Personalised Home Care Services for Older People Using Managed Personal Budgets
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School for Social Care Research Improving the evidence base for adult social care practice Personalised Home Care Services for Older People Using Managed Personal Budgets Parvaneh Rabiee, Caroline Glendinning, Kate Baxter SPRU, University of York SSCR Insights from Research on ... Personalisation - LSE 12 th June 2013
description
Personalised Home Care Services for Older People Using Managed Personal Budgets. Parvaneh Rabiee, Caroline Glendinning, Kate Baxter SPRU, University of York SSCR Insights from Research on ... Personalisation - LSE 12 th June 2013. Context. Mechanisms for managing Personal Budgets (PBs) - PowerPoint PPT Presentation
Transcript of Personalised Home Care Services for Older People Using Managed Personal Budgets
School for Social Care Research Improving the evidence base for adult social care practice
Personalised Home Care Services for Older People Using Managed Personal BudgetsParvaneh Rabiee, Caroline Glendinning, Kate Baxter SPRU, University of York
SSCR Insights from Research on ... Personalisation - LSE12th June 2013
School for Social Care Research
Mechanisms for managing Personal Budgets (PBs) Cash direct payments (DPs) Managed personal budgets
Local authority-managed Provider-managed (known as ISFs)
Most older people prefer managed PBs Most managed PBs used for home care
Q: Do older people using managed personal budgets have opportunities for choice and control similar to DPs?
Context
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Explore factors affecting the delivery of personalised support to older people who opt for managed PBs Commissioning, contract and market development Support planners’ roles in shaping older people’s
expectations and demands Home care provider experiences Older people’s experiences
Interviews and focus groups in three local authorities Known to be innovative
Aims and methods
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Commissioning, contracting and market shaping A shift from block contracts to Framework
agreements
Brokers
Individual Service Funds
Market development officers/Innovation funds
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Support planners’ roles and responsibilities LA support planners - draw up basic plan based
on identified needs
Agency staff - draw up more detailed support plan with service user
Brokers
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LA support planners’ experiences Training and knowledge of roles Shaping demands
Knowledge of budget level Thinking ‘outside the box’ Limited choice/availability
Experiences of brokerage Communication
Reviews and monitoring Delays - putting up with care
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Agency experiences Training and knowledge of roles Shaping demands
Detailed support plans but little scope for change Time banking
Restrictions on range of expenditure Lose money
Experiences of brokerage Communication difficulties
Reviews and monitoring Too much bureaucracy
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Service users’ experiences – evidence of choice and flexibility Choice over agency
No choice BUT general satisfaction with agency How would I choose?
Choice over Carers Continuity of carers (small teams)
Choice over content/tasks Limited flexibility ‘Off care plan’ activities Little opportunities for time banking
Choice over timing of care Limited choice
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Summary and conclusions Health warnings
Generalisability? Resource constraints Intentions good but communication problems Time banking Trust
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Contact [email protected] [email protected]@york.ac.uk
For further information see:http://php.york.ac.uk/inst/spru/research/summs/managedPB.php
AcknowledgementsThese slides present independent research commissioned/funded by the NIHR School for Social Care Research. The views expressed in this publication are those of the authors and not necessarily those of the NIHR School for Social Care Research or the Department of Health, NIHR or NHS.
Contacts and acknowledgements
