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]