P.O.E.T. 2013Learning from the National Personal Budget Survey.

The uptake of personal budgets in England (HSCIC)

Very large increase in number of people recorded as using self-directed supportNote forthcoming ADASS survey shows larger numbers using different definition

The uptake of personal budgets in England (HSCIC)

Large majority of SDS and biggest increases over time in council-managed SDS

The uptake of personal budgets in England (HSCIC)

Much more limited increase in people using direct payments

Large variations in SDS coverage

Across councils: •Across England, on average 14.2 people per 1,000 are getting SDS

– 24 councils have more than 20 people per 1,000 getting SDS (max 34.6 per 1,000)– 27 councils have less than 10 people per 1,000 getting SDS (min 4.6 per 1,000)

•In Council A you are 7.5 times more likely to get SDS than in Council B

•Across England, on average 2.3 people per 1,000 are getting a DP– 33 councils provide DPs to more than 3 people per 1,000 (max 8.35 per 1,000)– 33 councils provide DPs to less than 1.5 people per 1,000 (min 0, then 0.35 per 1,000)

•In Council X you are 24 times more likely to get a DP than in Council Y

Across groups – proportion of SDS users: •Physical disabilities 13.7%; Mental health 4.2%; Learning disabilities 12.7%; Age 65-74 years 12.1%; 75-84 years 24.8%; 85+ years 31.8%

Note: ADASS survey suggests higher numbers but key is variation

The process experience for peopletaking control of a personal budget

The process experience for peopletaking control of a personal budget

The process experience varied considerably across Local Authorities

The outcomes for people taking control of a personal budget

The outcomes for people taking control of a personal budget

Outcomes for people varied considerably across Local Authorities

The impact of personal budgets on lives of carers

The process conditions associated with better outcomes

Principles for delivery emerging from our understanding of what works

• User friendlyGetting, controlling and accounting for a personal budget must be simple and straightforwardfor everyone involved including social workers, providers, people who need support and their families.

• TransparencyPeople must know how much money they have in their personal budget and how they canuse that money.

• ControlHaving determined eligibility and allocation of funds, local authorities must relinquish control as far as

possible and encourage people who need support to determine their own solutions to their own needs.

• EngagementPeople taking control of a personal budget and their families will very often need help and support to plan and make decisions. This support should be free from the tensions of rationing.

To be counted as a personal budget the person who needs support should know how much money they have for their support and be able to use the moneyin ways and at times that make sense to them.

Challenges and opportunities

Challenges:

1.There are big variations: places, groups, DP/managed personal budgets. Some places offering much better process and outcomes than others. Where poor process, low DPs etc. how much choice and control?

2.Personal budgets can significantly improve lives and we are getting increasingly clear about what leads to the best results but many councils are not self-aware on PBs and best practice is not common enough

Opportunities:

1.Bill regulations, guidance and implementation can lever authentic self-direction using what is known leads to best results

2.ADASS/LGA, TEASC, TLAP and others can support self-awareness and build stronger links between NPBS findings, best practice and approaches, advice to councils, support to outliers, peer support, improvement activity