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National Children

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Title: National Children


1
National Childrens and Adult Services
ConferenceWhat Next for Personalisation?
  • David Pearson
  • President of the Association of Directors of
    Adult Social Services (ADASS)
  • Corporate Director, Adult Social Care, Health and
    Public Protection, Nottinghamshire County Council

2
What are we trying to achieve?
3
Key Principles of the Care Act
  • Health and wellbeing of individuals and carers
  • Continued move towards personalisation of
    services enshrined in Personal Budgets, Direct
    Payments and co-produced assessment and
    commissioning
  • Joining up public services
  • Creating communities and businesses that are
    sensitive and supportive through social action
    in neighbourhoods and communities

4
The approach for those with longer term needs and
risk
  • Good advice and information
  • Prevention and early intervention and helping
    people in crisis
  • Assessment of health and care needs and outcomes
    and support planning
  • Providing a personal budget, through a managed
    budget or direct payment
  • Building community capacity

5
Advice and Information
  • About...
  • Managing the circumstances of disability and ill
    health to remain independent
  • Sources of informal help and advice
  • Entitlement to formal services
  • Costs of care
  • The way the system works
  • Navigating the system
  • Managing the crisis

6
Prevention and early intervention
  • Reablement
  • Housing options with access and support
  • Support for informal carers
  • Assistive technology and telehealth
  • Early diagnosis and support for people with
    dementia
  • Falls prevention
  • Preventing and responding to strokes
  • Public Health programmes
  • Making all public services and communities
    sensitive and accessible to people with
    disabilities

7
Assessment, support planning and personal budgets
  • Co-producing the assessment
  • An indicative budget, using resource allocation
    systems
  • Support planning taking account of the options
    in the market
  • Person centred approaches leads to new services -
    personal assistants, shared lives and different
    arrangements for respite care and day care
  • Much closer involvement of informal carers
  • Setting personal budgets
  • Supporting arrangements for Direct Payments, e.g.
    accounts and payments
  • Review

8
Building Community Capacity
  • Much better and clearer strategies for support to
    carers in caring, employment and supporting
    health and wellbeing
  • Campaigns to develop awareness and sensitivity
    towards disability
  • Encouraging voluntary effort through social
    action and corporate responsibility Local Area
    Co-ordinators, Circles of Support, Neighbourhood
    network schemes
  • Joining up public services, health, housing and
    community services
  • Initiatives include dementia awareness,
    loneliness (AgeUK) and encouraging voluntary
    action.

9
Personalisation Survey 2014
  • 80 of all people using community based services
    on a personal budget
  • 24 of people have a direct payment
  • 37 of younger adults and 15 of older people
    have a direct payment
  • Variation in regions 21 in South West to 30 in
    the East Midlands
  • 4.428bn 70 of total community based spend on
    personal budgets
  • High take up of making safeguarding personal 80

10
Personalisation Survey 2014 Some areas for
development
  • Addressing variation Care Act compliance
  • Market development such as micro commissioning
    and supporting growth of providers
  • Training and development of staff on outcomes
    based and asset based approaches
  • More users and carers in service design and
    quality assurance
  • Investing in social capital and mapping assets
  • Market position statements and local accounts
    sharing progress

11
Where next?
  • The Care Act compliance
  • Moving from numbers to quality issues
  • More work in regions to follow up personalisation
    survey and national PB survey results in more
    detail
  • Extending to more people who have extensive
    needs, e.g. more people with Dementia
  • Personal health and care budgets are a huge
    development
  • Work across information and advice, service
    design and market development, training and
    development

12
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13
ADASS Business Unit Local Government House Smith
Square London SW1P 3HZ Tel 020 7072
7433 Fax 020 7863 9133 EMAIL team_at_adass.org.uk
WEB www.adass.org.uk
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