Transcript Making It Real

Making It Real
Individual Service Funds
What is an Individual
Service Fund
o Allocation of funding (or Current Cost) is identified and ring fenced
for the person
o Money/funding is held by the provider on the Individuals behalf
o The individual decides – via support plan – how to spend the
money
o The provider is Accountable to the person
o Provider commits to only spend the money on the Individuals
Service
Two Ways a Provider
Can Develop ISFs
o Respond to an Individual Commission from a
Care Manager, an Agent, Individual or their
family, or through the Commissioning Process
o Take the Initiative and Convert Block Contract
Money into Individual Allocations and commit
to use in an Individual Way (Ideally in
Partnership with the Commissioner)
Michelle, Mum and Staff
Michelle and Team
‘Paul’
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o
o
o
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Moved into own 2 bed house in 2004
Group home = 4 people + 210 contact hours
Now 180 hours for 3 people + 30 for ‘Paul’
‘Paul’/Team Leader monitor 30 hours
‘Paul’ can decide:
o When he is supported
o Who he is supported by
o Whether he needs all 30 hours in a particular
week
o ‘Saved up’ hours
City Breaks
‘Brian’
o Moved out of shared tenancy in 2001
o Received 35 hours of contact time
o Brian has:
o
o
o
o
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Control over who supports him
When he is supported
Whether he wants to use all 35 hours in a particular week
Use of hours are regularly reviewed by a Circle
of Support
Can convert his contact hours into £ and
purchase short term membership at his local
gym/personal trainer time, a massage or
computer games
‘Sally’
o Moved into own flat from family home in 2003
o Sally can decide:
o
o
o
When she’s supported
Who she’s supported by
Whether she needs all 22 hours in a particular week
o Really enjoys late night – clubs/dancing
o Needs support for this, and needs to employ
staff who are happy to do this
o Staff are paid 1 ½ times standard rate after
11.00pm, therefore 11.00pm – 3.00am = 6 hours
(4 x 1 ½)
o Saving up hours for highly desired activity
o Converting standard hours into unsocial hours
o Converting standard hours into £
o All aspects of Individual Service Funds where
Provider Organisation and Commissioner
work together to look at how to give people
choice and control
Preston Road
o Provider led ISF’s
Commissioner led ISF’s
(4 men become 4 women)
+17 HRS
o Desire to help people move onto better living
arrangement provided impetus to develop provider led
ISF’s for each of the 4 men
Preston Road #2
o SSD wanted to establish a Young Person’s House for
Initial Transition from Home and
more
independent living
o 4 young women each with I.B’s
(covers core costs + some Individual Hours)
o 17 hours from Preston Road added to allow more
intensive support
o All 4 young women have circles of support and meet
regularly to review progress etc.
o 2 young women moved on together after 18 months
o 3rd young woman moved on 6 months later to own
place
Exercising Choice and Control
Share experience and examples of
establishing ISFs in your area/
organisation:
o Where ISFs are happening.
o What have been the key ingredients for success?
o Where ISFs not happening.
o
What's preventing this//what barriers need to be overcome?
Creating an ISF – Basic Formula
o
ISF = Share of Core Hours + Individual hours
+ Share of night time support
o
For an Individual Service, this is straight forward as Funding already
Individualised, and just needs to be ring-fenced
o
For Shared Tenancies need to:
1. Work out the hourly rate for the block contract via:
i. Take any costs for night time support away from block contact price
ii. Divide this by 52 1/7 weeks
iii. Divide again by the agreed number of contact hours
2. Know/Determine each person’s allocation of Individual Hours, as
well as share of core hours and night time support, and put
hourly rate into the formula
Example
o 19 people in a Block Contract, in tenancies of 1’s, 2’s
and 3’s
o Each person receives an allocation of funding that
covers their share of the core hours, their individual
hours, and their share of night time support
o This all adds up to the Block Contract price
o Becomes possible to organise What's Working/Not
Working Individual Reviews, which allow
person/family to determine whether happy with
current provider or not.
Block Contract
Indicative individual allocation agreed
Person Centred review (Independently Facilitated)
Annual
person
centred
review
Annual
person
centred
review
“Things are generally
working well.”
“There are some significant concerns
and I want to look at other options.”
Decision: to stay with existing provider
Decision: look at other options for using
personal budgets
Provider works with person to develop
support plan
Support plan signed off by Care Manager
Individualised service fund established
Individual Budget and employ own staff
ISF and choose a different provider
New service commissioned on person’s behalf
Example of Calculating
Hourly Rate
i. Contract price
=
£917,000
ii. 7 Sleep-ons
=
£87,000
iii. Agreed Number of Contact Hours = 1,300
Hourly Rate
=
=
=
917,000 – 87,000
52.14 + 1,300
830,000
52.14 + 1,300
£12.25
Example of 3 People Living
Together with 188 Contact Hours
i. Individual Hours = 33, 25, and 18 i.e. 76 hours
ii. Core Hours of 112 are Shared equally between the 3
tenants
iii. Sleep-on is shared equally between the 3 tenants
“John’s” ISF = 33+ ⅓ of 112 + ⅓ s/o
= 33 + 37 ⅓ + ⅓ s/o
=70 ⅓ + ⅓ s/o
“Jane’s” ISF = 25 + 37 ⅓ + ⅓ s/o
= 62 ⅓ + ⅓ s/o
“Phil’s” ISF
= 55 ⅓+ ⅓ s/o
Example of 3 People Living
Together with 188 Contact Hours
Continued
Conversion into £:
“John’s” ISF = 70 ⅓ x £12.25 x 52.14
+ ⅓ x £12,744
= 44,920 + 4,248
= 49,168