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Person Centred Commissioning

Person Centred Commissioning . Julia Ross National Programme Lead For Social Care Care Services Improvement Partnership (CSIP). Martin Routledge National Lead, Self Directed Support Care Services Improvement Partnership (CSIP).

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Person Centred Commissioning

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  1. Person Centred Commissioning Julia Ross National Programme Lead For Social Care Care Services Improvement Partnership (CSIP) • Martin Routledge • National Lead, Self Directed SupportCare Services Improvement Partnership (CSIP)

  2. Statements on commissioning and what this means for outcomes focus • Good performance in commissioning • Standards continue to rise • Councils achieved £200m efficiency gains • Better understanding of strategic commissioning State of Social Care in England CSCI 2004/05

  3. Development Areas • People still not at the heart • Profile of services too traditional • How far does early intervention feature in plans • Councils commission for procurement not for • community State of Social Care in England CSCI 2004/05

  4. Learning from Others • Market providers • Housing • Children’s Services • Transport • Each other

  5. Independence, Wellbeing and Choice …move from a system where people have to take what is offered to one where people have greater control over identifying the type of support or help they want and more choice about and influence over the services on offer.

  6. Our Health, Our Care Our Say • Choice and control via: • Better information and signposting • People at centre of assessment • More Direct Payments • Introduction of individual budgets

  7. Individual budgets – part of major system shift? Individual budgets offer a radical new approach, giving greater control to the individual, opening up the range and availability of services to match needs, and stimulating the market to respond to new demands from powerful users of social care This new approach will require radical changes to the way services are organised and delivered…will help shift resources away from services that do not meet needs or expectations

  8. Shift to real choice and control requires levers and mechanisms as well as exhortation and guidance • Key system changes in respect of the allocation, control and use of resources – shifting money power • Re-balancing of risk/flexibility equation • Performance assessment based on outcomes linked to citizenship • Demonstrably effective ways of getting efficiency via individual design • Demonstrably effective ways of controlling budgets at the same time as shifting power

  9. Some background… • Cross-Government project – Department of Health, Department for Work and Pensions (Office for Disability Issues) and the Office of the Deputy Prime Minister • Policy commitment to piloting individual budgets: • Improving the Life Chances of Disabled People (Strategy Unit, January 2005) • Opportunity Age (Department for Work and Pensions, March 2005) • Independence, Well-being and Choice (Department of Health, March 2005) • Our health, our care, our say (Department of Health, January 2006)

  10. Might it work? Early findings from In Control

  11. What is included? • The pilot project will test the inclusion of a range of income streams: • Council provided social care services • Supporting People • Disabled Facilities Grants • … the pilots will include all the main groups that social care is provided for: • People with physical disabilities • People with sensory impairments • People with learning disabilities

  12. Thirteen Pilot Sites • Lincolnshire • Leicester • Norfolk • Manchester • Oldham • West Sussex • Kensington & Chelsea • Barnsley • Barking and Dagenham • Bath & NE Somerset • Coventry • Essex • Gateshead

  13. Key elements Project plans should show how local models for IB will: • a)Allocate resources transparently • b) Streamline assessment processes across agencies • c) Bring together a variety of streams of support and/or funding, • from more than one agency • d) Give individuals the ability to use the budget in a way that • best suits their own particular requirements • Allow support from a broker or advocate, family or friends, as • the individual wishes.

  14. From… To…

  15. Choice of Means Through Which Resources Can Be Deployed and Managed

  16. From Local Authority to Individual Commissioning Local Authority Needs Analysis Commissioning and Contracting Services Individual Assessment Match Individual with Services

  17. From Local Authority To Individual Commissioning Individual Brokerage Individual Care Package/ Circle of Support Aggregation of services bought Local Partnership and LAA Strategic Commissioning

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