WHAT IS PERSONALISATION AND WHY IS IT IMPORTANT?

MY CARE MY CHOICE Running within and alongside general

advice. Providing information about the

personal budget application process for the client

Creating eBefs in the usual manner eg when significant stress or hardship is experienced

Providing talks and training to groups of service users, carers and professionals

The Charity Model

SOME HISTORY

The Medical Model

The needy and deserving poor

People are diagnosed and labelled by professionals The barrier to inclusion is the impairment

THE MEDICAL MODEL

SOCIAL MODELThe social model of disability came out of

the disabled peoples movement. It was influenced by other civil rights movements

It looked at ways to change the system through removing barriers to inclusion.

At it’s heart was this slogan:

THE SOCIAL MODEL OF DISABILITY

Although people might have impairments it is the way that society is structured......

the systems and procedures

the built environment

....that creates barriers to social, economic or cultural participation

THE OLD WAYS- PROFESSIONAL LEDPeople’s needs were assessed (maybe

aged 18)

Suitable services were found and the person attended them

Unless there was a huge change in the persons life they weren’t reassessed, a lifetime of bingo.

PERSONALISATION IS A USER LED APPROACH Assessments aren’t done about people. People do their own assessment (or do it with

support)

Care plans are not written about people Support planning is done with the person at the

centre Support plans are reviewed regularly. People are

clear about the process and can ask for a review

Services change around a persons needs and barriers are removed

People don’t have to fit around a service.

7 STEPSThere are 7 steps to self directed support , which is at the

centre of ‘the personalisation agenda’

1. My money – finding out how much Your local authority will give you a short self-assessment

questionnaire. The authority should then tell you quickly how much money you are entitled to for your support. (indicative budget)

2. Making my plan You have to write a support plan. It should include the support you need

and the things you would like to achieve in your life.

3. Getting my plan agreed Your local authority must agree your plan before you get the money.

7 STEPS

4. Organising my money There are several ways that you can take and manage the money you get for your support. (Direct payments,Managed accounts, Commissioned services)

5. Organising my support There are different ways of organising your support. You can organise it yourself or get someone else to

organise it.

7 STEPS6. Living life

Self-directed support is about using the support money to have a good life– for example, a good place to live, work, friends, and

interestingthings to do in the day.

7. Seeing how it worked Support plans are bound to change and you need to review how

things are working. Your local authority will review your plan with you.

FAIR ACCESS TO CARE SERVICESIntroducing.......Fair Access to Care Services and the

Resource Allocation SystemUnder the fair access to care services

Wirral have agreed they have a duty to provide a service to people who have substantial and critical needs only.

RAS is the method by which needs are costed.

WHO GETS A PERSONAL BUDGET-SUBSTANTIAL

there is, or will be, only partial choice and control over the immediate environment; and/or

abuse or neglect has occurred or will occur; and/or there is, or will be, an inability to carry out the

majority of personal care or domestic routines; and/or

involvement in many aspects of work, education or learning cannot or will not be sustained; and/or

the majority of social support systems and relationships cannot or will not be sustained; and/or

the majority of family and other social roles and responsibilities cannot or will not be undertaken.

WHO GETS A PERSONAL BUDGET-CRITICAL life is, or will be, threatened; and/or significant health problems have developed or will

develop; and/or there is, or will be, little or no choice and control over

vital aspects of the immediate environment; and/or serious abuse or neglect has occurred or will occur;

and/or there is, or will be, an inability to carry out vital

personal care or domestic routines; and/or vital involvement in work, education or learning cannot

or will not be sustained; and/or vital social support systems and relationships cannot or

will not be sustained; and/or vital family and other social roles and responsibilities

cannot or will not be undertaken.

WHAT ARE PEOPLE’S RIGHTS Who has the right to assessment? Person-centred assessment should be available, regardless of

age, circumstances or nature of needs, to any person who approaches, or is referred to, the local authority for help.

When determining who has a right to assessment, whatever their means, staff will need to:

respond in appropriate ways to a wider range of adults with a diversity of presenting needs.

access relevant up-to-date information about local resources and universal services to support and signpost adults seeking and using services.

The council have a duty to provide a service to anyone with critical or substantial needs (even if the individual has to contribute financially to it)

CONTRIBUTIONS FOR NON-RESIDENTIAL CARE

Personal budgets are means tested. (Do not include cost of residence)

In a nutshell: Calculations are based on individual not household

income Savings above £25,000 – charged at standard rate Savings below £14,250 – ignored. If income is above (income support + 25%) then

75% of the ‘disposable’ amount is to be paid towards non-residential care

SOME USEFUL REFERENCES http://www.adviceguide.org.uk/england/search.htm?query=small+employer

http://www.in-control.org.uk/resources/fact-sheets.aspx

http://www.wirral.gov.uk/my-services/social-care-and-health/getting-support-us

http://liverpool.gov.uk/health-and-social-care/adults-and-older-people/paying-and-payments/direct-payments/

http://www.scie.org.uk/publications/elearning/personalisation/index.asp - extra training

http://www.scie.org.uk/publications/elearning/fairaccesstocareservices/index.asp extra training