What is personalisation and why is it important?

1. What is personalisation and why is it important?

2. 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 MY care my choice

3. Some history The Charity Model The needy and deserving poor The Medical Model People are diagnosed and labelled by professionals The barrier to inclusion is the impairment

4. The medical model

5. The 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: Social model

6. 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 Social Model of disability

7. People’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. The old ways- Professional Led

8. 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. Personalisation is a user led approach

9. There 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

10. 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 steps

11. 6. 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 interesting things 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. 7 steps

12. Introducing....... Fair Access to Care Services and the Resource Allocation System Under 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. Fair access to care services

13. 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-substantial

14. 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. Who gets a personal budget-Critical

15. 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) What are people’s Rights

16. 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 Contributions for Non-residential care

17. http://www.adviceguide.org.uk/england/search.htm?query=small+employerhttp://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.aspextra training Some useful References