Making it Real in Yorkshire and

Humber

Programme launch event December 4rd 2012

Outline of the programme – Dec-July

• A start up full day event

• Three learning set sessions to support

your practical use of Making it Real and

learn from others

• Specialist modules with national and

regional experts

• A webinar programme

• A sharing the learning event

What is Making it Real?

A set of 26 “I” statements developed by people who use services, carers and citizens supporting organisations to move towards more personalised and community based support

What it is not

• Performance management –

TLAP is part of a voluntary

movement for change

• ADASS, Local Government

Group, Department of Health,

major provider bodies and the

Care Quality Commission support

Making it Real

• We believe councils and

organisations providing social

care support will want to use

Making it Real with local

communities to show progress

Making it Real is

a journey, not

just a

destination

Support from the TLAP partnership

Alignment

How existing frameworks can support delivery of Making it

Real

• Dementia Action Alliance

• My Home Life : The Big Care Home Conversation

• Progress for Providers

Events and support materials (being developed)

• What Making it Real means for Carers

• What Making it Real means for Older people

• Top ten tips for co-production

• Personal Assistants framework

• Making it Real sites networking

Self-assessment and planning

• Self-assessment against the

markers

• Selection of priorities

• Action planning

• Review and further planning and

action

Materials to help

• Self-assessment tools

• Case studies

• Sample self-assessment and plans

• How to..

• Easy read material

• Top tips for co-production

http://www.thinklocalactpersonal.org.uk/Browse/

mir/aboutMIR/supportMaterials

Use it in the way it works for you

• Start small or big – e.g. overview self-

assessment, then priorities to get started, or

more comprehensive from start

• Start with part of operation or one place, or

across organisation

• You can use to help specific developments or

as part of wider planning

• Adapt materials if that works for you

• Link with other tools if that helps – e.g

progress for providers

Simple self-assessment templates

Information and Advice

Having the information I need , when I

need it.

We are very

confident that we

are achieving this.

This is in place

for some

people.

We need to do

further work on

this.

I have the information and support I

need in order to remain as independent

as possible

Comments and Evidence:

I have access to easy to understand

information about care and support

which is consistent, accurate, accessible

and up to date

Comments and Evidence:

Action plan tips

1. Ensure the action plan is easy to understand (so that a

member of the public can understand it)

3. Do not use any jargon or acronyms (apart from initials of

names where you do not want these to be public)

3. State clearly how people who use services, carers and

citizens have been involved in producing the plan and identify

how they will be involved in the 6 month review.

4. Have high aspirations, but ensure they are measurable and

realistic.

5. Keep linking the actions back to Making it Real

Self-assessment – example approach

Self-assessment using Making it Real –

Example

• West Midlands Region Sector Led Improvement

Programme produced a “Making it Real” Self-

Assessment Toolkit

• Developed by Simon Adams

ADASS/IEWM Strategic Programme support

info@simon-adams.net

• Part of a pilot peer challenge process focussed

on personalisation

• Developed a process and tools that can be

used for local accounts

Questions?

• How to assess such a broad area:

Personalisation permeates every aspect of

ASC

• What standards could we use to measure

progress?

• What & where is national best practice?

• Moderation – there’s no standard template

• How to involve people who use services?

Publication of “Making it Real” (Oct 2011)

• Provided clear standards could

use to measure progress

• Pointed the way to national best

practice

• Opportunity to develop a set of

measures to facilitate moderation

• Included a set of standards that

people who use services could

relate to

Approach

• Use “Making it Real” to develop:

– Self-assessment toolkit for councils

– Survey of people who use services

• Compare & contrast the results

– Staff perceptions of strengths & weaknesses

– Perceptions of people who use services

• Challenge councils’ assumptions and learn from

each other

Councils’ Self-Assessment

1)

1.1.

1.1.1 Trusted information sources are established Strongly agree

1.1.2 Information sources are well maintained and accurate Agree

1.1.3 Information is free at the point of delivery Neither agree or disagree

1.1.4 There are links from these to other local and community information resources Disagree

1.2.

Providers of advisory services would be described as:

1.2.1 Accessible Strongly disagree

1.2.2 Culturally Sensitive Select ->>>>

1.2.3 Skilled Select ->>>>

1.2.4 Capable of helping people to think through options and achieve solutions Select ->>>>

1.3.

1.3.1 Available information sources meet individual communication needs Select ->>>>

1.3.2 This includes interactive technology options Select ->>>>

Information and Advice: having the information I need, when I need it

Trusted information sources, are established and maintained that are accurate, free at the point of delivery, and

linked to local and community information sources.

Skilled and culturally sensitive advisory services are available to help people access support, and to think through

support to think through their options and secure solutions.

A range of information sources are made available to meet individual communication needs, inluding the use of

interactive technology which encourage an active dialogue and empower individuals to make their own choices.

“RAG” rating and commentary

6) Personal budgets and self-funding: my money

Total:

% of

optimum

score

Commentary

6.1. Everyone eligible for on-going council funded support receives this as a personal

budget. Direct payments are the main way of taking a personal budget and good

quality information and advice is available to provide genuine and maximum choice

and control.

6.1.1 All people elegible for ongoing LA funded support get it as a personal budget Disagree 2 Strongly disagree 1 Disagree 2 Agree 4 45%

6.1.2 Direct payments are the main way of taking a PB Strongly disagree 1 Agree 4 Disagree 2 Agree 4 55%

6.1.3 Quality info & advice are available to provide genuine choice and control Neither agree or disagree 3 Agree 4 Neither agree or disagree 3 Agree 4 70%

0 0 0 0 0 0 0 0 100%6.2. Council managed personal budgets offer genuine opportunities for real self-

direction.

6.2.1 Our council managed PBs offer real self-direction Disagree 2 Strongly agree 5 Agree 4 Neither agree or disagree 3 70%

0 0 0 0 0 0 0 0 0%6.3. People who use social care (whether people who use services or carers) are able to

direct the available resource. Processes and restrictions on use of budget are

minimal.

6.3.1 People are able to direct the available resource Disagree 2 Agree 4 Strongly agree 5 Agree 4 75%

6.3.2 Processes and restrictions on use of budget are minimal. Disagree 2 Neither agree or disagree 3 Strongly agree 5 Agree 4 70%

0 0 0 0 0 0 0 06.4. There is a market of diverse and culturally appropriate support and services that

people who use services and carers can access. People have maximum choice and

control over a range of good value, safe and high quality supports.

6.4.1 There is a market of diverse and culturally appropriate support and services that

people and carers can access

Agree 4 Neither agree or disagree 3 Disagree 2 Disagree 2 55%

6.4.2 People have maximum choice and control over a range of good value, safe and

high quality support

Neither agree or disagree 3 Neither agree or disagree 3 Disagree 2 Disagree 2 50%

0 0 0 0 0 0 0 06.5. People who use services and carers are given information about options for the

management of their personal budgets, including support through a trust, voluntary

or other organisation.

6.5.1 We give Info about a range of management options for PBs to users & carers Agree 4 Agree 4 Strongly disagree 1 Neither agree or disagree 3 60%

0 0 0 0 0 0 0 06.6. Self-funders receive the information and advice that they need and are supported to

have maximum choice and control.

6.6.1 Self-funders receive the information and advice that they need Strongly disagree 1 Neither agree or disagree 3 Strongly agree 5 Agree 4 65%

6.6.2 Self-funders are supported to have maximum choice and control. Strongly disagree 1 Neither agree or disagree 3 Agree 4 Agree 4

0 0 0 0 0 0 0 06.7. Councils understand how people are spending their money on care and support,

track the outcomes achieved with people using social care and carers, and use this

information to improve delivery.

6.7.1 We understand how people are spending their money on care and support Agree 4 Disagree 2 Strongly agree 5 Neither agree or disagree 3 70%

6.7.2 We track the outcomes with people using social care and carers Neither agree or disagree 3 Disagree 2 Agree 4 Agree 4 65%

6.7.3 We use this information to improve delivery Disagree 2 Disagree 2 Disagree 2 Neither agree or disagree 3 45%

LA1

No clear consensus across councils that PB (and DP as

the default form of PB) are firmly embedded.

Area for exploration through the I" Statements?

Wide range of responses - potential area for peer

challenge?

Clearly indicates an area for further development of

the market to provide an appropriate range of

resources.

LA4LA3LA2

May be useful to explore reasons for srtong negative

from LA3?

Response pattern is similar to and may be linked to

6.3 above.

Indicates areas for development in the tracking of

outcomes and use of this information to inmprove

services: the 'learning from experience cycle" from

assessment-resource allocation - review needs to be

challenged.

Comparison of TLAP strengths

Feedback from people who use services

Comments

I have the information and

support I need in order to remain

as independent as possible

I have access to easy-to-

understand information about

care and support which is

consistent, accurate, accessible

and up to date

I can speak to people who know

something about care and

support and can make things

happen

I have help to make informed

choices if I need and want it

I know where to get information

about what is going on in my

community

1. Information and Advice: having the information I need, when I need it

Comparing the council view to

feedback from engagement sessions

Comparing the council view to

feedback from engagement sessions

VIEW OF PEOPLE WHO USE

SERVICES:

COUNCIL’S OWN VIEW:

1) Information and Advice: having the information I need, when I need it

Strengths: • Quite well-established and comprehensive

• particularly strong on support relating to employment of PAs

Challenges: • Keeping the information up to date and accurate

• helping to think through options and achieve solutions,

• Including self advocacy

Strengths: • In general the Council work well…

Challenges: • Information not readily accessible

• Signposting – need a central information system

• Keeping people informed of next steps (S/Workers)

• People with low literacy levels (leaflets etc.)

Key messages for the councils

• The theme with the consistently highest scores is “Risk enablement: feeling in control and safe”

• The lowest scores: “Personal budgets and self-funding: my money” and “Workforce: my support staff”

• Around 45% stated that they have a personal budget or direct payment

• When these were compared to those that said they did not (or did not know), the average overall satisfaction levels of those with a PB were around 5% higher.

Personal Budgets – people’s perspective

Particular areas where people with personal

budgets appear to be more satisfied with their

services were:

• I have access to easy-to-understand information about care

and support… (+11%)

• I am able to get skilled advice to plan my care and support…

and make best use of the money… (+11%)

• I can decide the kind of support I need and when, where and

how to receive it. (+10%)

• I can get access to the money quickly without having to go

through over-complicated procedures. (+9%)

• I have care and support that is directed by me and

responsive to my needs (+8%)

Where to now?

• Feedback to people that use services: recognising

opportunities for use of MIR in producing Local

Accounts

• The Self-assessment was also carried out by other

councils in the region – option for ongoing monitoring

• Overall priority area for sector-led improvement

confirmed as Personal Budgets and Direct Payments.

• Regional Networks (Personalisation, Finance, Direct

Payments and Performance) will take a joint

approach to identifying and supporting areas for

improvement.