Transcript Stage summary: implementation planning

Putting People First
Delivery Programme
Introductory transformation
presentation:
This document is part of the personalisation toolkit
www.dhcarenetworks.org.uk/personalisation
Transformation agenda- What’s it all about?
 Universal services – Adult social care must provide support for all adults
with social care needs and their carers, including signposting and help in
accessing a range of services that are available to all including services
outside of adult social care such as transport, leisure, health and education.
 Social capital – developing the community and encouraging individuals to
make use of all resources available to them in the community, including
personal networks (family and friends), community groups, the voluntary
sector and other informal support
 Prevention and early intervention
 Helping people maintain good health and independence with low level
support.
 Identifying people at risk of losing independence and giving them
support early.
 Helping people get back on their feet after illness, for example through
“enablement”.
 Choice and control – ensuring people have greater choice and control over
their lives, including through self-directed support.
Co-production
• Co-production is a key part of this agenda
• Real change can only happen by engaging users and carers
throughout
• Personalisation means empowering people to develop solutions
that work for them
Putting People First… “seeks to be the first public service reform programme which
is co-produced, co-developed, co-evaluated and recognises that real change will
only be achieved through the participation of users and carers at every stage. It
recognises that sustainable and meaningful change depends significantly on our
capacity to empower people who use services and to win the hearts and minds of all
stakeholders’, especially front line staff”
Personalisation - what do the words mean?
Prevention and Intervention have a
vital role
General
population
Low to
moderate
needs
Substantial
needs
Complex
needs
Timely discharge
Institutional avoidance
Crisis / flexible response
Enablement
Early intervention
Practical support
Lifestyle
Information
Citizenship
There are activities at every stage which can improve quality of life
and reduce demand
Change is essential
The present system
• Based on matching a limited range of services to
people’s assessed needs
• Costs are rising and services are under increasing
demographic pressures
• Many people assess the current situation as being ‘in crisis’
Local authorities' response
• Looked to make efficiency savings (including shifting large
volumes of in-house services to the private and voluntary
sectors)
• Changing eligibility criteria to restrict access
Levels of Support
Level of support
Currently, council typically provide one of three levels of service
Self funders
Low care
requirements
High care
requirements
Level of support
Levels of support should be determined by need with support offered to all citizens
Level of need
No longer IF but HOW
‘Transforming social care’ makes it clear that all local
authorities have to change their social care model
and that this will involve a significant amount of work.
“We have a long way to go to give everyone more
choice and control over the care and support they
receive. Local councils are clearly working hard to
transform their systems to do this. We need to
work together with local communities to ensure
this progress continues.”
Phil Hope, Minister for Care Services, May 2009
No longer WHEN but NOW
Councils and partners are working to deliver significant
progress by 2011.
“The information given to us from councils indicates
very strong progress amongst a number of
councils. We are confident that this will become
widespread over the coming year”
Jeff Jerome, National Director for social care
transformation, May 2009
IBSEN report
The IBSEN review of the individual budgets pilots was published in
November 2008, with a carers evaluation published later.
The key findings included:
- More people felt in control of their lives
- More people taking up direct payments
- Many people continued to use mainstream services
- Need for better access to support planning and brokerage
- Mixed evidence about the early outcomes for some people
- Some challenges about making it work for some groups (such as
older people)
- Mostly positive results for family carers
Various perceptions of success
Greater
control
over
limited
finances?
Improvement in
outcomes
?
Maintain/
improve
CQC
rating?
Inclusion
of more
funding
streams?
Efficiency
?
More Coproduction
?
Evidence
of new
options in
the
market?
Genuine
choice and
control?
A new
‘agreement
’ with
citizens?
Less
reliance
on local
authority?
Increased
Social
Capital?
Avoiding
bad
press?
Demonstrable
culture
change?
Everyone
acting as
selffunders?
You need to define what success means in your
area