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Enhancing User Satisfaction through Decentralized Personal Budgets in the Netherlands

This document discusses the Dutch WVG law on provisions for the disabled, emphasizing the benefits of decentralization in personal budgeting. By prioritizing local needs, user satisfaction increased while expenditures decreased. Key figures are provided, indicating the financial aspects of direct payment and personalized budgets. It outlines the roles of organizations for persons with disabilities and parents as vital initiators in this system. The document also reflects on the state of play in health care, proposing that more providers enhance freedom of choice for service users.

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Enhancing User Satisfaction through Decentralized Personal Budgets in the Netherlands

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Presentation Transcript

  1. Most people are different people

  2. Personal Budget the Netherlands Sofia, May 2007 Bart Branderhorst

  3. Law concerning the provisions for disabled, WVG • Apply to a national (central) office. • Decisions that neglect the local, the specific situation, never are the best!

  4. WVG • Was decentralised • Expenditure went down • User satisfaction increased

  5. direct payment • Oganisations of persons with a physical disability • Parents organisations are the initiators

  6. Godfathers of the Direct Payment system Theo Zwetsloot: The first president of Per Saldo Per Saldo: 18.000 paying members Paul Cremers: Consultant to central government on care system improvement

  7. Voting Power! • political power • reducing of costs • shared Values / political correctness • international experiences • previous national experiences (like WVG decentralisation) lead to solid legislation

  8. State of Play • Central Indication Committee (C.I.Z.): individual level • Health Care Insurance Board (CVZ): national level

  9. Difference Personalised Budget ≠ Direct Payment direct payment is one way of a personal budget system

  10. Why Personal Budget • Self Direction • in kind • direct payment (money)

  11. Personal Budget • To improve the freedom of choice for the service user more providers are necessary • figures • 2007 € 2500,-- • €1300,80 per month • € 60,04 per day • 95.000 persons (11% I.D.)

  12. Perspective • WMO: law concerning support in social affairs. • Decentralisation • No growth in direct payment • Better ? • Cheaper?

  13. Consequences for staff • Theory: immense • Pratice: ? • Service providers in Holland are voluntary organisations • Same roots, same values

  14. Thank You

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