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Direct Payments in Residential Care Surrey County Council Trailblazer Sue Senior – Project Officer Stella Smith – Team Manager Adult Social Care Policy & Projects Team February 2014. Trailblazer Project.
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Direct Payments in Residential CareSurrey County Council Trailblazer Sue Senior – Project OfficerStella Smith – Team ManagerAdult Social Care Policy & Projects TeamFebruary 2014
Trailblazer Project • Surrey County Council is a trailblazer site which has been recruited to test new Government policy • The trailblazer sites will prepare for the introduction of Direct Payments in care homes nationally • Trailblazer sites are therefore providing the learning and will contribute to future guidance which will be used upon roll-out • All councils will be empowered to offer Direct Payments to residents of care homes from April 2015 • Surrey County Council can offer them now – as regulations have been changed earlier for trailblazer sites
Background - What is a Direct Payment? • A cash payment made to individuals who have been assessed as eligible for publicly funded care and support • Allows people to have greater choice and control over how their social care needs are met • First introduced in 1997 – and the number has increased sharply in recent years • DPs are not currently available for people in residential and nursing care • National policy emphasis on Personalisation
Policy Context “ The ability to make choices about how people live their lives should not be restricted to those who live in their own homes. It is about better support, more tailored to individual choices and preferences in all care settings” (Department of Health, 2008) • The Care Bill (2013) -recommends that everyone should have a personal budget as part of their care and support plan- preferably as a Direct Payment • A Law Commission recommendation aims to allow equal access to Direct Payments to all recipients of care – both in their own home and in care homes • From April 2015, people in residential and nursing care settings will have the right to ask for a direct payment
Trailblazer evaluation The Department of Health is conducting an evaluation of the Trailblazers which will look at: • Assessing the impacts of direct payments in care homes on residents and their families, care home providers and council staff • Understanding the different ways in which direct payments are offered to residents of care homes • To examine the challenges arising for users, carers, care home providers and council staff
Partnership approach in Surrey • We are currently scoping this project, and considering how we will test this approach in Surrey • We are looking at establishing our internal processes with a view to offer direct payments in a small number of care homes from Spring 2014 • We would like to work with providers to investigate the different ways that Direct Payments could be introduced in care homes in Surrey and come up with the solutions together
Discussion • How might Direct Payments in care homes work within Surrey ? • What particular issues and challenges do we need to consider?