understanding personal budgets. the challenge to end of
TRANSCRIPT
Understanding Personal Budgets.
The challenge to end of life care providers and their ability to
drive personalisation • Tracy Meyerhoff • Assistant Head of Adult Social Care • Hull City Council
• April 2015
Personal Budgets
• In Social Care:- Allocation of funding available to people with
eligible social care needs after an assessment.
• In Health:- Allocation of funding by the NHS to someone
with an identified health need so that they can buy what they need to improve their health and wellbeing.
Are they here to stay?
Many people who are receiving social care will now be working with a personal budget (either directly or through a managed arrangement).
People�s expectations are different. Social care�s expectations are different.
Personalisation 10 years on what have we learned? • Social Care culture has shifted • Importance of leadership • Whole systems change is necessary • It�s hard to relinquish control! • Personalisation needs to be embedded. • Celebrate • We are working with �people�
What still needs to happen?
• Health need to �catch up� • We need to talk the same language • We need to stop �fixing� people • Challenge the assumptions that End of Life Care
is difficult • More creativity, challenge and risk • Remove targets and think about outcomes • Change public perceptions
Challenge for EOLC providers • Look and understand what�s changing/
happening re social care/health commissioning • Really focus on personalisation/personal
budgets • Find out what people really want/asking for • Fill the gap • Prepare your workforce • Support people to live the life they want right up
to the very end
Seize the opportunities
• CQC – thematic review of EOLC
• Care Act
• Integrated health and social care budgets
• Better Care Fund
• Integrated personal commissioning
Where it worked well • District Nurse Senior Sister, Dove House Hospice Cancer nurse specialist
Social Worker Consultant, Dove House
Hospice Family Dietician
Consultant- Ear, nose & GP throat
Stephen Mencap Day therapy staff Continuing Health Team Learning Disability
Community Nurse Acute Liaison nurse Speech & Language
• Health • Social Care • Other professionals Specialist palliative care team • Family
What made it happen?
• Changing the conversation • Strong leadership • A real motivation for change • Getting it right for Stephen • Pushing the boundaries • Asking the �Why not� questions • Personalisation as the �golden thread� • Challenging the �norm�
Our ambition should be to help you achieve your ambition
• That more people who want should have the opportunity to have a personal health budget and in the future an integrated personal budget that gives them the freedom to use health and social care resources to support them in achieving their priorities in their life. Steve Dewar April 2015