self-directed support: myths and truths self directed support scotland the gathering 27 th february...
TRANSCRIPT
Self-directed support: Myths and Truths
Self Directed Support ScotlandThe Gathering
27th February 2013
Contents
• The background to self-directed support (SDS)• The current legislative context• What is SDS and who is it for?• What can SDS be used for?• What is the process of getting SDS?
‘SDS’ stands for ‘Splendidly Delicious Sandwich’
MYTH OR TRUTH?
MYTH!
The background to SDS
• The Independent Living Movement started in the 1970s
• People wanted to be in control of their own care and support
• Services weren’t fulfilling what was important to people
• People wanted choice
“ ‘Independent Living’ means living by yourself”
MYTH OR TRUTH?
MYTH!
Independent Living in the UK• The ideas were applied in a British context• Negotiations with Local Authorities• Research into the situation in the rest of
the UK• The first Centre for Inclusive Living in the
UK
A shift in power• Direct Payment schemes developed in some
Local Authorities, but not all• Disabled people campaigned and
commissioned independent research• Research looked at user satisfaction and cost• First Scottish CIL was Lothian CIL (1991),
followed by Glasgow CIL (1993)
Direct Payments get moving• Minister of Health agreed to bring in Direct
Payment legislation in 1995• The 1996 Direct Payments Act was
implemented in 1997• National Centre for Inclusive Living set up in
1996 to promote and develop Direct Payments around the country
• The CILs work to the social model of disability
“The ‘social model of disability’ says that people
are disabled by society”
MYTH OR TRUTH?
TRUTH!
Where are we now with SDS?
• Scottish Government and COSLA have a 10 year strategy for SDS
• The SDS Bill was passed in Parliament in November 2012
• Some Local Authorities are already rolling out SDS
“The Local Authority does not need to think about SDS until 2014”
MYTH OR TRUTH?
MYTH!
Strategic responsibilities of Local Authorities
• Develop an SDS strategy in their locality in conjunction with service users and other stakeholders
• Appoint a ‘Lead’ person for self-directed support implementation
• Follow the Guidance and Regulations
“SDS is exactly the same as Direct
Payments”
MYTH OR TRUTH?
MYTH!
What is self-directed support?• Care and support with choice and control• Will become the mainstream form of social care
delivery in Scotland, i.e. everyone eligible for support will be offered it
• “Available to everyone but imposed on no-one”• For anyone eligible for support, e.g. older
people, people with mental health problems, parents of disabled children, people with learning difficulties, physically disabled people
How is SDS any different to what has come before?
• Focused on outcomes instead of outputs• Changes to assessment• Changes to the way budgets are calculated• People will be told how much their budget
is valued at• 4 options for budgets• Culture change
SDS – the 4 options for your budget
1. Direct Payment2. Individual Service Fund3. The Local Authority makes the
decisions about your support4. A combination of the above
“A Direct Payment can only be used to
purchase the services of a Personal Assistant”
MYTH OR TRUTH?
MYTH!
“When a Direct Payment user chooses to employ their own staff it
is really the council that
is the employer”
MYTH OR TRUTH?
MYTH!
“Someone might choose to use Option 1 (a Direct Payment)
to buy the services of a freelance gardener”
MYTH OR TRUTH?
TRUTH!
SDS can facilitate:• Direct support in the home and the community• Legal rewards• Housing• Assistive technology/equipment• Community and social inclusion• Support with health• Short Breaks• Natural resources that do not cost any money
The SDS processInformation on SDS
Assessment by council
Outcomes established
Support plan created to meet outcomes
The SDS process (continued)Agree how services will be arranged and managed
Plan and arrange services
Agree start dates and review dates
On-going monitoring by the council
On-going support offered by support service
“There are organisations that can assist people to
go through the process of getting and managing SDS”
MYTH OR TRUTH?
TRUTH!
“It is through SDS that we hope that disabled people can have choice and control over their
care and support”
MYTH OR TRUTH?
TRUTH!
Self Directed Support Scotland (SDSS)
4, PURE OfficesBonnington Bond2 Anderson Place
Edinburgh, EH6 [email protected]