‘putting people first’
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‘PUTTING PEOPLE FIRST’
Alan DeanFebruary 2009
Putting People First Putting People First’: A shared vision and
commitment to the transformation of adult social care…through personalisation, prevention and early intervention
Systems wide transformation, 3 year programme started April 2008 with significant progress expected by 2011
signed by 6 Government Departments, the Local Government Association (LGA) and the Association of Directors of Adult Social Services (ADASS)
WHY?
To give people more control over the services and support they get, and
therefore more control over their lives.
PERSONALISATION
PERSONALISATION Services and support tailored to individual
needs Accessible information Universal and Preventative services Working in partnership Developing communities Personal budgets for everyone eligible for
adult social care services
Visioning events - Lincolnshire People want to be treated as equal citizens People don’t want to feel they have to
come ‘cap in hand’ People want access to activities the same
as any one else in society People want jobs People want to be allowed to take risks
and make mistakes People want good quality information that
helps them in the choices they make
PERSONALISATION
PREVENTION
CRISIS MANAGEMENTREABLEMENT
MAINTENANCE
How it fits together
Personalisation
Self directed support
Personalbudgets
Direct payments
The process by which services can be adapted to suit you
Support that is determined and controlled by you, based on an assessment of need. (Includes
receiving cash, spending on services that meet your needs.)
An indicative amount of money that can combine
several funding sources that you can use to purchase services, from the public, private or voluntary sector
A cash payment paid directly to you so you can acquire your own services, rather than having
them delivered by the council
Individualbudgets
Like an IB but solely made up of social
care funding
WHAT IS AN INDIVIDUAL BUDGET? A person centred assessment
A transparent allocation of resources
A person centred planning process
Flexibility on how to spend the budget
Monitoring arrangements that are appropriate
Potential to draw from different funding streams
The IB ModelSelf Assessment /
Reablement Service
Resource Allocation
Support PlanningMaintenance
Brokerage
Review
A Learning Process Not a prescriptive policy document – there is
no detailed roadmap, councils are still learning how to deliver this
There are many things to be decided locally to ensure that personalisation works
PPF doesn’t say you’re doing a bad job – this is about building on what we do well and extending greater choice and control to those using services
IB Evaluation: Headlines Published 21st October 2008
Most outcomes better for no additional cost
People more likely to feel in control of their lives than under traditional provision
Best results with physical disability and mental health, less effective for older people
New systems and integrating funding streams were a challenge for local authorities
Providers and Commissioners Providers and Commissioners have welcomed the
principles of IB;
Commissioners have a new role in ensuring people can make good decisions when directing their own care and support;
Commissioners have recognised the importance of working creatively with providers;
Some movement away from block contracts towards more flexible arrangements;
Some providers have used the opportunity to grow service base or develop new services.
What to expect During IB pilots most people continued to
buy similar types of services to those that the Council had previously brought - 60%
But 88% also accessed different types of support than they had previously drawn upon, often from within the community
Evidence suggests people will gradually move away from traditional services to become more creative in designing their support
Transition Period will be challenging There may be temporary gaps in supply of
certain underdeveloped services – i.e. brokerage
Cost pressures as one customer becomes many
Individual choices constrained by lack of information and/or new services
Supplier attrition rate may increase for those that are dependent on block contracts and slow to react
New Opportunities. Stability based on customer satisfaction Small providers selling niche services Providers working together to coordinate
different services around an individual New services – information, financial,
brokerage etc Councils signposting services for self-
funders as well as personal budget holders
NEXT STEPS We need to work together to determine a
way forward that ensures the people of Lincolnshire, flexibility, choice, control, services that are tailored to individual need and of high quality
Lincolnshire are adopting a ‘Whole System Change’ through an ‘Action Learning Programme’ Skegness.
April roll out.
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