Putting People First Delivery Programme

Introductory transformation presentation:

This document is part of the personalisation toolkitwww.dhcarenetworks.org.uk/personalisation

Transformation agenda- What’s it all about? Universal services – Adult social care must provide support for

all adults with social care needs and their carers, including signposting and help in accessing a range of services that are available to all including services outside of adult social care such as transport, leisure, health and education.

Social capital – developing the community and encouraging individuals to make use of all resources available to them in the community, including personal networks (family and friends), community groups, the voluntary sector and other informal support

Prevention and early intervention Helping people maintain good health and independence with

low level support. Identifying people at risk of losing independence and giving

them support early. Helping people get back on their feet after illness, for

example through “enablement”. Choice and control – ensuring people have greater choice and

control over their lives, including through self-directed support.

Co-production

• Co-production is a key part of this agenda• Real change can only happen by engaging users and carers

throughout • Personalisation means empowering people to develop solutions

that work for them

Putting People First… “seeks to be the first public service reform programme which is co-produced, co-developed, co-evaluated and recognises that real change will only be achieved through the participation of users and carers at every stage. It recognises that sustainable and meaningful change depends significantly on our capacity to empower people who use services and to win the hearts and minds of all stakeholders’, especially front line staff”

Personalisation - what do the words mean?

Citi

zen

ship

Info

rma

tion

Life

styl

e

Pra

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al s

up

po

rt

Ea

rly in

terv

en

tion

En

ab

lem

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t

Cris

is /

fle

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le r

esp

on

se

Inst

itutio

na

l avo

ida

nce

Tim

ely

dis

cha

rge

General population

Complex needs

Substantial needs

Low to moderate

needs

Prevention and Intervention have avital role

There are activities at every stage which can improve quality of life and reduce demand

Change is essential

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 assess the current situation as being ‘in crisis’

Local authorities' response

• Looked to make efficiency savings (including shifting large volumes of in-house services to the private and voluntary sectors)

• Changing eligibility criteria to restrict access

Levels of SupportCurrently, council typically provide one of three levels of service

Levels of support should be determined by need with support offered to all citizens

Level of

su

pp

ort

Self funders

Low care requiremen

ts

High care requiremen

ts

Level of

su

pp

ort

Level of need

No longer IF but HOW

‘Transforming social care’ makes it clear that all local authorities have to change their social care model and that this will involve a significant amount of work.

“We have a long way to go to give everyone more choice and control over the care and support they receive. Local councils are clearly working hard to transform their systems to do this. We need to work together with local communities to ensure this progress continues.”

Phil Hope, Minister for Care Services, May 2009

No longer WHEN but NOW

Councils and partners are working to deliver significant progress by 2011.

“The information given to us from councils indicates very strong progress amongst a number of councils. We are confident that this will become widespread over the coming year”

Jeff Jerome, National Director for social care transformation, May 2009

IBSEN report

The IBSEN review of the individual budgets pilots was published in November 2008, with a carers evaluation published later.

The key findings included:- More people felt in control of their lives- More people taking up direct payments- Many people continued to use mainstream services- Need for better access to support planning and brokerage- Mixed evidence about the early outcomes for some people- Some challenges about making it work for some groups (such as older people) - Mostly positive results for family carers

You need to define what success means in your area

Efficiency?

Genuine choice

and control?

Greater control

over limited

finances?

Less reliance on local authorit

y?

Improve-ment in outcom

es?

Avoiding bad

press?

Evidence of new options in the

market?

Everyone acting as

self-funders?

Inclusion

of more funding streams

?

Maintain/

improve CQC

rating?

Demon-strable culture change?

Various perceptions of success

A new ‘agreement’ with citizens?

Increased

SocialCapital?

More Co-producti

on?