In Control Presentation An Overview in Lancashire

1. In Control PresentationAn Overview in Lancashire Ian Turnbull and Kim Haworth

2. This presentation is an overview of the work so far in Lancashire • It is used to explain to a range of staff in various settings the concepts and thoughts regarding In Control, its application and the potential implications eg contracts, finance, IT systems etc

3. In Control - What that means? • Resource Allocation Model - RAM • Resource Allocation System - RAS • Self Directed Services • Self Directed Support • Personalisation • Individual Supports • Individual Budgets

4. In a Nutshell!! • Know how much money you are entitled to • You can plan for yourself – with support you control • You can use your money flexibly - on services, but also on new ideas • You can make your own decisions or choose someone to help with this • You can change your mind and do something different

5. Where Did It Begin? • Misunderstanding of the Social Work role re Person Centred Planning • Phone Call to Simon Duffy • Initial 3 day workshop with all the SW team members in Lancashire • Follow on sessions up to present day with Team Managers and others to progress thinking

6. Work Undertaken • Used Simon Duffy as a consultant • Considered a range of work that had been undertaken with other authorities • Developed some thinking about how to work smarter in terms of Care Management • Worked to construct a framework to test out some of this thinking

7. Main Areas of Thinking • People plan better when they know the resources they have available • Providing a framework that clearly shows the allocation that is available based on a fair funding basis – ‘the matrix’ • This was based on an analysis of current spend • Try it out – Test To Destruction!!!!

8. Example of the Matrix – V2

9. Lancashire Version in development Personal Care Needs

10. More Thoughts • Once you’ve had an allocation – how do you do the planning. • More Terms!!! • Service Design • Brokerage • Support Planning

11. The 5 Pathways • Individual Led • Family Led • Provider Led Brokerage • Independent Brokerage • Care Management • Has assisted National Thinking

12. Agree the Plan • The Service Design should result in the production of a quality plan which needs approving • Basic criteria for a good plan already suggested

13. Manage the Individual Budget • You have the plan – you have the money, now choose how to manage it • Direct Payment • Direct Payment (agent) • Direct Payment (trust) • Broker • Individual Service Account • Care Management

14. Organise the Support • Agree who will organise the support

15. LIVE LIFE!!! • Use your resources as flexibly as possible to meet your needs in line with your personal aspirations

16. Review and Learn • Provide reports to Care Management to explain outcomes achieved. • Submit new plan for new period

17. The 7 Steps to Make it Happen

18. Work in Progress • We are trying it out with the pilot cases (15) • Other desk top exercises • Doing more work on Resource Allocation Matrix • Have considered & tried out Version 3 • Working on amalgamating Version 2 & 3 • Comprehensive Project Plan • Monthly Steering Group meetings • We’re working through the Project Plan at the monthly Operations Group meetings

19. National Associated Work • Resource Allocation Matrix – RAM Sub-group • Provider Led Brokerage in East Lancashire exploring approaches • Evaluation of In Control and links to P.I’s

20. Parting Thought • The underlying principle of In Control is to ensure the way we help people with a disability is based upon a person centred approach and therefore to construct organisations and systems that promote this. To make this happen we need enthusiasm, belief and a change in culture (and the strength to drag a dead horse up a mountain!!!)