Developing a common resource allocation system in Scotland

Gordon DunbarPersonalisation and Outcomes Programme Manager, City of EdinburghJIT, Learning and Action Group Member

Background

Different practices across Local Authorities– RAS– Equivalency model

Aspiration to develop a fair and transparent tool Explore the possibility of developing a tool that would

have more wide spread usage across Scotland That supported an outcomes approach

Background – Initial Interest

City of Edinburgh Glasgow City Council Perth and Kinross In-Control Scotland Falkirk Council

Initial Meeting

Increasing concern about the usage of resource allocation systems

A common approach within Scotland An growing interest to explore a new way

forward – possibly linked to IoRN National Dissatisfaction with mutant

developement

Simon Duffy - Simplifying the Resource Allocation System

Long - there are now models with 40 page Complex - some models involve getting multiple

perspectives on one question Ambiguous - some models ask lots of questions, but

no clear budget Restrictive - often models slip back into prescribing

how someone should be supported

Developing Interest

City of Edinburgh Glasgow City Council NHS Lothian (Self Directed Support Pilot) In-Control Scotland Orkney Council Dumfries and Galloway Perth and Kinross Highland Council Fife Council East Renfrew Council Angus Council Falkirk Council Joint Improvement Team, Scottish Government

The Way forward

It has been suggested that in Scotland we should consider whether an improved system might be possible if the IoRN were to be used in some way as part of the process.

Key Elements

Supports Outcomes Focused Assessment Sits within a dynamic assessment framework Supports decisions to be made in a more co-

productive way at the earliest opportunity Supports fair and transparent allocation of

resources The budget is sufficient to meet the

outcomes/needs of the person

Three key elements

RAS IoRN Talking Points

Work to identify areas of commonality and deficits Potential to develop a dynamic assessment

framework that supports outcomes and allocation that included a resource allocation tool

IoRN - Options

Use the traditional IoRN Developing a tool using the methodology

employed within the IoRN to allocate people into groups – distilled large quality of information down to a

relatively small amount of significant factors – Place into grouping

Low

Medium

HighLow

High

High

Low

Medium

Low

High

Lower

Higher

A

B

Indicator of Relative Need Algorithm

D

C

E

G

H

ADL

Mental well-being

Bowel management

IoRN Group

Medium

Personal care

Mental well-being

I

F

H

I

A B C DE F GH I£200 £400 £800£600 £1200£1000 £1400

Relationship between IoRN group and average weekly cost of services (at 2002 prices)

A work in progress

Further details

Gordon.dunbar@edinburgh.gov.uk