What is service design?

2. What is service design? • To design according to the needs of people using and delivering the service • A practice which borrows methods from different professions e.g. ethnography & market research, interaction design • A creative process • User-centred • Collaborative practice • Proven as a systematic method to answer complex practical problems and respond to new user needs • A way to create desire and relevance through new value propositions

3. Pilotlight Aim “To deliver four pathways to self-directed support in the form of service blueprints. These pathways will demonstrate how to tailor provision to groups of people who are less engaged with self-directed support, providing more personalised and appropriate services and increasing the range and diversity of support providers.” 3

4. Goals 4. Increased capacity of support providers to deliver a greater variety of self-directed support and services 2. Leading thinking on designing better services 1. Attitudes are identified that hinder access to self-directed support and organisations are encouraged to overcome these barriers 3. Collaboratively designed and produced services and support

5. Pilotlight structure

6. Pilotlight (Borders)

7. Borders Co-design Team

8. Design Process We are here

9. Discover Completed: Desk top research • 1 : 1 Interviews with co-design team practitioners • Workshop with Integrated Learning Disability Team • Workshop 1 with practitioner co-design team members • 1:1 Interviews with family carers • Meeting with provider user group • 1:1 Interviews with provider user group members

10. Define Completed: • Synthesis of design research so far • Defined key insight themes • Workshop 3: • Reviewed insight themes with co-design team • Co-design team chose themes they would like to focus their work on Pending: • Persona development – visual and anecdotal representations of practitioner groupings

11. Theme 1 (Lack of) accessible information & advice Draft national guidance section 4 & 5 / local guidance & protocols required Human rights. Continuum of capacity & risk. Assessing for risk & capacity in relation to SDS Options Supported decision making (draft guidance 9.2) Relationship between SBC assessment processes (SDS self-assess, CAD & PAD) Role of relatives/primary carer Fluctuating capacity & mental health conditions / advanced statements Discretion to refuse option/type of support (draft guidance p.29 & 30)

12. Theme 2 Differing perceptions of risk & risk thresholds Relationship between SDS support planning and risk assessment processes (reducing complexity & duplication) Positive risk management plans How to support decision making. (draft guidance 9.2) Risk around differing means of achieving outcomes Enabling & managing risk & capacity in relation to SDS Evidencing outcomes Roles of relatives /primary carer /user support / advocacy /providers When & how to use JIT risk assessment & protection plan Risk enablement panels SW risk & review capacity

13. Theme 3 Exploring & resolving differing perceptions of risk Positive risk assessment & risk management planning Joint accountability and information sharing Joint learning and development on SDS & safeguarding SSSC SDS practice Simulation Tool Enhancement Cross referencing SDS & adult protection training (draft guidance 9.5) Clarifying processes & paperwork to be used Training delivered by user support (Encompass)

14. Theme 4 Developing option 2 (individual service funds) & provider systems (p.28-29 draft guidance) Power of attorney and Financial Guardianship support Managing SDS money and safeguarding The role of user support organisation(s) Designing ways to manage money for people whose capacity fluctuates Proportionate audit / fraud prevention

15. Theme 5 Recruitment / PVG, Support & Supervision, Training, Health and Safety, Insurance, Absence cover Developing employer capacity Consequences of whistleblowing Protection for PAs Personal Assistants Regulation, level playing field for providers Remit of user support organisations PA agency development / staff register

16. Develop Completed: • Workshop 3: Mapping successful journey to SDS for someone with dementia using Alzheimer Scotland case study • Workshop 4: • Reviewed draft guidance on assessment / supported decision making and direct payments / individual service funds • Initial idea development around the Assessment and Managing Money themes Pending: • Further idea development around remaining theme areas

17. Design Tool : Mapping

18. Design Tool : Personas

19. Design Tool : Personas

20. Deliver Following the successful development of service prototypes to meet the barriers identified in the ‘discover’ phase we will produce and deliver a service design blueprint for SDS and risk and capacity. It will include: • Detailed ‘back stage’ and ‘front stage’ processes and touchpoints to successfully implement the designs at an operational level • Project timescales • Budgetary constraints • ‘How to’ guides to implement the service design by a project team

21. Projected Outputs Assessing for risk and capacity in relation to the SDS options • Accessible information on SDS options • Assessing for capacity tool for frontline workers • Supported decision-making guide • Interactive visual mapping tool for individual to understand and track people and processes in assessment Managing Money and Safeguarding • Template and guidance for third party Direct Payments • Individual Service Fund development

22. Insights to Date • Co-design and co-production take time. Building relationships is key. • Challenging theme for engaging meaningfully with people who access support • Practitioner SDS knowledge in Borders relatively advanced – Council investment in Direct Payments, SDS & SDS Workforce Development post • User support organisations a significant asset • Providers challenged by ISF development

23. Questions • How are you helping people who need support with decision making to engage with the opportunities offered by SDS? • What are the current barriers to developing ISF’s in your organisation for people who need support with decision making? • What are the solutions you are considering or implementing?