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Today
• Talk about Personalisation
• Focus on Personal Budgets
• Talk through the process…
• ….So we can look at obstacles and
opportunities for social enterprises
In 30 seconds
• Person-centred services must be the future
• Real opportunity for social enterprises
• But some big issues with system
• We need to understand the system – to then
work out where opportunities are
Rob Greenland
Gill Coupland
Introductions to eachother
Personalisation is….
• About more than Personal Budgets
• But they’re a big part of it…..
• …And a lot of emphasis is put on them
• …And there are opportunities there for social enterprises
• So that’s what we’ll look at today
• Putting People First (2007)
“The time has now come to build on best practice and replace paternalistic, reactive care of variable quality with a mainstream system focussed on prevention, early intervention, enablement, and high quality personally tailored services.”
Gill Coupland Social Business Brokers CIC
What does it all mean in practice?
• The whole point is that people have more choice and controlYOU’RE the best person to decide what’s right for you. A personal budget gives you more choice and control over the kind of social care support you use – and how it isdelivered.
Talk through the process
• Self-Assessment process
• Resource Allocation System (RAS)
• Indicative Budget
• Support Planning
• Brokerage
• Approval
• Delivery and Review
OK, so how does a person get a personal budget?
• Referral to adult social care for an assessment
• FACS eligibility
• Self directed assessment
The RAS
• Care Outcomes identified
• Resource Allocation System
• Person notified of their indicative budget
What next?
• Support planning What do you want to change or achieve in your life,
and
how will you do this? How will you arrange and manage your social care
support? How do you want to manage your budget? Contingency planning – what if something goes
wrong? How will you manage any risks?
How is this different?
• Creative planning
• Brokerage support
• Managing the money
• Enabling a person to take risks
What if there’s not enough money?
•Indicative budget
•Revisited when support plan complete
Options for managing the money
• “Personal budgets are designed to be flexible and fit people’s individual circumstances”
• Direct payment to an individual• Direct payment to a suitable person• Direct payment to a trust• ISF – Individual Service Fund• Local authority• Mix ‘n’ Match
Could you blow it all on a world cruise?!
•Review process
•Meet agreed outcomes
•Unforeseen costs
Questions and comments
Some issues with Personalisation
Assessment process
Anecdotal evidence• It can take time to get an assessment
• No mention - or active discouragement - of
Personal Budgets
• Complicated process - we’ve heard of 60
page questionnaires
• FACS criteria, financial criteria
RAS and Indicative Budgets
Anecdotal evidence• Who knows how the Resource Allocation
System works?• Concern that not all needs are taken into
consideration• Some lack of faith in the financial figure that
comes out of the RAS
Support planning and brokerage
• Creative thinking could make a big difference
• Evidence of social workers holding onto this role
• Some Councils have put resources into this (so others can get involved) - some haven’t.
Approval of Personal Budget
Anecdotal evidence
• The amount approved can be lower than the
Indicative Budget
• It can be hard to get more creative ideas
through the approval process
• Budget cuts? Risk aversion? People not liking
change?
The Virtual/Managed Budget
• Councils had targets to meet - and financial
incentives - until April this year
• It seems lots of people with Personal Budgets
actually have “Virtual Budgets”
• In how many cases are people getting
something materially different?
To summarise
• It’s only natural that something like this will
take time
• But we’re not sure it’s just a matter of time
• JRF research points to inadequate funding -
and negative aspects of social care culture -
as barriers to developing person-centred
support.
How could you get involved?
Opportunities - customers
1. Tell people about Personal Budgets
2. Support people through the assessment
process
3. Get involved in support planning &
brokerage
4. Help people to pool budgets
Opportunities: services
5. Develop person-centred services
6. Collaborate to develop service packages
7. Explore whether some people (eg PA’s, ex
Council staff) want to set up social
enterprises
8. Think beyond Personal Budgets - to self-
funders
Final thoughts
• It’s not all doom and gloom
• But there are real, practical issues
stopping things working like we’d like
them to
• Isn’t that where we’re supposed to
make a difference?
www.ideasthatchangelives.org.uk
www.scoop.it/personalisation
www.thesocialbusiness.co.uk
www.ideasthatchangelives.org.uk
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