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Transforming Adult Social Care: Personalisation and Community-Centric Approaches

This research explores the evolving landscape of adult social services, emphasizing the transformative role of personalization in fostering independence and well-being for disabled individuals. It highlights the necessity for local authorities to shift from traditional service models to outcomes-focused approaches that prioritize choice and control for service users. The paper discusses challenges in implementing self-directed support, the importance of responsive commissioning, and strategies for developing a sustainable market of services tailored to individual needs. By promoting partnerships between local governments, providers, and communities, we strive for improved quality of care and positive life outcomes for all citizens.

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Transforming Adult Social Care: Personalisation and Community-Centric Approaches

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  1. Research in Practice for AdultsPersonalisation in PracticeJohn DixonDirector Adults and Children, West SussexPresident Association of Directors of Adults Social Services

  2. Adults’ Services – A Changing Role • New role of LAs and of Members • Life Chances of Disabled People – Opportunity Age • Independence, well-being and Choice – Our Health, Our Care, Our Say • Safe and Prosperous Communities • Place Shaping and the rise of well-being • Shift in relationship between state and citizens • 100% of population and personalisation • DASS’s huge assimilation of roles

  3. DASS: Joined Responsibilities 50% - Housing 40% - Crime Prevention Regeneration Safer Communities Neighbourhood Services 25% - Culture, Leisure, adult learning Most - Health 10% - Children’s as DCS

  4. Customer Engagement Models Professional gift relationship Specialised interventions Resource Intensive Targeted help to individuals Support to Communities Universal activities of daily living Infrastructure for Community development and self-help Sustainability Customer in control

  5. Personalisation • High national profile, but with the characteristics of a social movement • Developed from the ground up, then adopted as cross-government policy • Affects all LAs, wider than social care • We’re all beginners • We all have a part of the answer • High potential risks, high potential gains • Pilot phase and partial testing now concluding • Need to test, refine, share

  6. Transformation – Self Directed Support From local authority to individual commissioning Local Authority Needs Analysis Commissioning and Contracting Services Assessment of Individual Match Individual with Services

  7. Transformation – Self Directed SupportFrom local authority to individual commissioning Individual/self assessment RAS and brokerage Individual care package/circle of support Aggregation of services bought Local Partnership and LAA Strategic Commissioning RAS= Resource Allocation System

  8. Partnership with People I’ll tell you what I want, what I really, really want: Responsive commissioning for individuals ---

  9. Some of the Challenges? • Shifting from services to outcomes focus • Self /Supported Assessment & Resource Allocation • Bringing staff and stakeholders with us • Developing the Market • Simplifying what exists and its complexity • Mistrust - is it about saving money? • Choice and control v responsibility and risk • Charging • Rules / legislation about how money is released and/or used • IT Systems / Performance Indicators and Management • For self-funders and 100% of residents

  10. Putting People First The New Governance Policy: DH & Implementation: Central Government Local Government & Social Care Services Transforming Adult Social Care Board Consortium Steering Group: ADASS, LGA, IDeA, DH National Director Deputy Regional Directors Regions: ADASS, JIP, RIEP Local Authorities Providers Services Users, Carers

  11. Implementation Porgramme Deliverables • Universal Services • Operating Systems • Market Development • And the supporting areas of:- • Communication and Leadership • Efficiency and Effectiveness

  12. Where Are We Now : The Numbers West Sussex • Individual Budgets 15 Direct Payments 300 • Personalised Budgets 1076 • 2012 Personalised Budgets 8000+

  13. Providers – in the loop? • Equal partners – expertise and quality • Personalisation model – enabling everybody to be good self-funders • Range and scale of providers: micro-markets to national players • ADASS/VODG Concordat • National Contracts, and Ordinary Residence • Supporting and training the workforce • Safeguarding

  14. Effective Joint Commissioning • All about patient/care pathways • Best mix for patients of health/social care/3rd sector input • From self-care to tertiary care • Choice and control – from professionals to users/patients • Transferring activity & finance within care pathways: the ‘5% plus’ test • Joining the two commissioning frameworks • Achieving - user satisfaction - clinical outcomes - reconfiguration - financial sustainability

  15. World Class Commissioning and Putting People First • Comprehensive understanding of the needs of everyone in the community • Planning in partnership with users and carers for services to meet agreed outcomes through improved choice and control • Work with providers and Third Sector to develop services for independence and well-being • More intelligent and responsive procurement of services to improve outcomes. • Ensure individual purchasing is as near to the person as possible • Improving evaluation of service provision as a return on investment • Need to join up governance, leadership, basic skills and knowledge • Need for workforce development • Practice based commissioning – focus on needs of communities – links with local government – social care and children’s services with acknowledgements to Mark Britnell

  16. Social Justice Questions • It’s about Social Justice as much as funding • Need to agree principles of new settlement first • Rethink dependency and contribution: where does the wealth lie? • The two groups : Those currently eligible for state funding • : Those outside the state net • Those currently funded : not much longer affordable • : to be given control • Those not now funded: more than half the population, largely un-supported • Transparency and portability • Well-being services and traditional core social care need • Safeguarding and personalisation • Public knowledge and affection : NHS vs social care • The weakest link in the welfare state : assurance for old age and disability

  17. ADASS Business Unit Local Government House Smith Square London SW1P 3HZ Tel: 020 7072 7433 Fax: 020 7863 9133 EMAIL:team@adass.org.ukWEB:www.adass.org.uk

  18. Discussion Questions • What will these principles look like in practice – for children and adults • A positive example of personalisation in practice • What are seen as the main barriers – and how can they be overcome

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