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Roll out of personal budgets what will the mean for your organisation - workshop - virginia mc cririck
- 1. Roll out of Personal Budgets – what will it mean for your organisation? Virginia McCririck, Department of Health South West Region th
- 2. Universal services –information and advice aimed at independence and quality of life Early intervention and prevention – cost effective time limited intervention that enables people to carry on living their life without formal support Choice and control – a system of choice and control for people who need formal support Social Capital – building strong and supportive communities Engagement – creating a new relationship of participation and engagement with people and communities Personalisation Agenda
- 3. Low to moderate needs FACS eligible Citizenship Information Lifestyle Practical support Early intervention Enablement Crisis / flexible response Institutional avoidance Timely discharge Ongoing support / care needs Self directed support •DP •PB General population Complex needs Substantial needs Plan & Chose •Self / family •Assisted by non- professional •Broker – with professional advice •Care managed
- 4. Information/ Advice/ Guidance 1st Contact/ Screening Assessment Re-ablement/ Further Assessment Rapid Response Assessment RAS Personal Buget issued Support Planning Brokerage Care & Support Delivery Review Reassessment Slide extracted from a presentation “Personalisation in Social Care Services, by Jeff Jerome at the National Homecare Council’s conference, Oct. 2008 The Personalised Social Care Pathway
- 5. Effective Re-ablement Principles • A holistic and person-centred approach for all people needing care or support • Occurs before receiving ongoing support with few exceptions • Working with the individual and their carer to ‘do for themselves’ rather than ‘do for them’. • One assessment and a short term flexible outcome focussed action plan. Typically up to 6 weeks for Older People, may be longer in other instances • Consistent, integrated approach to support. • Seamless and progressive and form the basis for self-directed support where ongoing support is needed.
- 6. Contact Service Delivery Ongoing Support Well Being & Independence Review and Monitor 1.Screening & initial information gathering 2.Establish dependency levels & action plan for improving independence 3.Establish ongoing needs, SAQ, RAS & support plan 40% with up to 40% less ongoing support requirement 1 2 3 4 5 6 Weeks 80-95% 5-20% straight through to ongoing support Support required Exit Exit60%withno ongoingsupport requirement Re-ablement – It’s Place in the Personalised Social Care Pathway Re-ablement scope should include: •Telecare •Equipment •Adaptations
- 7. Re-ablement – It’s Place in the Healthcare and Social Care Continuum Links to Acute Hospital Care Links to mainstream Social Care Community Equipment & Telecare Home based Social Care Re-ablement Intermediate Care in Day care setting Intermediate Care in Care home setting Home based rehabilitation Rapid response - Mobile response Acute care at home Specialist teams incl. OPMH Community Hospital beds Social Care Health Care Re-ablement Rehabilitation Means Tested Services Social Care Healthcare Free-at-Delivery Services
- 8. How do Personal Budgets change the dynamic? A ‘customer at the centre’ approach Council Customers Suppliers Requirements •Manageable way of dealing with multiple customers •Forum to collaborate Requirements • Good information tailored to customer • Ability to negotiate with suppliers • Forum to collaborate in purchasing • Ability to plan support, purchase and contract • Ability to provide feedback IB Purchasing Power
- 9. What will you do to support the changes? • What role can your organisation take in ensuring availability of more choice and autonomy for people? • What are the issues for your workforce – paid and unpaid? • What key messages do you want to be communicated back? 9
- 10. What will you do to support the changes? • What role can your organisation take in ensuring availability of more choice and autonomy for people? • What are the issues for your workforce – paid and unpaid? • What key messages do you want to be communicated back? 9
Hinweis der Redaktion
- National policy has also set a four part ambition to deliver transformation Universal services – for everyone not just for those with care needs. Services include transport, leisure, education, health, housing and employment. Early intervention and prevention – is helping people at an early stage to stay independent for as long as possible Example - gardening or support to recover from illness. Choice and control – people can choose who provides their support, have control when and where this is provided. Social capital – is making sure everyone has the opportunity to be a part of a community and have a say in how it is developed. Example - member of a church or a community group. Might think we are doing that already - We are! Revisit to make sure putting people first at the centre of everything
- Shift of power from the council to the customer. Finance flow may change from council to suppliers to one that is from council to customer to supplier. Different phases….later on it might be like the travel industry (bespoke requirements on flights, different costs at different times, with hotels/cars, etc).