Riding the Wave of the Future- Consumer Directed Social Support

NSW Neighbour Aid and Social Support Association Inc. Annual Conference, Sydney NSW

August, 2014 Carrie Hayter

Director, Carrie Hayter Consulting

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About Carrie Hayter Consulting

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• Transitioning to personalised support – Research, Evaluation & Translation – A Handbook for community care services , Empowering People,

enhancing independence, enriching lives with Alt Beatty Consulting for NSW Government

– Strategic Planning – Education, coaching and mentoring – Person Centred Practice and Thinking (managers and support workers) – Cultural Diversity and Cultural Competence – Ageing and Sexuality (managers) – Ageing and Sexuality (frontline workers) – Consumer Directed Care (Managers and Support Workers) – Living Life my Way (Service Users)

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Today’s Workshop

• What is consumer directed care?

• Transitioning to the future

– How consumer directed is your social support service?

• Opportunities of consumer directed care

– People with disabilities

– Older People

– Carers

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Highly personal Impersonal

Activity 1 – What is a personalised service?

Why consumer directed care?

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Policy

Practice Research

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UN Convention on the Rights of People with a Disability Productivity Commission Reports National Disability Insurance Scheme (NDIS) launch sites from 1 July 2013 Consumer Directed Care Packaged Care from 1 July 2013-2015

Research on consumer directed care models - choice and control for people with a disability and cost savings (Glendenning 2008, Ottman, 2009, Leadbetter, 2004) Low take up of individualised budgets by older people (Glendenning et al 2008) (Ottmann, G., Carmel, L., & Allen, J. (2012)

Research Policy

Principles of Consumer Directed Care

• Choice

• Control

• Service users as active participants

• Self managed

• Individualised Budget

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Consumer Directed Care Models in Australia

Case Management &

Brokerage Individualised

Budgets Cash for Care

Self Managed/ Direct Payments

Home Care Packages Attendant

Care Packages

National Disability Insurance Scheme

Service User control of money and resources

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People leading the Way

Village to Village Network Boston Beacon Hill Village • Grass roots movement created by

older for older people • Member based http://www.beaconhillvillage.org Village to Village Network http://www.vtvnetwork.org/ Australia Waverton http://wavertonhub.com.au/

My Choice Matters

• Ideas and resources for people to have more voice, choice and control

• Run my projects

• Become a leader

http://www.mychoicematters.org.au/

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NDIS National Disability Insurance Agency

Assessment

Registered Providers with NDIS

Devika (consumer)

Nominees/ Support Planner

National Disability Insurance Scheme

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National Disability Insurance Scheme Agency – Opportunities

Service Users

Registered Service Provider

Registered plan management provider

My access checker http://www.ndis.gov.au/my- access-checker

Registered Providers Disability Care Australia http://www.ndis.gov.au/document/297

Registered Plan Management Provider http://www.ndis.gov.au/providers-1

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Aged Care Policy Developments

HACC & NRCP Program 1 July 2015 Home Support Program

• HACC

• National Respite for Carers Program

• Day Therapy Centres

• All other Commonwealth aged care programs

• Discussion paper on home support program

Packaged Care Programs

• 1 July 2013 til July 2015 – Home Care Packages

– Consumer Directed Care

– Individualised Budget Model

• Transition for existing packages

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Consumer Directed Care Home Care Packages

Goals What

matters most

Outcomes Independence

Approved Provider

ACAT Tier 1 Tier 2 Tier 3 Tier 4

Strengths & Needs

Individualised Budget

Outcomes

Amanthi Amanthi

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Activity 2 – Self Assessment

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Service Users Service Users Practice Practice

Staff & Volunteers

Staff & Volunteers

Budgets Budgets

Cost Cost Carers Carers Life story Life story

Direct/ Indirect Direct/ Indirect

Training & Support

Training & Support

Education & Support Education & Support

Goals and Vision

Goals and Vision

Creative Culture Creative Culture

Culturally Competent

Consumer Directed Care

Lau

nch

Pad

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Activity 3 – Simon’s Story

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Activity 4 – Reflective Practice

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Key Area Questions

Service Users What skills do service users have to be active participants? What structures do we need to put in place to support this transition?

Financial Management Systems

How much does it cost to deliver particular services? How can we provide this information to service users and stakeholders in a format they understand?

Staff and Volunteers What skills do our staff need ? How is this different or similar to their current skill set? What support structures do we need for staff?

Consumer Directed Care – Systems and Processes

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Key Area Questions

Risk Management How does our agency work with service users to identify and manage risks? How do our staff balance duty of care with dignity of risk?

Board and Governance What are the strategic directions our organisation needs to take?

Community Engagement Which community partners do we need to engage? How can we engage these partners? What languages do they speak?

Marketing How does our marketing material reflect what we do? What images do we want to portray to service users and the broader community?

Consumer Directed Care – Systems and Processes

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