Slides on the New Support Systems for SDS. Confusion about “Brokerage” We should either abandon use of the term or make sure we define it clearly when.

Slides on the New Support Systems for SDS

Confusion about “Brokerage”

We should either abandon use of the term or make sure we define it clearly when we do use it.

3

4

In Control Model Infrastructure for SDS

Advantages Disadvantages

• Real knowledge of individual• High commitment• Strong community connections• Very efficient

• Subjectivity• Not always available

• Real knowledge of situation• Real community connections• Credibility & understanding• Potentially efficient

• Poorly facilitated in current system• May be somewhat subjective

• Knowledge of community• Funded from mainstream• Objectivity

• Support will usually be tightly rationed• Risk of double-funding - is it a free service?

• Incentive to serve and support• Knowledge of support systems• Possible experience of different solutions• Ability to resolve tricky practical issues

• Relatively expensive - but often ‘already’

funded to do this work implicitly• Bias towards their own services

• Duty of care on behalf of council• Knowledge of system solutions

• Low community focus• More expensive

• Possibly relevant expert knowledge• Objectivity

• Low natural commitment• Low knowledge of individual• Often most expensive options

Current imbalance in infrastructure & thinking

Care Manager predictions on best planner

Care Manager predictions on best organiser

• 96% people (of 196 in sample) got help to develop a plan

• 38% used their social worker

• 15% used family and friends

• 32% used family or friends and their social worker

• 15% paid someone to support them

• Outcomes improved more where family and friends and family

were involved

• The impact of social work support had a variable impact on

outcomes but was particularly valuable to older people

Current Reality I - Phase II Report:

Table 1 Support planning

Role in support planning process (N=285)

Leading (%) Involved (%)

IB holder 55 40

Partner 10 11

Son/daughter 9 14

Parent 14 13

Other family member 3 9

Friend 1 3

Independent broker/ advocates 18 13

Provider 2 8

Local authority care manager 35 38

Non-local authority care manager 5 5

Current Reality 2 - Ibsen Report:

IBSEN data skewed by depending largely on people transfered over from DP schemes - no data to correlate

outcomes and forms of support

Possible Principles for Experimentation1. Make SDS systems accessible and easy to use

2. Minimise transaction costs (so that more money ends up in the hands of citizens)

3. Make best use of community resources - map & grow - both formal and informal support systems

4. Continue to innovate and promote creative solutions

5. Ensure multiple support options

6. Provide a universal information system

7. Put in place strategic/commissioning leadership for whole area

8. Fully involve self-funders

9. Do not limit to social care

10.Think prevention - early information, planning, transitions

11.Mindful of the need to engage and support user-led organisations

12.Involve people using personal budgets in change process

Goals of the TT Support System Project

• Develop an efficient and effective infrastructure for SDS

• Write up elements of good practice

• Demonstrate how the overall cost of the current infrastructure can be reduced

• Monitor progress and impact on personal outcomes

• Demonstrate how the current system can be transformed

• Engaging key national stakeholders to understand issues and opportunities

TT Project Plan on Support Systems

MappingPrinciples Local Strategy Case Studies

Cost & Outcome

Data

Support source Typically In Control Sheffield Essex Croydon W-Sussex

Universal information Systems

Varying solutions

Shop4Support First Point Info. Partal - Googalish - hosted by voluntary - village agents

POP Service, SARA, Contact Centre, POP Village; equipment shop (with advice & info), VCS

Accessible Systems Unduly complex systems

Framework Plans, Top Tips, Information

SDS academy not available yet - OSCARS - full system in development

A range of tools and guidance currently in development

inerim paperwork on intranet - IT system non-functional

Family and Individual

Very low investment

Partners in Policy Making

8 families LD (10k)

Good involvement Talking to PPM customer and workforce engagement lead

Peer Support Tendency to confuse with ULO

Plan UK, Planning Live

SDS Academy

Good network, ULOs included - shifting resources into this area

DP user group; plans to set up inclusive stakeholder forum

West Sussex ILA, carers support network

Community CIL or ILA, Advocacy, CAB, Schools, 'local services'

Engaging NCIL, Action 4 Advocay, ODI work, Small Sparks

community interface

ODI pilot, good range of organisations, not sustainable model - exploring - 1 stop centres (PCT)

Exploring capacity across VCS to deliver support brokerage functions

Advocacy netowrk exist

Providers Resistance from commissioning (but 20% £ located here)

IC Provider Development Programme

in-house providers, ACE, HFT

In discussion with providers - looking at transaction costs

Not ruled out at this stage.

Lots of engagemetn and some interesting examples on the ground

LA Social Work and others

Major source of support (16% £ located here)

IC Social Work Programme

Sheffield LA trading company will pick up many SW functions - reviewing skill mix - 'workforce calculator' - look at piece work

Not ruled out Getting people up to speed

Independent Professionals

A few brokers and independent SWs national - NBN

Concern at accreditation and professionalise

1 - supporting 1 person

ECDP, Essex Pass act as coordinating agency - reviewing contracts

None Some brokers for people with learning disabilities

Mapping exercise

For other authorities - Northants, Southampton, Oldham, Newham - to enter your data into this table please go to http://spreadsheets.google.com/ccc?key=pm_vaMeThAopAdOPlKHALeA&[email protected]