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Self-directed support: Myths and Truths

Self-directed support: Myths and Truths

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Self-directed support: Myths and Truths

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  1. Self-directed support: Myths and Truths Self Directed Support Scotland The Gathering 27th February 2013

  2. Contents The background to self-directed support (SDS) The current legislative context What is SDS and who is it for? What can SDS be used for? What is the process of getting SDS?

  3. ‘SDS’ stands for ‘Splendidly Delicious Sandwich’ MYTH OR TRUTH?

  4. MYTH!

  5. The background to SDS The Independent Living Movement started in the 1970s People wanted to be in control of their own care and support Services weren’t fulfilling what was important to people People wanted choice

  6. “ ‘Independent Living’ means living by yourself” MYTHORTRUTH?

  7. MYTH!

  8. Independent Living in the UK The ideas were applied in a British context Negotiations with Local Authorities Research into the situation in the rest of the UK The first Centre for Inclusive Living in the UK

  9. A shift in power Direct Payment schemes developed in some Local Authorities, but not all Disabled people campaigned and commissioned independent research Research looked at user satisfaction and cost First Scottish CIL was Lothian CIL (1991), followed by Glasgow CIL (1993)

  10. Direct Payments get moving Minister of Health agreed to bring in Direct Payment legislation in 1995 The 1996 Direct Payments Act was implemented in 1997 National Centre for Inclusive Living set up in 1996 to promote and develop Direct Payments around the country The CILs work to the social model of disability

  11. “The ‘social model of disability’ says that people are disabled by society” MYTHORTRUTH?

  12. TRUTH!

  13. Where are we now with SDS? Scottish Government and COSLA have a 10 year strategy for SDS The SDS Bill was passed in Parliament in November 2012 Some Local Authorities are already rolling out SDS

  14. “The Local Authority does not need to think about SDS until 2014” MYTH ORTRUTH?

  15. MYTH!

  16. Strategic responsibilities of Local Authorities Develop an SDS strategy in their locality in conjunction with service users and other stakeholders Appoint a ‘Lead’ person for self-directed support implementation Follow the Guidance and Regulations

  17. “SDS is exactly the same as Direct Payments” MYTHORTRUTH?

  18. MYTH!

  19. What is self-directed support? • Care and support with choice and control • Will become the mainstream form of social care delivery in Scotland, i.e. everyone eligible for support will be offered it • “Available to everyone but imposed on no-one” • For anyone eligible for support, e.g. older people, people with mental health problems, parents of disabled children, people with learning difficulties, physically disabled people

  20. How is SDS any different to what has come before? Focused on outcomes instead of outputs Changes to assessment Changes to the way budgets are calculated People will be told how much their budget is valued at 4 options for budgets Culture change

  21. SDS – the 4 options for your budget Direct Payment Individual Service Fund The Local Authority makes the decisions about your support A combination of the above

  22. “A Direct Payment can only be used to purchase the services of a Personal Assistant” MYTH OR TRUTH?

  23. MYTH!

  24. “When a Direct Payment user chooses to employ their own staff it is really the council that is the employer” MYTH OR TRUTH?

  25. MYTH!

  26. “Someone might choose to use Option 1 (a Direct Payment) to buy the services of a freelance gardener” MYTH OR TRUTH?

  27. TRUTH!

  28. SDS can facilitate: Direct support in the home and the community Legal rewards Housing Assistive technology/equipment Community and social inclusion Support with health Short Breaks Natural resources that do not cost any money

  29. The SDS process Information on SDS Assessment by council Outcomes established Support plan created to meet outcomes

  30. The SDS process (continued) Agree how services will be arranged and managed Plan and arrange services Agree start dates and review dates On-going monitoring by the council On-going support offered by support service

  31. “There are organisations that can assist people to go through the process of getting and managing SDS” MYTH OR TRUTH?

  32. TRUTH!

  33. “It is through SDS that we hope that disabled people can have choice and control over their care and support” MYTH OR TRUTH?

  34. TRUTH!

  35. Self Directed Support Scotland (SDSS) 4, PURE Offices Bonnington Bond 2 Anderson Place Edinburgh, EH6 5NP