Transcript Norfolk PCT Vision
Personalisation in Norfolk … An update Wendy Hardicker / Steve McCormack 1 July 2009
Large Rural County
720,000 population
Generally healthy population An old and rapidly ageing population Rurality and poor transport links a challenge But also …
In Control Pilot for Social Care
Now over 2,000 people receiving direct payments
By 2010 aspiring to having 4,000
175 Individual / personal care budgets – underpinning Staying in Control approach
Norfolk is ambitious …
‘In Control’ – social care pilot From September 2008 ‘health pilot’ – “Staying in Control” Pilot for Integrated Care Organisations (ICOs)
Pilot for Personal Health Plans
Leader in the use of Assistive Technology – Telehealth & Telecare And now ……
DoH provisional pilot for Personal Health Budgets
So what have we achieved
Partnership approach
Patient / carer involvement
Dedicated project management / Plan
Steering Group
Implementation Team
Partnership Approach
In NORFOLK we have
Built on social care experience
Involved Independent Living Norfolk & Age Concern
IPSOS MORI survey Re: Personalisation
Getting Personal – Getting Real (NSP)
Potential Health Budgets: User Views
SCENARIO
Jo currently has a personal budget to access respite breaks, day service and home care. When Jo planned support she was using a day service funded by NHS, which had to be left out. Since found one that is funded through Social Care!
However ………..
Cont …
Her comments were …
Finding out what’s available & important
Use of support organisations to ‘broker’ her requirements, etc.
I needed a list of services and costs details are essential.
Could she buy transport from a health budget?
Need joined up documentation!!
Project Delivery
Preparation phase Phase I – ‘preparing for a personal
budget in Norfolk’
Phase II – ‘Implementing a personal
health budget pilot in Norfolk
Preparation - Timelines
OUTCOME – Achieve a suitable framework
Engage Stakeholders – achieved Modelling with case studies – achieved Communications plan – achieved
Establish user involvement – achieved
Meet with focus groups – end of July Finalise plan for next phase – 3
rd August
Phase I
Implementation Plan Explore how health and social care systems need to be aligned / changed to ‘receive one budget’.
Explore different options for individuals – e.g. notional budgets / third parties, etc.
Develop personal health planning process and system ………….
Identify individuals for whom “individual (health) budgets” would improve their lives Plan for next stage
Phase II
Target PHB offered to individuals – 10 by March 2010
Report by ILB on learning elements from project
Identify and report on workforce issue arising
Produce recommendations for health and social care systems changes Produce “Roll Out”
Target Outcomes
Integrated framework from which individuals could be offered a personal budget across both health and social care …….
… that ‘buy-in’ is evident across range of Stakeholders
An understanding of the requirements an individual needs in terms of advocacy or navigation support to use a personal budget.
Target Outcomes cont…
(continued)
An understanding of skills set needed of an advocacy and navigation role.
An understanding of the limitations of personal health budgets.