Transcript Organisational Efficiency Programme Board 12 January 2007

Personalisation
in
Leicestershire
Transformation of Social Care
Putting People First
In 2007 the Government created a concordat, an
agreement between departments, which outlines the
major changes across all social care and health
services in the country.
The agreement sets out to transform all public services,
to give the people who use those services greater
choice and more freedom to do the things they would
like to. In Leicestershire Adult Social Care, we call this
vision Promoting Independence, Changing Lives.
Personalisation
Our Purpose:
To enable adults in Leicestershire to
be as independent as possible and
play a full and active part in the life
of their communities.
Personalisation
At the Local Authority level, Putting People First is known as Personalisation.
This involves four key elements -

Universal Services

Prevention & Early Intervention

Social Capital

Choice & Control
Seven Steps of Being in Control
Self Directed Support
Assessment of Needs
Planning Support
Agreement
Resource Allocation
Organising Support
Using the Support to Meet Best Outcomes
Review and Evaluation
The Care Pathway
CUSTOMER JOURNEY
Support Pathway
Adult Safeguarding, Protection and Risk Management
Prevention
Referral/Contact
Assessment
(CSC)
Advice &
Information
Provision
Re- ablement
Assessment & Eligibility
RAS
Support Planning
Outcomes Met
Authorisation and
Validation
Brokerage
Outcomes Met
Advice & Information Provision
Review
Cultural Change
Traditional Approach
Statutory responsibility silos
1. Support based on screening of eligibility on
contact.
2. Assessment based on professional knowledge
and experience.
New Approach
Personalisation – individualised focus
1. Support provided to those who would benefit from
short term reablement.
2. Self assessment by the individual facilitated by
professional support when requested.
3. Type of service delivery solution based on
3. Service delivery options explored and designed
available care provision.
by individuals.
4. Level of service available determined by level of 4. Resource allocation determined by self
care needed and unit cost of services.
assessment based on level of support needed.
5. Management of care package responsibility of
Adult Social Care.
Need for adjustments and changes agreed by
local authority.
5. Control and flexibility for service adjustments
within resource allocation to individuals.
6. Provider accountability for delivery and quality
of service provision retained within Adult Social
Care.
6. Provider accountability for delivery and quality of
service provided direct to individual.
7. Audit and monitoring of services responsibility
of Adult Social Care.
7. Audit and monitoring of services by individuals
who receive / purchase them.
Personal Budget Options
EITHER
Managed Budget.
Direct Payment.
1. Cash Payment
LCC has 1. Council Managed 2. Provider Managed Account
3. Trust Fund
SU has
legal
4. SU designates an agent to legal
contract 2. ISF
(Council commission handle their PB.
contract
with
Examples are:
with
provider financial
management from a
Representative
provider
3rd party)
User-lead Organisation
3rd Party Organisation
(banking only)
Or a Combo!
Personalisation
New Tools For Self Directed Support
•SSAF
•RAS
•Support Planning
•Process Maps
•Practice Guidance
•Training Plan
•User Groups
•Evaluation and Review
•Public Information
Personalisation
Timescales for Full Implementation of Self Directed
Support in Leicestershire
•NWL Pilot February 2010 – November 2010
Implementation by LCC Areas
Coalville -
Monday 29 November 2010
Hinckley -
Monday 29 November 2010
Bassett St -
Monday 31 January 2011
Market Harborough -
Monday 31 January 2011
Loughborough -
Monday 28 March 2011
Melton -
Monday 28 March 2011
UHL Hospitals -
Monday 28 March 2011