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HFT Voluntary Organisation – Trustees -> Central -> Local Networks

HFT Voluntary Organisation – Trustees -> Central -> Local Networks - 40 + Years / - Diversity / Spectrum of Need / Decentralization - For People with Learning Disabilities and Families - 600+ in houses - 300+ in Day Services - Supported Employment / Advocacy

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HFT Voluntary Organisation – Trustees -> Central -> Local Networks

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  1. HFT • Voluntary Organisation – Trustees -> Central -> Local Networks • - 40 + Years / - Diversity / Spectrum of Need / Decentralization • - For People with Learning Disabilities and Families • - 600+ in houses • - 300+ in Day Services • - Supported Employment / Advocacy • Family Carers Support • £27,000, 000 Turnover • 1000 + Staff • National / International Partnerships

  2. UK CONTEXT KEY SERVICES - Health - Education - SSD - Housing - Financial Benefits KEY FEATURES - Law - Policy - Resources

  3. CENTRAL GOVERNMENT (England Only) • Makes Law – varies in precision • Makes Policy – Valuing People • Allocated Resources – Taxes, Pension administered • direct and mainly to Local / Health Authorities

  4. LOCAL GOVERNMENT Responsibility To Implement • 100 + Local Authorities • Can raise some local taxes • Can set some priorities

  5. HEALTH -Central Government controlled -Strategic Health Authorities -Primary Care Trusts -Special Hospitals EDUCATION -Central Government sets standards -Local Authorities manage -Inclusion HOUSING -As Education -Supported Housing – All Client Groups -Directly / Indirectly provided NB Separation of provision to ensure security SOCIAL SERVICES -As Education -Children -Adults -Directly / Indirectly provided -Local / National -Private / Voluntary

  6. REGULATION BY QUANGOS • Inspect • Monitor • Suggest • Do not control expenditure • Sometimes causes tension

  7. ASSESSMENT / ACCESS TO RESOURCES • Information • - Agencies must set priorities • - These must be published • - Duty to provide information • - Duty to consult • All variable • Some authorities overwhelmed • Some do not really want to • Poorer / BME harder to reach

  8. ASSESSMENT / ACCESS TO RESOURCES • Information • - Agencies must set priorities • - These must be published • - Duty to provide information • - Duty to consult • All variable • Some authorities overwhelmed • Some do not really want to • Poorer / BME harder to reach

  9. Referral - Assessed against priorities - Fair Access to Care - Internal consistency / external variability - Carers as well as people with learning disabilities Single - Theoretical Assessment - Process driven, not attitude driven Process - Care Managers Needs - An assessed need must be met - Though still have duty to assess “Best Value”

  10. TREND / ORGANISATION • A faster and faster pendulum • Decentralization / Centralization • Amalgamation / Division • Generic / Specialisation • PATTERN • Deinstitutionalization • Person Centred Services • Transactional complexity • Capacity Legislation / Advocacy • Cultural changes / Person Centred Planning (Sanderson) • Flexibility / Variability

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