Putting People First Carey Bamber Personalisation Programme Manager [email protected].

Putting People First

Carey BamberPersonalisation Programme [email protected]

JIPs are partnerships with multiple investment sources and multiple lines of accountability.

Dept of Communities and Local Government

Department of Health

Member Organisations/Networks

Regionally developed and managed

Linked to RIEPs

Putting People First 10 December 2007

• Concordat outlining national multi department, multi agency commitment to transformation of Adult Social Care

• “person centred planning and self directed support to become mainstream and define individually tailored support packages… Personal budgets for everyone eligible for publicly funded Adult social care support”

How did we get here?

• Disabled people’s campaigns

• Direct Payments• In Control• Individual Budgets pilots• Putting People First (TASC)• Darzi Report• Staying in Control• Personal health Budgets

pilots 2009• Right to Control DWP 2009• Children's Pilots 2009

Information, adviceand advocacy for all

Self-directed support

Personal budgets

Self-assessment

Early intervention

Volunteers

Putting People First

Neighbours

User Led Organisations

Low level services

Direct Payments

• Since 1997 -able to offer DP

• Cash in place of social care services for those meeting the Local Authority eligibility criteria

• Willing and able to manage (with support)

• Some exclusions relating to Mental Health Act status

• Since 2003 - duty to make DP

• Take up consistently low in mental health and OP

• Lots of research• Lots of solutions:

Training, leadership, systems and processes, information for people, support to manage.

Direct Payments let people choose what works for them

Buying a mobile phoneDriving lessonsJoining a violin groupJoining a fishing clubTaxi to a mainstream drama groupRenting a workshop (two people together)Hiring an art teacher (four people together)Employing someone to manage a small enterprise (six people together)Travelling to stay with relative for a breakEmploying a PA

Focusing on ‘outcome’ rather than ‘activity’

“As a general principle, local councils should aim to leave choice in the hands of the individual by allowing people to address their own needs as they consider best, whilst satisfying themselves that the agreed outcomes are being achieved.”

Direct Payments Guidance: Community Care, Services for Carers and Children’s Services (Direct Payments) Guidance England 2003 Department of Health

Local Authority Circular Jan 2008, Jan 09

“The direction is clear: to make personalisation, including a strategic shift towards early intervention and prevention, the cornerstone of public

services”LAC (DH)(2008) 1

“Significant Moves”by 2011

National Indicator set - NI 130

What is self-directed support?

What are people buying?

• Changes depending on age, expectation, need etc• Some “traditional” services • PA support• bike, dog, camera, art materials, car, hair extensions, reflexology• Skills -driving lessons, art group, college course, tai chi, gym

membership, job coaching / seeking• Support -life coaching, managing bills and money, pooled money for

group support, ironing, cleaning• Respite - short breaks, holidays• Assistive technology - telecare, home safety• www.personalisation.org.uk for streamed stories• Using a range of deployment options

It’s different …I also bought a kite, a bike and other clothing for outdoor activities. I’m

on my bike nearly every day….

My paranoia and suspiciousness is considerably better. This is because I feel more confident which is mainly down to me being a lot fitter.

My mental health has improved. I am doing much more.

Without individual budgets I would have probably have just struggled on as I was doing last year.

It has given me a kick start.

I am feeling alive.

What did the evaluation say?

• Complexity in integrated services

• What’s Health and what’s social care

• “Significantly higher” self reported quality of life for IB recipients than those in the control group.

• Mental health outcomes most significant

Risk and Audit

• Small number of people not at liberty to organise own care• Get the timing right• Fluctuating conditions• Risk Enablement Approach developed by LA’s• Independence, Choice and Risk (DH 2006)• Signing off Support Plans• Range of options: include agent, direct service, Trust, Individual

Service Fund too• Support through care manager, Support planners, brokers, user led

organisations• Light touch audit• Monitoring through review• Anecdotal evidence from sites

North West activity

• In Control total sites – Lancs, Oldham Cumbria• 16/23 LA NI 130, all aiming for 30% minimum• Generally good progress overall• Personal Health Budget provisional pilots

• Ashton Leigh and Wigan          Continuing Healthcare• Blackburn with Darwen             CHC and mental health• Cumbria                                  Continuing Healthcare, mental health and LTC            • East Lancs tPCT                     Mental health• Heywood, Middleton Rochdale  Learning Disability• Merseyside                             Mental Health (joint project)• West Cheshire                        LTC

• Manchester, Oldham and possibly Halton too.

What is the right to control?•Regulations under this bill will empower disabled adults to take greater choice and control over support and services. This means being able to:

require authorities to tell them how much money is available; require the authority to plan with them how best to use this money

to meet their needs; being able to choose the degree of control over the support they

receive.

The individual will be able to receive a direct payment, continue to allow the public authority to arrange their support, or use a mixed approach

The right to control recognises that disabled adults are the experts in their own lives

Which funding streams will the right to control cover?

Access to Work Independent Living Funds Specialist disability employment programmes

Other funding streams for inclusion will be determined through a national consultation exercise with disabled adults, providers and user-led organisations. They will be considering:

Funding for equipment and adaptations Funding that enables disabled adults to access education and

training

Adult Social Care is excluded from the right to control as legislation already exists to enable direct payments. We will align the right to control with Adult Social Care.

How will right to control be implemented?

From 2010 the right to control will be piloted in a small number of trailblazing public authority areas

We want to test both ‘if’ the right to control should be implemented nationally, and also ‘how’ this should be done

We will be asking local authorities, Jobcentre Plus and other agencies to develop proposals together and in co-production with disabled people, setting out how they propose to implement the right to control

Neither social care, nor any other service should be the sole ‘gateway’ to choice and control

The trailblazers will join up different services and funding streams to avoid the fragmentation of support too often experienced by disabled people

The trailblazers are expected to run for two years. Funding will be made available to support trailblazing areas.

Next stepsIf you are interested in

applying to become a trailblazer or want further information on the right to control, please contact Caroline Throssel

[email protected]

0207 4495091

iMPOWER14 Clerkenwell Close

London EC1R 0AN

T 020 7017 8030

F 020 7017 8040

[email protected]

Jeremy Cooper, Director

• Local plans• Right to Control trailblazers• Unit costs• Critical mass approaching• Talk to local commissioners• Menu of services• Map the pathways – develop new projects• User led organisations / brokerage services• Marketing your services• Shop 4 Support?• Stories

Implications for Supported Employment schemes

For more information..

www.in-control.org.ukwww.personalisation.org.ukwww.supportplanning.org