Community, Health and Social Care Directorate

1. Community, Health and Social Care Directorate Presentation to SSP LSP Executive Meeting on Personalisation and Communities 27 January 2010

2. What is Personalisation? The inverted triangle of care Community strategyEngagement, empowerment, environment, safety, housing, learning, culture and leisure Citizens All partners Preventive services, promotion and well-being policies Public services,Voluntary organisations,faith communities Promoting independence and preventing deterioration Individuals, families, communities Specialist care Health, social care,housing Direct users & carers Source: All our tomorrows, - ADSS, LGA

3. What is Personalisation? • Vulnerable people in Salford being empowered to shape their own lives and the services they receive. • This includes people being enabled and supported to make their own decisions about how resources may be used to meet their needs, aspirations and ambitions. • Maximising people’s life opportunities with them having a degree of choice and control.

4. What is Personalisation? Universal Early Services Intervention and Prevention Social Choice and Capital Control People / Citizens

5. Some Changes Required • Serious Commissioning Decisions – planning for the future • Fundamental changes to the way we work • Working in Partnership • Improved outcomes for people • Workforce roles and functions • Culture shift

6. The Salford Perspective • Demographic changes, ie: • increase in 75+ years group • more people with dementia • more people with complex conditions in the community • more people with Learning Difficulties and Downs Syndrome and more people with Learning Difficulties living longer into old age due to medical advancements

7. Strategic intentions include: • The Salford Plan – priority areas such as promoting inclusion, improving health • Joint Strategic Needs Assessment • Local Area Agreement • Community Neighbourhoods develop • “Think” initiatives • Local Well-being Strategies – Disability – Dementia, etc • Local Targets to meet ie: 1500 April 2010 – 3000 April 2011

8. Enabling people in Salford to maximise life opportunities/exercise choice and control Wider engagement of communities and local relationships Supports positive outcomes and aspirations Draws the Council’s plans and initiatives together Buildings upon the positive working relationships and partnerships across the City Some Key Benefits of Personalisation

9. Some of the Main Action Areas for Salford • A programme Plan is in place • Develop a vision for Salford • Development of Customer Services • Commissioning for the future • Development of the workforce • Use of systems/technology • Financial sustainability

10. Some Key Considerations for Service Development Neighbourhoods • Promotion of Personalisation • Promote the voice/input of stakeholders/citizens/customers • Promote the partnerships in the wider communities • Interaction within local communities and positive effects • Access to both informal/formal help and support • Individuals involvement in decision about their communities • Build communities and community spirit with active citizenship

11. Some Key Considerations for Service Development Neighbourhoods • Choice and control, raising aspirations are some of the key elements of Personalisation • Other factors within communities include: • local service availability/access • transport • isolation • local workforce targeting • information and advice • roles of independent people, groups, activities • potential for market/service growth in localities

12. Case Studies – Direct Payment Examples Example 1 A young woman with a learning diificulty who has a provision for respite. To give her carers a break she goes and stays with family in Israel. The family do not want any payment for caring for her, but she is unable to fly alone and needs support. The direct payment is used to pay for the carer’s air fares to Israel. Example 2 A young man with a learning difficulty has secured a job at a local supermarket but needed support to maintain his role. The supermarket initially provided support for him but were unable to continue due to staffing issues. He then through a direct payment employed an agency to support him to become more independent and help him manage his role successfully.

13. Case Studies – Direct Payment Examples Example 3 An older gentleman needed daily support to help him with all his essential daily needs (getting up , bathing, meal preparation, etc) but was reluctant to have an agency support him. His daughter cared for him every day whilst holding down a job and a family. She was visiting her father 3 times a day and having to get taxis to get to her fathers because of the difficulty of public transport from where she lived. Because she was receiving some benefits and needed her job for her own independence and wellbeing, she did not want to be paid as a personal assistant and jeopardise both. After some negotiation, a direct payment was used to pay for the daughters taxis to support her in her caring role.

14. Case Studies – Direct Payment Examples Example 4 A woman in her thirty’s living in Salford. Original direct payment goal was to support this lady in therapeutic activities of her choice in order to maintain her well being. The direct payment being used in this situation, is not to employ someone but to purchase a place on courses like art and photography. The direct payment also funds the materials needed to participate and complete courses. For example, binding her portfolio’s, framing certain pieces of work to portray in exhibitions etc. She then received a one off direct  payment to purchase a computer which she uses to communicate with her peers in order to maintain contemporary social contact and to navigate the internet to source ideas and information for her courses.

15. Case Studies – Direct Payment Examples Example 5 A man in his thirty’s living in Salford. His original direct payment was to enable this man to successfully move into his own home and manage his affairs with his Personal Assistants support. This man has a history of struggling to independently manage his financial and domestic support. He decided to ask his mum to be his PA. His mum has been the person in his life, throughout the difficult times in his life, who he has turned to for support. He is an avid chess player and has participated in National Tournaments both in Britain and abroad over the years. The direct payment has stabilized his life in such a way that he can begin to look to his next goal of training people to play chess.

16. Case Studies – Direct Payment Examples Example 6 A lady in her forty’s living in Salford. She accessed direct payments to help her to gain control over her chaotic life and help her to restore her appreciation of life generally. Her support package is for both personal care and for maintaining her wellbeing. She uses her direct payment to employ people of her choice, one of which is her daughter. The direct payment covering her wellbeing, she uses Creative Support activities and support workers to access activities of a therapeutic nature.

17. Case Studies – Direct Payment Examples The direct payment has stabilized her  mental and physical health and has given her self-direction and the confidence to speak up. She has come to learn more about her strengths and weaknesses now and acknowledges she is worthy of being listened to and respected. So much so, that she has participated in presentations explaining how direct payments had directly benefitted her and encourages people to find out more about direct payments to both workers and the general public. Example 7 A man early 50’s with advanced MS. Has own adapted bungalow no agencies prepared to work with him so forced to live in old persons hostel. With direct payment and family support he employed a team of pa’s and moved back into own home. He lived there supported by his pa’s for four more years.

18. Case Studies – Direct Payment Examples Example 8 A mum and daughter living together, mum elderly lady with M.S. Daughter early 40’s and has Downs Syndrome, Agency formerly went into their home in the mornings to support daughter and make toast and tea but won’t do so for mum. Mum has to do her own that uses all her energy for morning. Starts direct payment for daughter pa laughs and says “don’t be silly” it doesn’t take any longer to make 2 slices of toast and 2 cups of tea. Mum now also has direct payments and says best thing to happen to them.