Transcript Slide 1
East Sussex County Council Putting People First Programme Update on Self Directed Support Jane Goldingham : Putting People First (PPF) Workstream Lead Access and Self Directed Support Key Areas • Activity update • Key Challenges around implementing Self Directed Support • Relationship between the Resource Allocation System and Care Funding Calculator • Key Developments for 2011/12 Background • Small Personal Budget pilot : Feb 09 – April 10 • Demonstrator site in Lewes and Wealden : Oct 09 – Dec 09 tested and re shaped tools and pathway proportionate assessments and Supported Self Assessment (SSA) • Roll out of Self Directed Support (SDS) in most ASC teams: April 10 • Phased roll out of SDS in Mental Health teams: From July 10 Activity Update • Number of People on Personal budgets and /or Direct Payments between April and December 2010 – Total of 4519 service users and 1506 carers – LD service users make up 8% of ESCC’s client base – 230 LD service users have a Personal Budget • Deployment method for LD users - 31% Direct payment only - 52% using services arranged or paid for by the Council - 17% with a combination of the two What does it mean for People receiving support More choice and control over how support is received Different ways of meeting needs and outcomes Flexibility over how support can be received Working in partnership with services users, their families and other organisations Working with other organisations to develop support plans Working with the market to identify different solutions Some Key Challenges Changing Culture and Practice Shifting away from services to outcomes Getting buy in from existing service users who may not want change Working within current and increasingly tight financial climate Demographic challenges with more people coming through the door and less available funding Whole Systems change – ‘Lean’ Project Getting the Money Right Self Directed Support - the Resource Allocation System ( RAS) and the Care Funding Calculator (CFC) What are these and how do they work on the SDS pathway? Resource Allocation System (RAS) • Purpose : A calculating tool which is used to determine an ‘indicative’ level of funding based on an assessment of need • The ‘RAS’ is used for everyone with an ongoing eligible need for social care funding and support • It follows the assessment of need • The ‘indicative’ budget is an upfront figure used to assist someone with developing their Support Plan • RAS Figures are based on ‘average costs’ of packages for relatively similar levels of need • Ongoing Development of the RAS in partnership with FACE Care Funding Calculator (CFC) • The CFC is a nationally recognised, regionally developed procurement and benchmarking tool used to determine ‘best value’ in relation to costs and quality of service for accommodation based care • It is only used for those people who require accommodation based services and support • The CFC is more specific to the package of support that will be purchased, and the factors that affect market prices, including location and size of service • The CFC will help to determine the ‘best value’ price for an accommodation based service and is used to inform the costing of the Support Plan The Final Personal Budget Figure • The Final Personal Budget Figure will be informed by both the above tools ( where relevant) and will be based on the most cost effective way of meeting the needs and outcomes identified in the Support Plan • The LD RAS is currently undergoing development and further work is being done to confirm the relationship between the CFC and the RAS and the extent to which each tool will be used to determine fair and equitable funding decisions for the future. Some Key Developments for 2011/12 • Development and training of staff to support culture change and shift to outcomes – embedding this in practice • Collating examples of ‘best practice’ • Update Self Directed Support Tool set • Ongoing work with the RAS and CFC • Increase in numbers of Direct Payment users • Personal Health Budgets • Involvement of users in working with us over the pathway and tools • Streamlining the whole pathway and User/Carer experience - Lean Project Thank you Contact details : [email protected]