Helping People to Help Themselves

1
Enablement Model
Helping People to Help Themselves (Self-directed
Support) Supporting Independence
SPA
Low Level Need Active
Maintenance ABC/Outreach Multi-Disciplinary
Assessment Rehabilitation
Trusted Assessors Authorised Provision Wellbeing
Agenda Community Support LAA
2

• Single Point of Access
• Currently receives 4,500 cp.m
• Growing to include SW referrals
• Simple self-assessment
• Minor adaptations and equipment dealt with
• D54 7 days delivery for equipment
• 7-21 days for grab rails etc
• Signpost to other services link with SLAs
  wellbeing agenda
• Link to benefit advice
• Deal with Blue Badge requests
• Screen for other service
• Ask question about In-Control
• Issue voucher/prescription

3

• ABC
• Self-Assessment Pilot
• Demonstrator site for equipment
• Information point
• Blue Badge collection point
• Training suite
• Ask question about In-Control
• Issue voucher/prescription
• Outreach to community centres/faith groups
• Set up Outposts- Rushlake Green, Chinese
  Centre, Waterloo Housing

4

• Multi-Disciplinary Assessment
• Integrated assessment ream (OT/SW/Home Care)
• Rehab focus rehab assistants
• time limited
• Ensure no-one goes into care/large package
  without rehab process and possible use of
  equipment/technology.
• Agree self-directed support link to Housing
  Options
• In-Control
• Signpost to community support services
• Refer to active maintenance where appropriate

5

• Active Maintenance
• Long term support care package
• equipment
• activity based etc.
• Should encourage people to be maintained at best
  level and support gradual improvement where
  possible.
• Should be active and stimulating
• Should be socially inclusive
• Should be self-directed

6

• Community Equipment
• DH transformation process
• Opens up the retail market
• Self-directed links to self-assessment and In
  Control
• Direct Payments
• Individual Budgets
• Users prescription process could use voucher
  scheme
• Allow people choice of supplier and equipment
• More people could access low level equipment
  whilst removing assessment blockage.
• Requires Trusted Assessors working within the
  community.
• Demonstrator site for objective information and
  advice.
• Industry governance and regulation (BHTA)
• Detailed strategy coming to Scrutiny in November

7

• Assistive Technology
• Remote monitoring
• DH sees this as the way forward
• PTG money for pump-priming
• Range of items from panic alarms to vital signs
  monitoring
• Needs to be linked to corporate services
• Include Digital Birmingham, NHS and 3rd Sector
• Link to SMART House Rushlake Green
• Changes how assessment, self-direction etc are
  conducted. Needs a shift in thinking. Gives
  people more control.
• Detailed Strategy coming to Scrutiny in November.

8

• Housing Options
• Work already agreed by Scrutiny
• Presence in ABC
• Links to equipment and technology e.g. continuum
  of assessment
• SMART Housing
• How to design housing to take account of future
  needs step on from lifetime homes.

9

• SARA
• Self assessment Rapid Access
• Pilot
• 2006 - 2007

10
Project Objectives

• Test SARA assessment tool
• Test ability / willingness of users to use the
  tool
• Test the tools ability to reach diverse, hard to
  reach communities and understand their needs
• Test the tools effectiveness re. equipment
  recommendations
• Whether the tool could be developed to cover
  other services

11
Anticipated Improvements in Outcomes for Service
Users

• Elimination of ethos of service led waiting times
  and assessment process
• Cohesive information available at an early stage
• Information on which to make choices
• Honesty about options

12
Hard to reach communities

• Chinese Elders
• Day held at ABC 1st March 2007
• Irish Elders
• Attending health check clinics

13
Results to date

• 600 self assessments completed
• All data supplied to Manchester University
• Survey returns
• Total return 70.8
• requiring reminder 29.1
• return following reminder 51.0
• Initial findings indicate that the tool does not
  give the same outcome as a professional assessment

14
Self Assessment PilotUser Survey Results
15
Self Assessment PilotUser Survey Results
16
Conclusions thus far

• Discrepancy between SARA and professional
  Assessment.
• To trial alongside ADL Smartcare.
• Public are generally happy with the process.
• To increase availability.
• Where would such a tool sit within the current
  and planned service?