NDTi workshop that I led to discuss the joint Individual Health Budget project NHS Plymouth and Beyond Limits are undertaking to help people with learning disabilities get out of Specialist Rehab and Treatment Hospitals
Sam Sly has worked in social care and helped improve services for people with learning disabilities and mental health needs. He developed an approach called "Hands Off Its My Home" to promote citizenship. Currently he is directing a 3-year project using individual budgets and service design to create personalized support for 20 people in hospital placements to transition them back to their local communities. Research shows personalized community support can save money compared to out-of-area institutional placements. The project aims to give people control over their lives rather than isolating them in large, distant facilities that cannot meet individuals' needs.
TIN Arts is a social enterprise in County Durham that runs participatory dance projects for people of all abilities funded through personal budgets. Personal budgets allow individuals to use their social care funds for activities like dance classes that provide both social and health benefits. TIN Arts receives funding through direct payments from personal budgets for their contemporary dance class GeTIN2Dance for adults with learning disabilities. Personal budgets are increasing under new legislation and allow individuals greater choice and control over their care.
Being a true equal: citizenship, mental health & the welfare stateCitizen Network
Simon Duffy explores the value of citizenship in reforming the welfare state and improving mental health. This talk was given at the Viscerv Conference 2016 in Melbourne.
Individual Service Funds (ISFs) allow individuals to have more choice, control, and flexibility over their support by holding a personal budget with a designated organization. ISFs move away from a traditional "professional gift" model of services toward recognizing individuals' entitlements and prioritizing citizenship, community involvement, and good lives rather than just services. An ISF arrangement involves an assessment of needs, support plan, and agreement between the funder, designated organization, and individual about how the budget will be used. ISFs can help support move away from rigid, contracted services toward more flexible, responsive support that adapts to individuals' changing needs over time.
Gary Kent of NewKey and Jacqui Hendra of Devon County Council describe how the use of Individual Service Funds has promoted trust, flexibility and a focus on outcomes in health and social care.
Module 4 Individual Service Funds - monitoring and reviewingChris Watson
This document discusses monitoring and reviewing individual support funds (ISFs). It emphasizes the importance of regular, person-centered reviews that focus on outcomes. Reviews can be conducted by the individual, providers, or social workers. Minor changes may not require a full review. The document provides examples of positive reviews and explores when more formal reviews are needed, such as annually or due to significant changes. Regular, light-touch reviews with providers can help build relationships and catch small changes. The overall goal is for reviews to be flexible and support individuals' changing needs and goals over time.
ISF module 2 - Person Centred Planning & PATHChris Watson
The document provides an overview of person-centered planning and the PATH tool. It discusses the PATH process which involves 7 steps: Now, Who's Here, Hopes & Dreams, Positive and Possible, Strengths, Next Steps 0-3 months, Next Steps 3-6 months, and Enroll. The document also discusses how PATH can be used from different perspectives like providers, social care, families, and the person. It emphasizes that PATH is an inclusive tool to create a shared vision for a positive future.
Sam Sly has worked in social care and helped improve services for people with learning disabilities and mental health needs. He developed an approach called "Hands Off Its My Home" to promote citizenship. Currently he is directing a 3-year project using individual budgets and service design to create personalized support for 20 people in hospital placements to transition them back to their local communities. Research shows personalized community support can save money compared to out-of-area institutional placements. The project aims to give people control over their lives rather than isolating them in large, distant facilities that cannot meet individuals' needs.
TIN Arts is a social enterprise in County Durham that runs participatory dance projects for people of all abilities funded through personal budgets. Personal budgets allow individuals to use their social care funds for activities like dance classes that provide both social and health benefits. TIN Arts receives funding through direct payments from personal budgets for their contemporary dance class GeTIN2Dance for adults with learning disabilities. Personal budgets are increasing under new legislation and allow individuals greater choice and control over their care.
Being a true equal: citizenship, mental health & the welfare stateCitizen Network
Simon Duffy explores the value of citizenship in reforming the welfare state and improving mental health. This talk was given at the Viscerv Conference 2016 in Melbourne.
Individual Service Funds (ISFs) allow individuals to have more choice, control, and flexibility over their support by holding a personal budget with a designated organization. ISFs move away from a traditional "professional gift" model of services toward recognizing individuals' entitlements and prioritizing citizenship, community involvement, and good lives rather than just services. An ISF arrangement involves an assessment of needs, support plan, and agreement between the funder, designated organization, and individual about how the budget will be used. ISFs can help support move away from rigid, contracted services toward more flexible, responsive support that adapts to individuals' changing needs over time.
Gary Kent of NewKey and Jacqui Hendra of Devon County Council describe how the use of Individual Service Funds has promoted trust, flexibility and a focus on outcomes in health and social care.
Module 4 Individual Service Funds - monitoring and reviewingChris Watson
This document discusses monitoring and reviewing individual support funds (ISFs). It emphasizes the importance of regular, person-centered reviews that focus on outcomes. Reviews can be conducted by the individual, providers, or social workers. Minor changes may not require a full review. The document provides examples of positive reviews and explores when more formal reviews are needed, such as annually or due to significant changes. Regular, light-touch reviews with providers can help build relationships and catch small changes. The overall goal is for reviews to be flexible and support individuals' changing needs and goals over time.
ISF module 2 - Person Centred Planning & PATHChris Watson
The document provides an overview of person-centered planning and the PATH tool. It discusses the PATH process which involves 7 steps: Now, Who's Here, Hopes & Dreams, Positive and Possible, Strengths, Next Steps 0-3 months, Next Steps 3-6 months, and Enroll. The document also discusses how PATH can be used from different perspectives like providers, social care, families, and the person. It emphasizes that PATH is an inclusive tool to create a shared vision for a positive future.
Individual service funds - an introduction for Learning Disabilities EnglandChris Watson
Individual Service Funds (ISFs) in England allow individuals to have more choice and control over how their personal budgets for social care are used. ISFs are held by an independent organization on behalf of the individual to arrange support as outlined in their support plan. The organization works in partnership with the individual to ensure their needs and desired outcomes are met flexibly. Research shows ISFs have helped improve lives by empowering individuals and families with greater choice, control and flexibility over their support compared to traditional services. The document discusses how ISFs work, their benefits, and examples of local areas the organization supports to establish ISFs.
ISF Presentation for Skills for Care CEO network Chris Watson
- Individual Service Funds (ISFs) are transforming commissioning by shifting power and control to individuals through personal budgets.
- ISFs allow assessed funds to be held by an organization chosen by the individual to arrange flexible support outside of a traditional commissioned package.
- Key benefits of ISFs over commissioned support include increased choice, control, and flexibility to adjust support as needed without going through commissioners.
Talk by Dr Simon Duffy for AACQA on equal citizenship and aged care systems. Dr Duffy explores the meaning of citizenship and the problems inherent in support systems that are not focused on community inclusion.
Self Directed Futures Presentation for Make it Work 24.6.2021Chris Watson
Self-Directed Futures provides consultancy services to organizations seeking to make changes that benefit citizens, including support providers, voluntary organizations, clinical groups, and local authorities. They have expertise in areas like co-production, personalization, self-directed support training, market engagement, stakeholder consultation, coaching, evaluations, and culture change. Their associates have extensive knowledge and experience that allows them to provide practical advice and support on a wide range of issues.
Dr Simon Duffy talked to folk at TMG Wisconsin about the importance of the idea of equal citizenship for all and what this means in practice. He explored best practice in self-directed support and how to help people advance their own citizenship through the use of the keys to citizenship.
Individual Service Funds and Third Party NHS Budgets - learning from DevonChris Watson
The document discusses the implementation of Individual Service Funds (ISFs) for people with learning disabilities in Devon County, England. It provides perspectives from both a director of a care agency and a social care assessor on the challenges, processes, and benefits of ISFs. They overcame initial obstacles like legal agreements through collaboration, sharing knowledge of eligibility criteria. Benefits of ISFs include increased choice, flexibility and control for individuals, improved outcomes, and strengthened relationships between providers and the local authority. The director and assessor aim to promote ISFs further and continue learning from each other.
2 Barnet LINk presentation 2011 Mathew KendallFlourishing
The document provides an overview of adult social services in Barnet, including the challenges they face, the services they provide, who they support, how eligibility is determined, and their vision for the future which focuses on prevention, personalization, and partnerships.
Individual service funds - introduction in easy read Chris Watson
Individual Service Funds (ISFs) allow individuals to have more choice and control over how their personal budgets are used to support them. With an ISF, the individual chooses an organization to hold and manage their budget on their behalf. The organization works with the individual to develop a support plan that is approved by the council. Research has shown ISFs can help improve people's lives. While ISFs are available in some areas, more councils are being encouraged to offer them as an alternative to direct payments or council-managed budgets.
The presentation was a workshop at Evolve 2014: the annual event for the voluntary sector in London on Monday 16 June 2014.
The presentation was chaired by Shane Brennan, from Age Concern Kingston and looks at the changing context of public service commissioning.
Find out more about the Evolve Conference from NCVO: http://www.ncvo.org.uk/training-and-events/evolve-conference
Find out more about NCVO's work on volunteering: http://www.ncvo.org.uk/practical-support/volunteering
Shone John conducted a 17-day social service at the Emmanuel Children's Home in Kottayam, Kerala. Over the course of two weeks, Shone and other students taught English grammar lessons, held a quiz competition, showcased the children's talents, taught basic computer skills, played games, and served meals. The visit allowed the students and children to bond while providing educational and recreational activities. It was a rewarding experience that highlighted the importance of empowering underprivileged youth.
Keep the Promise - Inventing a NEW Long-Term Care: Nancy FoxChristina Edwards
The document discusses the need for culture change in long-term care facilities away from an institutional model that strips autonomy and freedom. It outlines a person-centered model that recognizes residents' need for choice, relationships and engaging in meaningful activities. Facilities that have implemented culture change through physical transformations, organizational changes and personal growth report higher satisfaction rates, lower turnover and improved health outcomes compared to traditional facilities.
Self-directed support is a new way for people to manage their social care funds in Bradford District. It allows individuals to have more control over their support budget and choose how it is used. The process involves determining an individual's needs, providing a budget to meet those needs, creating a support plan, and reviewing the plan to ensure it is meeting the person's goals. The goal is to maximize independence and choice for the individual.
Personalisation represents a radical reform of social care that promotes independence, choice, control, and self-directed support for individuals. Vista, a user-led organization for people with sight loss, has prepared for personalisation by mapping its current services against the four quadrants of personalisation, developing a new strategy to expand its services and influence, and considering how to diversify its funding sources beyond local authority contracts. The true meaning of personalisation is putting people first and transforming services through attitudinal change to focus on individuals as customers and citizens rather than just service users.
Rawhide offers several residential programs for at-risk youth, including a 120-day military-style program called About Face Community Service Corps. It focuses on community service, counseling, life skills, and physical training to help youth build character and problem-solving skills. Rawhide also has a standard residential care program and a new 30-day assessment and stabilization program to evaluate youth needs and stabilize behaviors. The document provides contact information for Rawhide and quotes praising their programs.
Statement of Impact -- New Leaf ProjectRoger Valdez
Foundations for Social Change conducted a randomized controlled trial that provided one-time $7,500 cash transfers to 50 homeless individuals in Vancouver. Preliminary data found that cash recipients moved into stable housing faster, spent fewer days homeless, achieved greater food security, and reduced spending on substances. Recipients reported using the money to find housing, transportation, and focus on education and family. The organization aims to raise $10 million to expand the project to 200 more homeless individuals and scale the approach to multiple cities across Canada.
Sue Ryder is a charity that provides palliative care services and raises awareness through various local events in the United Kingdom. It hosts charity sales every two months in Nettlebed, England to raise funds for its hospice located there. The hospice provides inpatient care for patients with complex health issues. Sue Ryder also shares information about its services through videos on its website and YouTube channel to further awareness of palliative care in the local community.
This document provides a guide for choosing a care home in England and Wales. It discusses whether a care home is the right option, the different types of care homes available including residential care, nursing care, and specialist dementia care, what life is like in a care home including activities and health services, and how to choose a care home such as arranging visits. The guide is written by Steve Oswald, the Registered Manager of Goatacre care home, and provides contact information at the end.
This annual report summarizes Acclaim Health's activities and impact from 2015-2016. Some key points:
1) Acclaim Health served over 23,000 clients each year, a significant increase from previous years, reflecting the growing needs of an aging population.
2) New technologies like mobile apps and quality improvement initiatives helped Acclaim Health provide more efficient and personalized care while achieving high client satisfaction rates.
3) Partnerships with other organizations were crucial to help meet the increased demand for services and support clients with complex needs.
4) Acclaim Health's donors, volunteers, and dedicated staff were highlighted as enabling the organization to rise to the challenges of the past year and expand programs to more communities in
This document summarizes a contribution through volunteering business model. It involves using trained community volunteers as mentors to support individuals with needs to volunteer. This enables participants to build skills and contribute to their communities while breaking down barriers. Studies found volunteering helps recovery and encourages community responsibility. The model was launched in Essex and reduced isolation from 700 to 511 people over 5 years at a cost of £1,012-£1,887 per person. Participants reported increased independence, control, and well-being from volunteering. The business model can influence commissioning practices and provide a cost-effective social intervention.
This document provides an overview of Sam Sly and their work with Beyond Limits. [1] Sam is a social worker who became frustrated with the lack of change in social services. [2] They started their own consultancy to design more personalized services and eventually founded Beyond Limits. [3] Beyond Limits uses service design principles and individual budgets to create tailored support plans for 20 people transitioning out of hospitals or with reputations for having complex support needs.
Individual service funds - an introduction for Learning Disabilities EnglandChris Watson
Individual Service Funds (ISFs) in England allow individuals to have more choice and control over how their personal budgets for social care are used. ISFs are held by an independent organization on behalf of the individual to arrange support as outlined in their support plan. The organization works in partnership with the individual to ensure their needs and desired outcomes are met flexibly. Research shows ISFs have helped improve lives by empowering individuals and families with greater choice, control and flexibility over their support compared to traditional services. The document discusses how ISFs work, their benefits, and examples of local areas the organization supports to establish ISFs.
ISF Presentation for Skills for Care CEO network Chris Watson
- Individual Service Funds (ISFs) are transforming commissioning by shifting power and control to individuals through personal budgets.
- ISFs allow assessed funds to be held by an organization chosen by the individual to arrange flexible support outside of a traditional commissioned package.
- Key benefits of ISFs over commissioned support include increased choice, control, and flexibility to adjust support as needed without going through commissioners.
Talk by Dr Simon Duffy for AACQA on equal citizenship and aged care systems. Dr Duffy explores the meaning of citizenship and the problems inherent in support systems that are not focused on community inclusion.
Self Directed Futures Presentation for Make it Work 24.6.2021Chris Watson
Self-Directed Futures provides consultancy services to organizations seeking to make changes that benefit citizens, including support providers, voluntary organizations, clinical groups, and local authorities. They have expertise in areas like co-production, personalization, self-directed support training, market engagement, stakeholder consultation, coaching, evaluations, and culture change. Their associates have extensive knowledge and experience that allows them to provide practical advice and support on a wide range of issues.
Dr Simon Duffy talked to folk at TMG Wisconsin about the importance of the idea of equal citizenship for all and what this means in practice. He explored best practice in self-directed support and how to help people advance their own citizenship through the use of the keys to citizenship.
Individual Service Funds and Third Party NHS Budgets - learning from DevonChris Watson
The document discusses the implementation of Individual Service Funds (ISFs) for people with learning disabilities in Devon County, England. It provides perspectives from both a director of a care agency and a social care assessor on the challenges, processes, and benefits of ISFs. They overcame initial obstacles like legal agreements through collaboration, sharing knowledge of eligibility criteria. Benefits of ISFs include increased choice, flexibility and control for individuals, improved outcomes, and strengthened relationships between providers and the local authority. The director and assessor aim to promote ISFs further and continue learning from each other.
2 Barnet LINk presentation 2011 Mathew KendallFlourishing
The document provides an overview of adult social services in Barnet, including the challenges they face, the services they provide, who they support, how eligibility is determined, and their vision for the future which focuses on prevention, personalization, and partnerships.
Individual service funds - introduction in easy read Chris Watson
Individual Service Funds (ISFs) allow individuals to have more choice and control over how their personal budgets are used to support them. With an ISF, the individual chooses an organization to hold and manage their budget on their behalf. The organization works with the individual to develop a support plan that is approved by the council. Research has shown ISFs can help improve people's lives. While ISFs are available in some areas, more councils are being encouraged to offer them as an alternative to direct payments or council-managed budgets.
The presentation was a workshop at Evolve 2014: the annual event for the voluntary sector in London on Monday 16 June 2014.
The presentation was chaired by Shane Brennan, from Age Concern Kingston and looks at the changing context of public service commissioning.
Find out more about the Evolve Conference from NCVO: http://www.ncvo.org.uk/training-and-events/evolve-conference
Find out more about NCVO's work on volunteering: http://www.ncvo.org.uk/practical-support/volunteering
Shone John conducted a 17-day social service at the Emmanuel Children's Home in Kottayam, Kerala. Over the course of two weeks, Shone and other students taught English grammar lessons, held a quiz competition, showcased the children's talents, taught basic computer skills, played games, and served meals. The visit allowed the students and children to bond while providing educational and recreational activities. It was a rewarding experience that highlighted the importance of empowering underprivileged youth.
Keep the Promise - Inventing a NEW Long-Term Care: Nancy FoxChristina Edwards
The document discusses the need for culture change in long-term care facilities away from an institutional model that strips autonomy and freedom. It outlines a person-centered model that recognizes residents' need for choice, relationships and engaging in meaningful activities. Facilities that have implemented culture change through physical transformations, organizational changes and personal growth report higher satisfaction rates, lower turnover and improved health outcomes compared to traditional facilities.
Self-directed support is a new way for people to manage their social care funds in Bradford District. It allows individuals to have more control over their support budget and choose how it is used. The process involves determining an individual's needs, providing a budget to meet those needs, creating a support plan, and reviewing the plan to ensure it is meeting the person's goals. The goal is to maximize independence and choice for the individual.
Personalisation represents a radical reform of social care that promotes independence, choice, control, and self-directed support for individuals. Vista, a user-led organization for people with sight loss, has prepared for personalisation by mapping its current services against the four quadrants of personalisation, developing a new strategy to expand its services and influence, and considering how to diversify its funding sources beyond local authority contracts. The true meaning of personalisation is putting people first and transforming services through attitudinal change to focus on individuals as customers and citizens rather than just service users.
Rawhide offers several residential programs for at-risk youth, including a 120-day military-style program called About Face Community Service Corps. It focuses on community service, counseling, life skills, and physical training to help youth build character and problem-solving skills. Rawhide also has a standard residential care program and a new 30-day assessment and stabilization program to evaluate youth needs and stabilize behaviors. The document provides contact information for Rawhide and quotes praising their programs.
Statement of Impact -- New Leaf ProjectRoger Valdez
Foundations for Social Change conducted a randomized controlled trial that provided one-time $7,500 cash transfers to 50 homeless individuals in Vancouver. Preliminary data found that cash recipients moved into stable housing faster, spent fewer days homeless, achieved greater food security, and reduced spending on substances. Recipients reported using the money to find housing, transportation, and focus on education and family. The organization aims to raise $10 million to expand the project to 200 more homeless individuals and scale the approach to multiple cities across Canada.
Sue Ryder is a charity that provides palliative care services and raises awareness through various local events in the United Kingdom. It hosts charity sales every two months in Nettlebed, England to raise funds for its hospice located there. The hospice provides inpatient care for patients with complex health issues. Sue Ryder also shares information about its services through videos on its website and YouTube channel to further awareness of palliative care in the local community.
This document provides a guide for choosing a care home in England and Wales. It discusses whether a care home is the right option, the different types of care homes available including residential care, nursing care, and specialist dementia care, what life is like in a care home including activities and health services, and how to choose a care home such as arranging visits. The guide is written by Steve Oswald, the Registered Manager of Goatacre care home, and provides contact information at the end.
This annual report summarizes Acclaim Health's activities and impact from 2015-2016. Some key points:
1) Acclaim Health served over 23,000 clients each year, a significant increase from previous years, reflecting the growing needs of an aging population.
2) New technologies like mobile apps and quality improvement initiatives helped Acclaim Health provide more efficient and personalized care while achieving high client satisfaction rates.
3) Partnerships with other organizations were crucial to help meet the increased demand for services and support clients with complex needs.
4) Acclaim Health's donors, volunteers, and dedicated staff were highlighted as enabling the organization to rise to the challenges of the past year and expand programs to more communities in
This document summarizes a contribution through volunteering business model. It involves using trained community volunteers as mentors to support individuals with needs to volunteer. This enables participants to build skills and contribute to their communities while breaking down barriers. Studies found volunteering helps recovery and encourages community responsibility. The model was launched in Essex and reduced isolation from 700 to 511 people over 5 years at a cost of £1,012-£1,887 per person. Participants reported increased independence, control, and well-being from volunteering. The business model can influence commissioning practices and provide a cost-effective social intervention.
This document provides an overview of Sam Sly and their work with Beyond Limits. [1] Sam is a social worker who became frustrated with the lack of change in social services. [2] They started their own consultancy to design more personalized services and eventually founded Beyond Limits. [3] Beyond Limits uses service design principles and individual budgets to create tailored support plans for 20 people transitioning out of hospitals or with reputations for having complex support needs.
The document introduces the "Happily Independent" Gwent Frailty Programme which aims to help frail older people in Gwent remain independent through an integrated health and social care model. The programme will establish Community Resource Teams to provide urgent care, needs assessments, and reablement. It outlines the vision, principles, and outcomes of the programme. The programme is being implemented through various workstreams and locality groups, with the goal of launching fully integrated Community Resource Teams across Gwent by April 2011.
This document discusses the need for choice and patient-centered care in children's palliative care. It notes that there are approximately 49,000 children in the UK with life-limiting conditions, yet their voices are often not heard and patient choice is absent. Parents describe the system as a "minefield" with a lack of support and coordination. Short breaks for respite care are important but often not funded by local authorities. Choice is limited by a lack of services due to underfunding. The document calls for improved coordination, a national inquiry, mandated joint commissioning, and greater transparency and accountability in funding to better meet the needs of children requiring palliative care and their families.
Kath Sutherland presented on providing effective person-centered support for those at the end of life. She discussed how removing barriers through responsive, coordinated services based on co-production principles can support individuals' needs, wishes and circumstances. This requires considering individuals holistically, utilizing local resources, addressing impacts on health/social care, and investing in proven support methods, research, training and implementation support.
Culture in good group homes keynote presentation scope conference melbourn...Christine Bigby
What makes a difference to outcomes in group homes for peopel with severe and profound intellectual disability - practice and culture. Keynote presentation decribing the very different culture in group homes that have positive outcomes and good practice.
CQC inspectors will focus on how support is provided for people with learning disabilities labeled as having complex needs. The document outlines the background and credentials of the lead inspector. It then details the agenda for the day-long workshop, which will examine attributes rather than deficits, what people and families want versus what they usually receive, and using citizenship as a framework for provision and inspection. The workshop will involve a group exercise applying the "keys" of citizenship (purpose, freedom, etc.) to understand good practice.
OADD 2014: Person-Centred Thinking and Building Social Capital Supporting an ...LiveWorkPlay
Person-Centred Thinking and Building Social Capital Supporting an Included Life in the Community with Homes, Jobs, and Friends for People with Intellectual Disabilities
Keenan Wellar, MA and Julie Kingstone, MEd
Co-Founders & Co-Leaders, LiveWorkPlay.ca
Starting in 2008, LiveWorkPlay embarked on a journey of “de-programming” by making a shift from congregated programs to authentic community-based, person-centred, and assets-focused thinking and processes. Beyond exciting outcomes such as first homes, first jobs, and first experiences engaging in the community with other citizens, with respect to the experience of an included life, the impact is all about the development of reciprocal relationships and interdependence (social capital).
The document discusses individual support workers and person-centered care. It defines an individual support worker as someone who meets the needs of people requiring assistance at home, in the community, or in residential settings. It describes the basic principles of person-centered care as developing a care plan with the individual that fits what they are willing and able to do. It emphasizes that person-centered care sees those receiving support as equal partners in planning and monitoring their care.
ISF module 3 - eligibility and creative support planning Chris Watson
This document provides an overview of a training module on Care Act eligibility and creative support planning. It begins with learning outcomes around carrying out asset-based, person-centered support planning and using creative approaches to meet needs. It then discusses understanding Care Act eligibility and how it relates to social workers' roles. The document provides guidance around different types of outcomes, why understanding eligibility is important, and perspectives from social workers and families on flexible support planning. It emphasizes using all resources, not just services, to meet needs and encourages creativity, flexibility, and moving from a support provider to a support broker role.
The proposed business will serve the community's needs by providing a notary, administrative assistance, and somebody to help fill out applications and read letters people don't understand. Operations will be run by qualified and experienced staff. The staff will be certified and have the necessary skills to provide the services that the community needs. Also, our presence will be an asset to the community because we will provide jobs to those who are unemployed. Services to be offered by the organization will include cars insurance, taxation and related operations, money transfers, and computer access. The proposed organization will be located in a convenient location that is easily accessible by the community members. We will also provide convenient working hours, so people do not need to miss work or school to care for their administrative needs. The proposed business will be able to provide the services the community demands because they require them.
This is the full set of slides given to people, families, services and state officials in South Australia. It includes the hopes and fears of people with disabilities about the forthcoming implementation of NDIS.
The document summarizes a roundtable discussion held by the Social Care Institute for Excellence (SCIE) on community-led care and support. Some of the key points made at the discussion include:
1) Community-led services help break down differences between those who need support and those who provide it.
2) However, community groups face barriers like complex regulations and funding. Sustaining small, local services is challenging.
3) Statutory services must shift their focus from protecting traditional systems to commissioning for outcomes and building trust with local communities.
'I Need Connection' City Life research paper 2010Janet Reid
This document provides an executive summary and background for a research project conducted by two community development students. The research was commissioned by City Life, a Christian charity that provides services to the homeless and disadvantaged in Frankston, Victoria. The objectives of the research were to understand what health and wellbeing means to City Life's clients, identify barriers they face, and discover services that could help support their health and wellbeing. The research utilized participatory action research methods including surveys, focus groups, and a forum with 50 total clients. Key findings included that clients have physical and/or mental illnesses, rely on government pensions, and desire better social connections and support groups to improve their health and wellbeing. Based on the findings, the researchers
People are living longer, with more than one in four people in the UK expected to be over 60 by 2024. The Centre for Ageing Better wants to create a society where everyone can enjoy a good later life, focusing on helping people be physically and mentally active, financially secure, socially connected, and have a sense of purpose as they age. The organization draws on evidence and people's experiences to test new approaches and share information to improve lives in later years.
The document discusses several options for self-directed support within care planning, including direct payments that give individuals money to meet assessed social care needs, improving choice and control. It advocates for a recovery-focused approach emphasizing strengths over deficits and combating stigma. Finally, it outlines some areas for action, such as commissioning options that facilitate community-based support and ensuring care coordinators and payments support services are well-informed and supported.
People with intellectual disability and the NDIS Challenges ahead NSW NCID cl...Christine Bigby
This document summarizes key challenges for ensuring the National Disability Insurance Scheme (NDIS) meets the needs of people with intellectual disabilities, who make up 60-70% of those in the scheme. It notes people with intellectual disabilities have not been at the center of attention in the scheme's design and implementation. It emphasizes the need to hear diverse voices of people across different levels of intellectual disability and ensure advocacy supports their participation. It also stresses the importance of funding supports that have an evidence base of effectively improving outcomes, not just providing hours of care, and ensuring the market delivers quality supports.
What makes a difference to outcomes for people with intellectual disability l...Christine Bigby
Presentation of interim resaerch findings at NDS conference in May 2014. Points to the significance of practice leadership to staff practices in group homes.
This document provides an overview of Su Clinica, a community health center. It details the services provided, including clinical services across pediatrics, dental, women's health and more. It discusses the center's role as a Federally Qualified Health Center and its focus on serving the uninsured and those in poverty in Cameron and Willacy Counties. The document also outlines policies, procedures, emergency preparedness plans and compliance programs expected to be followed by employees, students and volunteers at Su Clinica.
Similar to Supporting People with Big Reputations (20)
2. Social Worker for people with learning
disabilities and mental health needs
CSCI (CQC)
Change Team Cornwall (changing housing
and support that had gone badly wrong)
Cornwall PCT continued to improve quality
Bournemouth Campus re-provision
United Response improving quality
Developed ‘Hands Off Its My Home – a path
to Citizenship’
Director for Beyond Limits with Doreen
Kelly
Columnist for Learning Disability Today
3. 3 year project with NHS Plymouth
Personalising Commissioning
Using Individual Service Funds
Using Service Design & Working Policy
20 people currently in Hospital placements
20 people with big reputations
20 people who will get a tailor made service
20 people who will get a life that makes
sense to them
4.
5. Not a flexible enough provider market
Good planning doesn’t happen
People are not listened to and understood
We don’t share risk (professionals, person,
family and provider)
We (professionals) think we know best
Its an easy option
Systems for commissioning support are too
rigid and look at short term savings
6. ‘People often end up in expensive out of area placements
because local systems have not the flexibility to develop
suitable personalised responses. This leads to people being
over-supported and cut off from their own communities.
There are currently 10,000 people with mental health
problems supported in out of area placements and research
suggests at least 5,000 of these are without significant
clinical justification. The use of individual budgets as part
of intentional programme to bring people back to their own
communities with personalised support could save £100
million a year.
Vidhya Alkeson & Simon Duffy ‘Health Efficiencies - the
possible impact of personalisation in Healthcare ‘ 2011
7.
8. Good planning (we usually know who is at
risk from childhood)
Services tailor-made for the person
People given Budgets, power and control
Providers treated as partners and not held at
arms-length
Intuitive Commissioning
Community connection and contribution seen
as a must
Working in partnership with families
9. Individualised, local solutions providing good quality of life
not those too large to provide individualised support, too
far from their homes, and providing good quality of life in
the home and as part of the local community.
Direct payments and individual budgets should always be
considered and be more widely available.
Closer co-ordination between the commissioners paying for
services, the managers providing services and the
professional specialist advising on the support people need
to ensure advice is both practicable and acted on.
Commissioners should allocate a budget to be used to fund
a much wider variety of interventions as an alternative to
placement in a special unit.
Jim Mansell ‘Services for people with learning disabilities and challenging
behaviour or mental health needs’ 2007
10. All have been abused
Have moved between 6-25 Institutions
Youngest 26 Oldest 56
First admission to an Institution aged 14-22
All on MHA Section for between 5-14 years
Most have moved to more and more secure
accommodation as they have fought the system
All families have felt loss of control, marginalised
and physically unable to stay in touch
All people have the same hopes and dreams as all
of us
11. Service Design (Partners for Inclusion/Beyond
Limits)
‘Every service is designed, from scratch, with
only the person in mind, and modified in
the light of experience and as things
change. Individual service design in rooted
in the organisation’s commitment to help
everyone achieve citizenship for
themselves’.
Personalised Support – Julia Fitzpatrick (2010) Published by the Centre for
Welfare Reform
12. A good facilitator
The person
Family and
significant people in
their life
People who know
and care about the
person
People with strong
relationship with
person
13. Planning and pre-
move transition is
funded (one off
payment clawed back
through reductions
from years 2 onward)
Post move transition
is funded
On-going budget
flexible in first year
Greatest reductions
after year two and
three
14. Take time getting to know person and
significant others
In a comfortable environment
Telling their story
Being in control
Direction
Money
Home
Support
Contribution (Giving something back)
15. What does the
person do with
their time now
(routines)?
What should we
keep doing?
What should stop
happening?
What should they
start doing?
What should we
start doing?
16. What hours of paid support do they need?
What will happen in those hours?
What support could help the person become
more independent or develop more natural
support?
What do we need to do to keep them and
others safe?
(safety mapping and enabling is a natural by-
product of service design)
17. Who worked well in
the past and who
didn’t and why?
What kind of person –
quiet, busy and lively?
What knowledge, skills
and experience?
What contracts are
needed?
Leadership skills
needed?
What hobbies interests
should they have?
Man or woman?
Age?
18. Being seen as a fellow citizen by others
Controlled by the person
Provided by who you choose
Enables you to do what you want and does
not control what you do
Invisible
Simon Duffy (2006)
19. It enhances the person’s dignity and respect
in the community
It helps the person be present in the
community
It helps the person participate in community
life
It helps the person develop and learn new
skills
It gives the person choice and control
20. Many great plans are made and fall down
because they are not followed up by a
detailed ‘how to’ bit.
It is fundamentally important that once a
service is designed a ‘how to’ plan is written.
Partners for Inclusion and Beyond Limits call
this a Working Policy.
Involves the person (if they wish), present
and past professionals and family
21. Aged 28
25 different placements furthest was 349
miles away from home
Went through Criminal Justice System
Sectioned for 6 years
Physical Intervention from aged 17
Family seen as a problem
She was seen as a big problem
Always wanted to come home to be part of
family
22. Part of the family (highs and lows!)
Has own home
Interviews for her team
Health problems stable
Been to Bristol/Cardiff to visit friends twice
Tickets for Peter Andre!
Ice skating lessons
Been Clubbing loads (first times in 11 years!)
Says she never wants to go back to Hospital
23. Hospital doesn’t work
long or medium term
Being away from family
and community is
destructive
Planning for a normal
life has to start from
day one of admission
Matching teams makes
the difference
Individual flexible
budgets
Cultural change is
required
People want lives
24. Hospitals
Hostels and
Campuses
Residential Care
Homes
Don’t let
‘supported living’
be the next
institutions
People want to live
in their own homes
just like you and
me
25. Sam Sly
Beyond Limits
sam@beyondlimits-uk.org
sam.sly@enoughisenough.org.uk
07900 424144
www.beyondlimits-uk.org
Editor's Notes
Decided after years of trying to persuade others to do ‘it right’ for people time to bite the bullet and have a go Doreen had run a person-centred organisation but wanted to work out how to transfer the ‘model’ to other organisations.
A registered domiciliary Care Organisation Service Design then mini tender for long term support Working Policy with Beyond Limits or coaching other Organisations to implement the detail and reshape the way they provide support
The Service Models Jim Mansell recommends underpin the project
Family members, neighbours, taxi driver, advocates, friends, professionals, support workers People who knew them before systems kicked in Got to see the strengths, gifts and skills – the potential and the way forward Meet in a place comfortable for the person – more likely to contribute For every person so far we have been told they won’t contribute, they won’t be able to stay the full day, - for every person they have because it is a positive day about them and about a positive future.
Examples Person 1. 2:1 24/7 support reduced to 1:1 73 hours. She now she spends some time on her own early evening and first thing in the morning. Her service costs have reduced from £211,000 per annum to £85,000 per annum. Person 2. reduced from 1:! 24/7 reduced to 40 hours per week with an on-call service for emergencies. In just over 2 years his service reduced from £109,000 to £71,000
What people had in their lives, how they were in different situations, what experiences they had good and bad, what support worked and didn’t. Authority – how will they remain in control of life, what support is required with communication, is representation required Direction – persons desires, hopes and dreams, how can we support them to reach their goals Money – what money is available Home – what kind of house, where does it make sense to live, sharing or alone, equipment AT adaptations. Support – what kind of support, how often and when is it needed, what kind of person Contribution – how will the person live, what relationships need to be maintained or strengthened, what interests, job do they want, how can they contribute to their community Concentrating on the positives – starting from the positive not the negative behaviours.
What has worked in the past Lost hopes and dreams Things people used to be good at and liked to do Support that didn’t work in the past Routines are often made to fit the staff, building and others in Hospital (cigarettes breaks, meals, getting up and going to bed) What they do in Hospital is often ‘service-land led’ or things that they would do everyday that is labelled ‘activities’ and lots of groups.
This then becomes your job ads and job specifications.
Really detailed planning including especially what to do when someone is having a hard time. Looking at what has worked in the past and working with current provider to drill down into recent situations. This usually gives us big clues to what is going wrong!