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What does freedom of choice mean to me, draft act 21.12.2016

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in accordance with the draft act on
clients’ freedom of choice
21 December 2016
What does
freedom of
choice mean
to me?
Draft act on clients’ freedom of choice, 21 December
2016
-
Freedom of choice is part of the health and
social services reform
The objective of the reform is to ensure equal and
modern health and social services at reasonable costs.
As part of the reform, freedom of choice will be
improved for clients of health and social services.
The objective is to give clients faster access to care
and improve their opportunities to influence the
services they use in different life situations.
The reform is due to come into force on 1 January
2019 but the services will be reformed gradually – not
everything changes at once.
21 December 20162
Draft act on clients’ freedom of choice, 21 December
2016
-
Clients can choose more individually than today
If you want to choose your services yourself, you can choose them from
a county-owned company, private enterprise or organisation. The
service provider must be registered, fulfil the requirements set by the
county and have an agreement with the county.
• From a health and social services centre you can get basic-level health services
and guidance on social services. The services will become even more
comprehensive in the future.
• You can also choose a unit for oral health services.
• The health and social services centre and the unit for oral health services are
responsible for all services assigned to them. They can grant you primary
vouchers for buying a particular service from other providers.
21 December 20163
Draft act on clients’ freedom of choice, 21 December
2016
You will get support
for your choices
online, through a
telephone helpline or
from service
counsellors. If you
don’t want to choose
yourself, the county
will direct you to
suitable services.
The array of services mentioned above is supported by county companies
that offer, for example, many kinds of social services and specialised
medical services.
When necessary, the county company carries out an assessment of your
need for services and care. Based on the assessment, you can receive an
extended voucher or personal budget to buy services included in your
client care plan. You can choose a service provider anywhere in the
country. The client fee will be the same, it does not depend on the service
provider.
-
Draft act on clients’ freedom of choice, 21 December 2016
4
Health and social services centre, unit for oral
health services, primary voucher
- GP and nurse, social services guidance
- Basic services by dentists and dental hygienists
- Later also other health and social services
- Responsible for the client’s services as a whole
- The client can be given a primary voucher for buying a
particular service or measure from other providers.
County’s own service provision
– Other services within the freedom of choice which are
not offered by the health and social services centre, for
example social services, 24-hour services and specialised
medical care.
– The client can choose a public sector service unit
amongst all public units in the country.
– The public care facility for specialised medical care will be
chosen together with the referring GP.
Extended voucher
– When necessary, the county company grants an
extended voucher for carrying out the client care plan.
– The county decides on the services and the client
chooses a service provider amongst the registered service
providers around the country.
– The county is responsible for the costs and the client
pays the client fee, which is the same for all providers.
Personal budget
- With the help of personal budget, elderly clients and
persons with disabilities, for example, can influence the
content of their support and choose their service provider.
- The client can decide, within the limits of his/her care
plan, for which services the money is used and who is the
service provider. The services can include, for example, a
personal assistant or transport services.
Clients have more freedom of
choice than today
The client chooses a health
and social services centre
and a unit for oral health
services and makes a one-
year commitment with these
service providers.
If the client needs other
services, he/she will
receive them from the
county company.
-
Counties have the overall responsibility for the services. Health and social services centres and units for oral health
services have the corresponding responsibility for providing the services within the scope of wide freedom of choice.
1. Choosing a health and
social services centre
and unit for oral health
services
2. Primary voucher granted
by the health and social
services centre or the unit
for oral health services
3. Choosing a county
company
4. Extended voucher or
personal budget granted
by the county company
Choices in different life situations
The client can choose a county
company and its unit from all
over Finland.
The client can use his/her
extended voucher or personal
budget to buy services provided
by any approved service
provider in Finland.
The client can choose a county-
approved service provider and its
unit from all over Finland. Money
follows the client.
The service provider is responsible
for and pays the costs of the
services the client receives against
his/her primary voucher.
The client chooses
and makes a
commitment for one
year
Assessment of the client’s need
for care and services
21 December 2016
Draft act on clients’ freedom of choice, 21 December
2016
5
-
Clients’ right to choose
from 1 January 2019
6
TO CHOOSE A HEALTH
AND SOCIAL SERVICES
CENTRE AND A UNIT
FOR ORAL HEALTH
SERVICES FROM THE
WHOLE COUNTRY
TO RECEIVE A PRIMARY
VOUCHER, IF YOU NEED
ONE, FROM A HEALTH
AND SOCIAL SERVICES
CENTRE OR FROM A
UNIT FOR ORAL
HEALTH SERVICES
TO CHOOSE A
COUNTY COMPANY
UNIT
TO RECEIVE AN EXTENDED
VOUCHER OR PERSONAL
BUDGET, IF YOU NEED ONE,
FROM THE COUNTY
COMPANY
TO SEEK NON-URGENT
CARE ABROAD
TO EXPRESS YOUR
WISHES REGARDING
THE ATTENDING CARE
PROVIDER. YOUR WISH
WILL BE FOLLOWED AS
FAR AS POSSIBLE
TO RECEIVE CARE IN A
TEMPORARY PLACE OF
RESIDENCE
11
2You will always have access to
emergency care offered by
public healthcare services in
Finland and abroad.
Draft act on clients’
freedom of choice, 21
December 2016

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What does freedom of choice mean to me, draft act 21.12.2016

  • 1. -1 in accordance with the draft act on clients’ freedom of choice 21 December 2016 What does freedom of choice mean to me? Draft act on clients’ freedom of choice, 21 December 2016
  • 2. - Freedom of choice is part of the health and social services reform The objective of the reform is to ensure equal and modern health and social services at reasonable costs. As part of the reform, freedom of choice will be improved for clients of health and social services. The objective is to give clients faster access to care and improve their opportunities to influence the services they use in different life situations. The reform is due to come into force on 1 January 2019 but the services will be reformed gradually – not everything changes at once. 21 December 20162 Draft act on clients’ freedom of choice, 21 December 2016
  • 3. - Clients can choose more individually than today If you want to choose your services yourself, you can choose them from a county-owned company, private enterprise or organisation. The service provider must be registered, fulfil the requirements set by the county and have an agreement with the county. • From a health and social services centre you can get basic-level health services and guidance on social services. The services will become even more comprehensive in the future. • You can also choose a unit for oral health services. • The health and social services centre and the unit for oral health services are responsible for all services assigned to them. They can grant you primary vouchers for buying a particular service from other providers. 21 December 20163 Draft act on clients’ freedom of choice, 21 December 2016 You will get support for your choices online, through a telephone helpline or from service counsellors. If you don’t want to choose yourself, the county will direct you to suitable services. The array of services mentioned above is supported by county companies that offer, for example, many kinds of social services and specialised medical services. When necessary, the county company carries out an assessment of your need for services and care. Based on the assessment, you can receive an extended voucher or personal budget to buy services included in your client care plan. You can choose a service provider anywhere in the country. The client fee will be the same, it does not depend on the service provider.
  • 4. - Draft act on clients’ freedom of choice, 21 December 2016 4 Health and social services centre, unit for oral health services, primary voucher - GP and nurse, social services guidance - Basic services by dentists and dental hygienists - Later also other health and social services - Responsible for the client’s services as a whole - The client can be given a primary voucher for buying a particular service or measure from other providers. County’s own service provision – Other services within the freedom of choice which are not offered by the health and social services centre, for example social services, 24-hour services and specialised medical care. – The client can choose a public sector service unit amongst all public units in the country. – The public care facility for specialised medical care will be chosen together with the referring GP. Extended voucher – When necessary, the county company grants an extended voucher for carrying out the client care plan. – The county decides on the services and the client chooses a service provider amongst the registered service providers around the country. – The county is responsible for the costs and the client pays the client fee, which is the same for all providers. Personal budget - With the help of personal budget, elderly clients and persons with disabilities, for example, can influence the content of their support and choose their service provider. - The client can decide, within the limits of his/her care plan, for which services the money is used and who is the service provider. The services can include, for example, a personal assistant or transport services. Clients have more freedom of choice than today The client chooses a health and social services centre and a unit for oral health services and makes a one- year commitment with these service providers. If the client needs other services, he/she will receive them from the county company.
  • 5. - Counties have the overall responsibility for the services. Health and social services centres and units for oral health services have the corresponding responsibility for providing the services within the scope of wide freedom of choice. 1. Choosing a health and social services centre and unit for oral health services 2. Primary voucher granted by the health and social services centre or the unit for oral health services 3. Choosing a county company 4. Extended voucher or personal budget granted by the county company Choices in different life situations The client can choose a county company and its unit from all over Finland. The client can use his/her extended voucher or personal budget to buy services provided by any approved service provider in Finland. The client can choose a county- approved service provider and its unit from all over Finland. Money follows the client. The service provider is responsible for and pays the costs of the services the client receives against his/her primary voucher. The client chooses and makes a commitment for one year Assessment of the client’s need for care and services 21 December 2016 Draft act on clients’ freedom of choice, 21 December 2016 5
  • 6. - Clients’ right to choose from 1 January 2019 6 TO CHOOSE A HEALTH AND SOCIAL SERVICES CENTRE AND A UNIT FOR ORAL HEALTH SERVICES FROM THE WHOLE COUNTRY TO RECEIVE A PRIMARY VOUCHER, IF YOU NEED ONE, FROM A HEALTH AND SOCIAL SERVICES CENTRE OR FROM A UNIT FOR ORAL HEALTH SERVICES TO CHOOSE A COUNTY COMPANY UNIT TO RECEIVE AN EXTENDED VOUCHER OR PERSONAL BUDGET, IF YOU NEED ONE, FROM THE COUNTY COMPANY TO SEEK NON-URGENT CARE ABROAD TO EXPRESS YOUR WISHES REGARDING THE ATTENDING CARE PROVIDER. YOUR WISH WILL BE FOLLOWED AS FAR AS POSSIBLE TO RECEIVE CARE IN A TEMPORARY PLACE OF RESIDENCE 11 2You will always have access to emergency care offered by public healthcare services in Finland and abroad. Draft act on clients’ freedom of choice, 21 December 2016
  • 7. - Service needs and costs in clients’ different life situations 21 December 20167 Draft act on clients’ freedom of choice, 21 December 2016 The need for services and the costs per unit decrease approx. 10% of the population (estimate) 30% of the population (estimate) 60% of the population (estimate) 100% High need for care or services Wider need for care or services Occasional need for care or services Supporting health and wellbeing approx. 80% approx. 20%
  • 8. -21 December 2016 Draft act on clients’ freedom of choice, 21 December 20168 Different practices in different life situations Supporting population’s health and wellbeing (whole population) • Broad-based cooperation between interest groups • Supporting health and wellbeing, prevention, early intervention • Increasing awareness of choices affecting health and wellbeing • E-services for self-management of health, telephone services, and information, advice and guidance received from county service offices Occasional need for care or services (approx. 60% of the population) • Services from a health and social services centre and from a unit for oral health services, use of primary vouchers when necessary • E-services, client’s self-assessment of health, advice by phone • Swift care needs assessment and access to services • Cooperation with units of the county company when necessary but no need for deeper integration Wider need for care or services (approx. 30% of the population) • Services from the health and social services centre, unit for oral health services and county company as defined in the client care plan. • E-services supporting self-management of health. • When necessary, extended vouchers or personal budget granted by the county company. • The county can decide that the health and social services centre or the unit for oral health services has the right to provide more services than those defined nationally. High need for care or services (approx. 10% of the population) • High need for individual integration, coherent treatment and service chains, multiprofessional cooperation, continuity of care • The county company is responsible for assessing care needs, making an extensive client care plan and carrying it out in practice. • High costs per unit, small number of clients • The care package will be carried out in close cooperation between the concerned health and social services centre or unit for oral health services.
  • 9. -21 December 2016 Draft act on clients’ freedom of choice, 21 December 2016 9 Thank you! regionalreform.fi MINISTRY OF SOCIAL AFFAIRS AND HEALTH ● MINISTRY OF FINANCE

Editor's Notes

  1. Tunnusluvut on animoitu tulemaan ruudulle vuorottain himmennyksenä