Personalisation in adult social care: next steps, and the engagement exercise for the White Paper William Vineall, Deputy Director, Adult Social Care, Department of Health
Personalisation – current position • 1/3 rd of eligible people receive personal budgets – c339,000. DH Information figures to be published shortly. Most growth in managed personal budgets, not direct payments. Good progress masks regional disparities • Objective in ‘Vision’ is for Personal Budgets for all eligible, preferably as a direct payment, by April 2013 • TLAP now up and running, with various publications imminent • Current ADASS survey is looking at remaining barriers to personalisation • PA strategy launched in July: Skills for Care report growth in PAs in England of 35% - 92,000 posts – 2009-10 • NAO report on user choice and provider competition includes survey of DP/PB users – only DPs seen to offer a genuine choice • So…the focus is very much on extending personal budgets, recognising that wider support (brokerage) and attitudes of the workforce are significant too.
The Reform Timeframe • Caring for our future brings together the Law recommendations from the Law Commission, Commission Commission on the Funding of Care and Support with Report the Government’s Vision for Adult Social Care , to __________ discuss with stakeholders what the priorities for reform May 2011 should be. Social Care Caring for Care and Vision our future - Support Legislation engagement __________ White Paper Nov 2010 _________ and progress Sept - Dec report on 2011 funding Dilnot __________ Commission April 2012 Report ___________ July 2011
Caring for our Future - engagement • The priorities for action across the key areas for reform in social care, building on the Commission on the Funding of Care and Support’s report and setting it in the wider context of reform; • How a programme of reform could meet these priorities , who should be responsible for taking action and the phasing of this; and • How to make sure the programme of reform recognises the current economic environment, focusing on the right priorities and identifying trade-offs which need to be made • Involving users, carers, councils, providers, the voluntary sector
Six questions • Quality: how could we improve the quality of the care and how could we support the care workforce to do this? • Personalisation: how could we give people more choice and control over the care and support they use, and help them to make informed decisions? • Shaping local care services: how could we ensure there is a wide range of organisations that provide innovative and responsive care services and that respond to people’s needs and choices? • Prevention: how could we support more effective prevention and early intervention to keep people independent and in good health for as long as possible? • Integration (in partnership with the NHS Future Forum): how could we build better connections locally between the NHS and other care services? • The role of the financial services: what role could the financial services sector play in supporting care users, carers and their families? Making changes to the funding system for care and support, as discussed in the Commission on Funding of Care and Support’s report, would impact on all aspects of the system. So we also want to consider the implications of the Commission’s recommendations as part of these discussions .
Personalisation - key questions • How could we change cultures, attitudes and behaviour among the social care workforce to ensure the benefits of personal budgets, including direct payments, are made available to everyone in receipt of community based social care? Are there particular client groups missing out on opportunities at the moment? • What support or information do people need to become informed users and consumers of care, including brokerage services? How could people be helped to choose the service they want, which meets their needs and is safe too? How could better information be made available for people supported by public funds as well as those funding their own care? • How could the principles of greater personalisation be applied to people in residential care? Should this include, as the Law Commission recommends, direct payments being extended to state supported people in residential care? • How could better progress be made in achieving a truly personalised approach which places outcomes that matter to people, their families and carers at its heart? What are the barriers? Who has the responsibility and what needs to change? • What are the implications of the Dilnot Commission’s recommendations for personalisation?
Who is involved • Quality and workforce: Imelda Redmond (Chief Executive, Carers UK) • Personalisation: Jeremy Hughes (Chief Executive, Alzheimer’s Society) • Shaping local care services: Peter Hay (President, Association of Directors of Adult Social Services) • Prevention: Alex Fox (Chief Executive, NAAPS) • Integration: Geoff Alltimes (Chief Executive, Hammersmith and Fulham Council) and Robert Varnam (GP) • The role of the financial services: Nick Kirwan (Assistant Director of Health and Protection, Association of British Insurers)
Approach and Scope Target Audience • The primary target groups for engagement are from within the social care sector: professional bodies (including staff side representation); user representation and advocacy; funding specialists and think tanks. Approach • A small reference group of external stakeholders will also be set up to support the co-leads in the engagement process • A public facing website will host a feedback form for public comments that will be fed into the discussions held by the reference groups. • We are also commissioning research on previous surveys and polls. • We will also be working with the Deputy Regional Directors for social care to engage in the regions • Engagement should make use of existing structures • Public information leaflet explaining the process • Timing
Timetable • Engagement until December, using existing networks as far as possible. • The Government will publish a White Paper in April 2012, alongside a progress report on funding reform. The Government is committed to legislating at the earliest opportunity. • Complete the feedback form on the website [www.caringforourfuture.dh.gov.uk] and return it by email to [caringforourfuture@dh.gsi.gov.uk] or by post to: Caring for our future, Area 117, Wellington House, 133-155 Waterloo Road, London, SE1 8UG. • Send your feedback using the automatic online form. • Post your comments directly onto the ‘priorities for change’ pages on our website, or email or post them to the addresses above
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