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Direct Payment Support Services

Direct Payment Support Services. 2 nd Review Group Meeting 25 th January 2011. Working Hypothesis. “Direct Payment Support Services enable people who use care services to live more independently, are cost effective and are therefore a valuable component of the market.”.

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Direct Payment Support Services

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  1. Direct Payment Support Services 2nd Review Group Meeting 25th January 2011

  2. Working Hypothesis “Direct Payment Support Services enable people who use care services to live more independently, are cost effective and are therefore a valuable component of the market.”

  3. Evidence to support hypothesis • Largely anecdotal • PA Project – engagement with service users • DPSO reported levels of user satisfaction • Feedback gathered from service users – eg in the course of Support Planning reviews • Measures for ‘living more independently’? • Health Outcomes? • Financial case?

  4. Partnership Agreement

  5. Partnership Agreement

  6. Challenge • To ensure that people who use services can access high quality, effective, value for money direct payment support services that help them to live more independently

  7. Challenge • To ensure that people who use services can access high quality, effective, value for money direct payment support services that help them to live more independently • To ensure that there is an adequate range of provision to allow people to choose the direct payment support service that best meets their needs within their personal (state-funded and self-funded) budgets

  8. Issues • Lack of choice (competition, information, access) • “All or nothing” provision • What do service users want? • No consistently defined standards • Over-reliance of providers on LA contracts • Contracts which constrain provision rather than stimulate diversification / differentiation • Cost v. Benefit? • Sustainability?

  9. Service Provision - Options • In-house • Effect on competition? • Delivery premium of 30% • Independence? • External • Commissioned? • Framework? • Grant funded? • None • Not really an option – or is it? • Can the market sustain “direct procurement” by service users, with a DP?

  10. Helpful Interventions? • Contract expiry: opportunity or threat? • Regional / sub-regional collaboration • Provider event(s) • E-Marketplace & information repository • Kitemarking • Provider-led standards framework • What else?

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