financial management of personal budgets · financial management of personal budgets. 1. contents....
TRANSCRIPT
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Financialmanagementof personalbudgetsChallenges and opportunities for councils
Local government, October 2010
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The Audit Commission is an independent watchdog,
driving economy, efficiency and effectiveness in local
public services to deliver better outcomes for everyone.
Our work across local government, health, housing,
community safety and fire and rescue services means
that we have a unique perspective. We promote value for
money for taxpayers, auditing the £200 billion spent by
11,000 local public bodies.
As a force for improvement, we work in partnership
to assess local public services and make practical
recommendations for promoting a better quality of life
for local people.
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1Financial management of personal budgetsAudit Commission
Contents
Summary 3
Key messages 3
Challenges for councils 5
Recommendations 6
Making the transition 6
The financial implications 6
Council commissioning strategies 7
Governance arrangements 7
Checklistforcouncils 8
Introduction 11
Chapter1:Makingthetransition 14
The approach to setting up personal budgets 15
Personal budgets are not just a social care issue 16
Social care reform grant 17
Progress with setting up personal budgets 17
Chapter2:Thefinancialimplications 20
Developing a resource allocation system 21
How much does a RAS offer? 25
Approaches to the technical details 28
Financial modelling 29
Value for money and efficiency savings 31
Contents >>
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2 Contents
Chapter3:Councilcommissioningstrategies 32
Changes to councils’ contracting models 33
Management information is important 34
Choice and control 36
Brokerage 37
Council commissioning will need to respond 38
The use of direct payments is increasing 39
Personal budgets and the NHS 40
Chapter4:Governancearrangements 41
Measuring value for money 42
Managing risk 43
Misuse of funds 46
Role for auditors 46
Conclusions 48
Appendicesandreferences 50
Appendix 1: Research methodology 51
Appendix 2: ADASS policy advice on resource allocation 51
References 52
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3Financial management of personal budgetsAudit Commission
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4 Summary
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5Financial management of personal budgetsAudit Commission
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6 Recommendations
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7Financial management of personal budgetsAudit Commission
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8 Checklist for councils
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9Financial management of personal budgetsAudit Commission
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10 Checklist for councils
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Introduction
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12 Introduction
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13Financial management of personal budgetsAudit Commission
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Chapter 1
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15Financial management of personal budgetsAudit Commission
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16 Making the transition
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17Financial management of personal budgetsAudit Commission
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18 Making the transition
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19Financial management of personal budgetsAudit Commission
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Chapter 2
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21Financial management of personal budgetsAudit Commission
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22 The financial implications
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23Financial management of personal budgetsAudit Commission
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Case study 1
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24 The financial implications
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25Financial management of personal budgetsAudit Commission
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26 The financial implications
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00 10020 40 60
Level of need (shown as a percentageof the maximum points allocation)
Weekly indicativepersonal budget £
80
50
100
150
200
250
300
350
400
450
Council 4
00 10020 40 60
Level of need (shown as a percentageof the maximum points allocation)
Weekly indicativepersonal budget £
80
50
100
150
200
250
300
350
400
450
Council 1
Council 2
Council 3
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27Financial management of personal budgetsAudit Commission
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28 The financial implications
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29Financial management of personal budgetsAudit Commission
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30 The financial implications
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Case study 3
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31Financial management of personal budgetsAudit Commission
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Chapter 3
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33Financial management of personal budgetsAudit Commission
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34 Council commissioning strategies
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35Financial management of personal budgetsAudit Commission
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36 Council commissioning strategies
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37Financial management of personal budgetsAudit Commission
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Case study 5
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38 Council commissioning strategies
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39Financial management of personal budgetsAudit Commission
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40 Council commissioning strategies
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Chapter 4
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42 Governance arrangements
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43Financial management of personal budgetsAudit Commission
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Case study 6
http://www.in-control.org.uk
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44 Governance arrangements
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45Financial management of personal budgetsAudit Commission
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46 Governance arrangements
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47Financial management of personal budgetsAudit Commission
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Conclusion
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49Financial management of personal budgetsAudit Commission
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Appendices andreferences
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51Financial management of personal budgetsAudit Commission
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52 Appendices and references
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If you require a copy of this document in an alternative format
or in a language other than English, please call: 0844 798 7070
If you require a printed copy of this document, please call: 0800 50 20 30 or email: [email protected] document is available on our website.
We welcome your feedback. If you have any comments on this report, are intending to implement any of the recommendations, or are planning to follow up any of the case studies, please email: [email protected]
© Audit Commission 2010Design and production by the Audit Commission Publishing Team.Image copyright © Third Avenue
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SummaryKey messagesChallenges for councils
RecommendationsMaking the transition The financial implications Council commissioning strategies Governance arrangements
Checklist for councilsIntroduction Making thetransition The approach to setting up personal budgetsPersonal budgets are not just a social care issueSocial care reform grant Progress with setting up personal budgets
The financialimplications Developing a resource allocation systemHow much does a RAS offer?Approaches to the technical detailsFinancial modellingValue for money and efficiency savings
Councilcommissioningstrategies Changes to councils’ contracting models Management information is importantChoice and controlBrokerageCouncil commissioning will need to respondThe use of direct payments is increasingPersonal budgets and the NHS
GovernancearrangementsMeasuring value for moneyManaging risk Misuse of fundsRole for auditors
Conclusions Appendices andreferencesAppendix 1: Research methodologyAppendix 2: ADASS policy advice on resource allocation References