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Most people are different people. Personal Budget the Netherlands. Sofia, May 2007 Bart Branderhorst. Law concerning the provisions for disabled, WVG. Apply to a national (central) office. Decisions that neglect the local, the specific situation, never are the best!. WVG.
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Personal Budget the Netherlands Sofia, May 2007 Bart Branderhorst
Law concerning the provisions for disabled, WVG • Apply to a national (central) office. • Decisions that neglect the local, the specific situation, never are the best!
WVG • Was decentralised • Expenditure went down • User satisfaction increased
direct payment • Oganisations of persons with a physical disability • Parents organisations are the initiators
Godfathers of the Direct Payment system Theo Zwetsloot: The first president of Per Saldo Per Saldo: 18.000 paying members Paul Cremers: Consultant to central government on care system improvement
Voting Power! • political power • reducing of costs • shared Values / political correctness • international experiences • previous national experiences (like WVG decentralisation) lead to solid legislation
State of Play • Central Indication Committee (C.I.Z.): individual level • Health Care Insurance Board (CVZ): national level
Difference Personalised Budget ≠ Direct Payment direct payment is one way of a personal budget system
Why Personal Budget • Self Direction • in kind • direct payment (money)
Personal Budget • To improve the freedom of choice for the service user more providers are necessary • figures • 2007 € 2500,-- • €1300,80 per month • € 60,04 per day • 95.000 persons (11% I.D.)
Perspective • WMO: law concerning support in social affairs. • Decentralisation • No growth in direct payment • Better ? • Cheaper?
Consequences for staff • Theory: immense • Pratice: ? • Service providers in Holland are voluntary organisations • Same roots, same values