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Community Care Providers Scotland amp in Control Scotland
Glasgow 8 December 2008
Community Care Providers Scotland amp in Control Scotland
Glasgow 8 December 2008
in Control Scotland
in Control ideas amp principles
in Control implications for community care providers
in Control Scotland
2006-08
in Control International
bull England lsquo03bull Scotland lsquo06bull Wales lsquo07bull Northern Ireland lsquo07bull Australia lsquo08
in Control Scotland Mission
The purpose of in Control Scotland is to change the organisation of social care in
Scotland so that people who need support can take more control of their own lives and fulfil their role as full citizens
the complete transformation of social care into a system of Self-Directed Support
Partnership
bull in Control Scotland is a partnership formed in 2006 between SCLD amp ALTRUM [from the Gaelic ldquoto fosterrdquo] a consortium of agencies seeking to develop services rooted in principles of citizenship
bull in 2006 Scottish Government awarded to in Control Scotland initial seed-corn funding for national conference and start of development activities
ALTRUM SCLD
SCOTTISH GOVERNMENT
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Community Care Providers Scotland amp in Control Scotland
Glasgow 8 December 2008
in Control Scotland
in Control ideas amp principles
in Control implications for community care providers
in Control Scotland
2006-08
in Control International
bull England lsquo03bull Scotland lsquo06bull Wales lsquo07bull Northern Ireland lsquo07bull Australia lsquo08
in Control Scotland Mission
The purpose of in Control Scotland is to change the organisation of social care in
Scotland so that people who need support can take more control of their own lives and fulfil their role as full citizens
the complete transformation of social care into a system of Self-Directed Support
Partnership
bull in Control Scotland is a partnership formed in 2006 between SCLD amp ALTRUM [from the Gaelic ldquoto fosterrdquo] a consortium of agencies seeking to develop services rooted in principles of citizenship
bull in 2006 Scottish Government awarded to in Control Scotland initial seed-corn funding for national conference and start of development activities
ALTRUM SCLD
SCOTTISH GOVERNMENT
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland
2006-08
in Control International
bull England lsquo03bull Scotland lsquo06bull Wales lsquo07bull Northern Ireland lsquo07bull Australia lsquo08
in Control Scotland Mission
The purpose of in Control Scotland is to change the organisation of social care in
Scotland so that people who need support can take more control of their own lives and fulfil their role as full citizens
the complete transformation of social care into a system of Self-Directed Support
Partnership
bull in Control Scotland is a partnership formed in 2006 between SCLD amp ALTRUM [from the Gaelic ldquoto fosterrdquo] a consortium of agencies seeking to develop services rooted in principles of citizenship
bull in 2006 Scottish Government awarded to in Control Scotland initial seed-corn funding for national conference and start of development activities
ALTRUM SCLD
SCOTTISH GOVERNMENT
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control International
bull England lsquo03bull Scotland lsquo06bull Wales lsquo07bull Northern Ireland lsquo07bull Australia lsquo08
in Control Scotland Mission
The purpose of in Control Scotland is to change the organisation of social care in
Scotland so that people who need support can take more control of their own lives and fulfil their role as full citizens
the complete transformation of social care into a system of Self-Directed Support
Partnership
bull in Control Scotland is a partnership formed in 2006 between SCLD amp ALTRUM [from the Gaelic ldquoto fosterrdquo] a consortium of agencies seeking to develop services rooted in principles of citizenship
bull in 2006 Scottish Government awarded to in Control Scotland initial seed-corn funding for national conference and start of development activities
ALTRUM SCLD
SCOTTISH GOVERNMENT
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland Mission
The purpose of in Control Scotland is to change the organisation of social care in
Scotland so that people who need support can take more control of their own lives and fulfil their role as full citizens
the complete transformation of social care into a system of Self-Directed Support
Partnership
bull in Control Scotland is a partnership formed in 2006 between SCLD amp ALTRUM [from the Gaelic ldquoto fosterrdquo] a consortium of agencies seeking to develop services rooted in principles of citizenship
bull in 2006 Scottish Government awarded to in Control Scotland initial seed-corn funding for national conference and start of development activities
ALTRUM SCLD
SCOTTISH GOVERNMENT
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Partnership
bull in Control Scotland is a partnership formed in 2006 between SCLD amp ALTRUM [from the Gaelic ldquoto fosterrdquo] a consortium of agencies seeking to develop services rooted in principles of citizenship
bull in 2006 Scottish Government awarded to in Control Scotland initial seed-corn funding for national conference and start of development activities
ALTRUM SCLD
SCOTTISH GOVERNMENT
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
ALTRUM SCLD
SCOTTISH GOVERNMENT
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland Development Team
bull the work of in Control Scotland is taken forward through the work of the Development Team directly accountable to the iCS Committee
bull the Team comprises a variable number of people
employed by or seconded to in Control Scotland
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Members of in Control Scotland Development Team
bull Frances Brown joint team leader
bull John Dalrymple joint team leader
bull Susan Duffney administrator ndash new arrangement emerging with ENABLE
bull Carina Mitchell team member
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland Constitution
bull in Control Scotland is an unincorporated body governed by a Committee representing members of ALTRUM and SCLD
bull by April 2009in Control Scotland will being incorporated as a Company limited guarantee
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland Advisory Group
The direction taken by the Development Team
is planned in conjunction with an Advisory Group
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland Activity
bull Conferences in January amp September 2007
bull Contact made with ndash 1632 Local Authoritiesndash Individualsndash Familiesndash Organisations
bull ldquoLeadership Programmerdquo for LA members ndash August 07-April 08 year onendash September 08-March 09 year two
bull ldquoChange Programmerdquo for service providersndash November 08-March 09
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland Core Activities
bull Local Authority Membership amp Leadership Programme
bull Service Provider Membership amp Change Programme
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Local Authority Members of in Control Scotland
2007-08
1 Aberdeen City
2 East Renfrewshire
3 Fife
4 Glasgow East CHP
5 North Lanarkshire
2008-09
6 Borders
7 Dumfries amp Galloway
8 East Lothian
9 Glasgow City
10Highland
11Midlothian
12Perth amp Kinross
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Voluntary Organisations members of
in Control Scotland1 ARC2 Capability 3 Community Lifestyles4 Cornerstone 5 Direct Payments Caledonia6 ELCAP7 ENABLE8 Freespace9 Inclusion Glasgow 10 INSPIRE11 Key Housing Association12 Link Living13 Margaret Blackwood Housing Association14 Neighbourhood Networks15 Places for People 16 Richmond Fellowship Scotland17 Support for Ordinary Living 18 TACT Scotland19 Thistle Foundation
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control
bull Backgroundbull Vehicle individual budgetsbull Route self-directed supportbull Destination independent living
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control
Background
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
History
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Citizenship
bull having clear rights
bull being in control
bull having your own money
bull making a contribution
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
New SystemSelf-Directed Support
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control
VehicleRoute
Destination
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Vehicle Route amp Destination
bull Individual Budgets ndash the vehicle[Direct Payments ndash one model one possibleway of having an individual budget]
bull Self-Directed Support ndash the route
bull Independent Living ndash destination
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
VEHICLEIndividual Budgets
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Vehicle INDIVIDUAL BUDGETS
have four properties1 Transparency ndash they give people entitlement to
a cash-limited level of funding they can control
2 Universality ndash they are for everybody and for every type of service [even people who do not wish to take up a Direct Payment can use an Individual Budget]
3 Flexibility ndash they can help people achieve the outcomes that they want and they must be highly flexible
4 Integration - they can be used to integrate other funding streams ndash eg ILF Supporting People Access to Work etc
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Overcoming Barriers to Personalisation
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
ROUTESelf-Directed Support
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Route SELF-DIRECTED SUPPORT
bull a route to getting a life not just a service - people can design the support they need themselves with help and advice
bull Direct Payments have been an important means of gaining control for many but Self-Directed Support is a whole system where everyone can have this kind of control over their support whether or not they want to take their funding through a direct payment
bull a radical change to the way services are organised and delivered demanding the development of new sources of help and advice new kinds of services and changes in the role of professionals
bull good fit with Governmentrsquos lsquopersonalisationrsquo agenda ndash meaning people who use social care services have support that is personal to them and have more control over their lives
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Controlrsquos Model of Self-Directed Support
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
1 Right to Independent Living I can get the support I need to be an independent citizen
2 Right to an Individual Budget I know how much money I can use for my support
3 Right to Self-Determination I have the authority support or representation to make my own decisions
4 Right to Accessibility I can understand the rules and systems and be able to get help easily
5 Right to Flexible Funding I can use my money flexibly and creatively
6 Accountability Principle I should tell people how I used my money and anything Irsquove learnt
7 Capacity Principle Give me enough help but not too much Irsquove got something to contribute too
Principles of self-directed support
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Not just systemsbut culture
bullThreatens existing systems and roles
bullThreatens vested economic interests
bullSubject to ldquoWhatrsquos new about thisrdquo
bullTendency to professionalise
bullDeep beliefs - competing paradigms
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Its justIts just yes but no butyes but no but
a form of rationing rights-based
for people with learning difficulties
all disabled people
for disabled people as employers
all service forms
for a few for everybody
Direct Payments6 different management
routes
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
DESTINATIONIndependent Living
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Destination INDEPENDENT LIVING
ldquoall disabled people having the same choice control and freedom as any other citizen ndash at home at work and as members of the community This does not necessarily mean disabled people doing everything for themselves but it does mean that any practical assistance people need should be based on their own choices and aspirationsrdquo
(Disability Rights Commission (2002) Policy Statement on Social care and Independent Living)
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
lsquolsquoPersonal budgets andself-directed servicesmobilise the intelligenceof thousands of peopleto get better outcomesfor themselves and morevalue for public moneyrsquorsquo
ldquoMAKING IT PERSONALrdquo
bullCharles LeadbeaterbullJamie BartlettbullNiamh Gallagher
JANUARY 2007
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Citizenship
bull having clear rights
bull being in controlbull having your
own moneybull making a
contribution
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control
Making the Change
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control Scotland Implications for
Community Care Providers
bull Opting Inhellipor Outbull Who is the Purchaserbull Separate Strandsbull Provider-led Planningbull Managing Moneybull Direction of Travel
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control ampOpting In helliphellipor Out
In Control believes that existing service providers from large national services to small local ones all have a critical role to play in the development of Self-Directed Support
and this shift presents an opportunityto meet many of the demands providers have long been making
1048577 To offer genuine person-centred planning1048577 For fair and individual funding1048577 To be able to be flexible and creative in support1048577 For a focus on outcomes
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control ampOpting In helliphellipor Out
However Self-Directed Support also sets service providers some significant challenges
Many services will need to change deep-seated habits of service provision with a series of key changes in behaviour When people have no incentive to exclude family and friends from plans they will often use the natural support available to save funding and reduce costs
1048577 When people have a limited budget they are much more likely to be creative in designing support and careful about how much they pay for that support
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care ServicesOpting In helliphellipor Out
In Control encourages local authorities to explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
In addition the shift to Self-Directed Support presents service providers with opportunities to develop new and more appropriate services
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Serviceswho is the purchaser
the mechanism in Control offers the existing purchasers of social care ndash the local authorities -
to individualise budgets is the Resource Allocation System (RAS)
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Serviceswho is the purchaser
the challenge in Control sets for the service provider
is to relate to the person who relies on servicesas the purchaser of services
with an individual budget to spend
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Serviceswho is the purchaser
their key relationship will be with the disabled person andor one oftheir representatives
and there should be much more contractual flexibility inhow funding might be used
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Serviceswho is the purchaser
When people have control over their own funding they are still capable of using services that provide economies of scale
If a service is priced attractively or if people want to do things with others they are still able to
The difference is that this is a decision they make - not one that is made on their behalf
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Services separate strands
In addition the shift to Self-Directed Support presents providers with opportunities to develop new and more appropriate services For example existing service providers might
1048577 Develop distinct brokerage services1048577 Provide management services1048577 Begin providing back-up or auxiliary services eg payroll or personnel support1048577 Provide training to people families and staff1048577 Provide support co-designed and integrated with family support1048577 Provide information and advice
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Servicesseparate strands
A provider willing to reframe its support so that it offers individual tailor-made help under the personrsquos control will be an important ingredient in the new system
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Servicesprovider-led planning
At present service providers are kept at armrsquos length from the detailed planning process because they are perceived as tending to drive up costs in their own interests
But the setting of the Individual Budget gives the local authority the opportunity to invite the service provider in at a much earlier point in the planning process and to use their skills and knowledge to develop better services
This kind of approach will not suit everyone Many will want to consider whether to use an existing provider at all or will want a lot of choice over what services they purchase
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Servicesprovider-led planning
But in certain circumstances provider-led planning may be very useful
1048577 where a service provider already has a strong and positive relationship with the person1048577 where someone needs a lot of support to plan but has few natural supporters1048577 where a particular provider has a very strong set of skills that will be useful to meet someonersquos particular needs
So local authorities should explore with trusted providers how the shift towards Individual Budgets might enable them to make better use of their skills
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Servicesmoney
Existing Service Providers will face a number of budgetary challenges
the challenge of individualising and ring-fencing budgets they already hold ldquoon behalf ofrdquo the person receiving support
the challenge of managing individualised amp ring-fenced budgets on an ldquoagencyrdquo basis on behalf of a person who may or may not receive (some) support from that agency
the challenge of providing services to people who hold and manage their own budget quite separately from that agency providing support
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Servicesmoney
Organisations holding peoplersquos Individual Service Funds on their behalf will work with the person to design wholly tailor-made supports where
helliphellipthe money and the support staff are the personrsquos own
helliphellipthe money is kept in a restricted account and apart from clear management charges does not become merged with the organisationrsquos general accounts
helliphellipsupport staff are recruited just for the person and if the person no longer wants a staff member to work with them that staff member receives help to find another job
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
Direct PaymentDirect Payment
(Agent)Direct Payment
(Trust)
Broker Individual Service
FundCare Managed
Managing the lsquoIBrsquo
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
in Control amp Social Care Servicesdirection of travel
away from towards
a lsquoprovide and then placersquo service individually tailored support
all-in-one packages of support separately priced service elements
block contracts with local authorities individual contracts with disabled people
pooling funding within the organisation individual service funds
generic support workers individually recruited supports
