks / tender portals • Engagement with the supply chain • Management of contractors • Aspirational design / client choice • Recycling
  • 26. 9. Housing Options • Disabled people will be supported to move home if they want to. • Housing options advice • Register of adapted properties (across tenures) • Support to move home available
  • 27. 8. Tenure neutral approach • Disabled people can access assistance with adaptations regardless of their tenure • Protocols in place with housing associations • Equivalent procedures for retained council housing • Awareness raising with private landlords
  • 28. 7. Assistance Policy • Local Authorities have a policy in place that allows DFG funding to meet local needs • Current Housing Assistance / RRO policy that addresses: • Works costing more than £30k • Use of the test of resources • Appeals process (not fettering discretion) • Appropriate (minimal) bureaucracy • Review process
  • 29. 6. Timescales • Disabled people know from the outset how long an adaptation is likely to take to complete • Timescales are published as part of service standards • Timescales are monitored and reported • Prioritisation is used where appropriate • NHS Number is logged against all cases • Benchmarking with other areas
  • 30. 5. Staffing • Local Authorities deploy staff to deliver efficiently and effectively • Single person responsible for customer journey • Co-location of staff (OT, caseworkers, technical officers) • Trusted assessors • Disabled staff
  • 31. 4. Combined services • Disabled people do not have to search out other services • Single holistic assessment • Home adaptations are delivered collaboratively with other complementary services including: • Equipment and minor adaptations • Handyperson services • Repairs and affordable warmth • Home from hospital • Telecare and assistive technology, etc… • Includes support for ‘self-funders’
  • 32. 3. Public information • Disabled people know where to go for help and support with home adaptations • Availability of assistance and support is publicised • Good quality public information is designed in consultation with disabled people • GPs and community health workers are trained • Initial point(s) of contact are well known, and include triage and signposting
  • 33. 2. Co-production • Disabled people are involved in the design of adaptation services • Service users are involved in reviewing and improving delivery of services • Could be as part of an advisory group / user board • Satisfaction surveys and feedback are monitored and used to improve delivery
  • 34. 1. Commissioning • Local Authorities understand the needs in their area and hold a joint commitment to meeting them. • JSNA or other needs analysis • Representation at Health & Wellbeing Board or a subcommittee • Senior officer commitment • Concordat between Districts and Counties • Funding allocated in accordance with need • Memorandum of Understanding on housing and health
  • 35. Workshop •Working in table groups: •Anything we’ve missed? •Anything we should omit? •Is this useful? •How would you rate now?
  • 37. We’ll be back in the Autumn! Thank you for Coming