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Personalisation – what does it mean ? Levers for Change event 1 st May 2009

Personalisation – what does it mean ? Levers for Change event 1 st May 2009 . Clear central government agenda - 1. Putting People First (December 2007) set out a “shared vision and commitment to the transformation of Adult Social Care”.

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Personalisation – what does it mean ? Levers for Change event 1 st May 2009

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  1. Personalisation – what does it mean ? Levers for Change event 1st May 2009

  2. Clear central government agenda - 1. • Putting People First (December 2007) set out a “shared vision and commitment to the transformation of Adult Social Care”. • “People who use social care services and their families will increasingly shape and commission their own services’’ • “The state and statutory agencies will have a different not lesser role – more active and enabling, less controlling”.

  3. Clear central government agenda 2. • Transforming Social Care (January 2008and 2009 ) provided further details on the significant resources being made available to councils to transform social care. • The Social Care Reform Grant makes £500m available to all councils providing Adult Social Care • There is room for local control in this agenda and so local leadership and planning is crucial • The delivery of personal budgets is stated to be an essential part of the overall agenda.

  4. Why do we need to change? • The present system – Based on matching a limited range of services to people’s assessed needs – Costs are rising and services are under increasing demographic pressures – Many people who are not eligible for services receive little help and support - Services respond to crises and high level needs only • Local authorities' response to date – Looked to make efficiency savings (including shifting largevolumes of in-house services to the private and voluntary sectors) – Changing eligibility criteria to restrict access. The current system of social care is not sustainable.

  5. Elements of Putting People First Early intervention Information and advice Re-ablement Leisure services Joint working Transport Personal budgets Neighbourhood networks Family and friends Personalised services User led groups Self directed support Vol. orgs.

  6. What are we trying to achieve? • A new relationship between citizens and their public servants • A single, coherent system able to respond to the differing needs of individual citizens • A shift from crisis intervention towards enablement and early intervention to promote independence • Support and services built around the specific needs and aspirations of individuals: to fit into their lives

  7. Transformation– Challenges • Scale and breadth of change required • Culture change • Involving users and carers • Lack of capacity – in the market, within LAs • Scarcity of skills ( personalised approaches) • Leadership and sign up • Uncertainty about the future shape of services – implications for workforce and commissioning • Double running of systems • Whole system approaches across health, social care and wider partnerships

  8. Core principlesof Personal Budgets • Choice and control • Upfront allocation of funding/budget Resource Allocation System (RAS) • Choice of support for planning/brokerage • Choice of delivery e.g DPs or commissioned service • Potential mix of funding streams

  9. Co-production Need to develop viable models of citizen commissioning because • Many more users will become commissioners in their own right • Inclusion means access to more universal services • Need to develop services people want to buy • Choice as well as needs should be reflected in Strategic Needs Assessments • Users and carers should become partners in the commissioning process

  10. Personalisation in practice • Focuses on people rather than services • Promotes self management and autonomy • Real choice and control • Focuses services on outcomes – little things can make a big difference • Emphasises what people can do rather than what they can’t do • Promotes inclusion and participation in the community • Services and support fit in with everyday lives

  11. Service user Lesley took part in the BANES Individual Budget Pilot Programme. Describing how she takes life one day at a time since being diagnosed with Rheumatoid Arthritis, she explained how she made use of her Individual Budget: to employ a family member to provide personal care to purchase help with laundry and transport Lesley said it's critical for services to work together on personalised care. A crisis in her housing meant her individual budget wasn't currently available, but she hopes to go back on it soon. "It's the first time I've been asked what I want ... I can't leap around anymore but I can be effective".

  12. Some of the things that people have done with their money • Employing a neighbour • Broadband access • Purchase of a mobile phone • Driving lessons • Massage/ aromatherapy • Buying an air conditioning unit • Renting a workshop (two people together) • Paying for travelling to stay with relative for a break

  13. Pam Richards Personalisation Coordinator for the South West Region Pam_richards@bathnes.gov.uk Tel 01225 477808

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