Still Putting People First

Jo BryanCommissioning and Service Development Manager

Introduction

• Trafford – made positive progress in relation to personalisation

• Outline our approach and some achievements along the way

• However still got a long way to go - challenges • Identify some current and future projects and

themes• Address some specific questions from Health

and Social Care Conference

Trafford’s Approach

• Based on co-production – worked with Citizen’s Reference Board and Centre for Independent Living

• Within the Council Putting People First led by Commissioning, understood the need for market transformation, shift from block contracts and standard procurement to market shapers

• Incremental, balanced 3 year programme, based on key areas of information, prevention, building community capacity, workforce development, market development, personal budgets and culture change

Trafford’s Approach

• New operating model, based on simple customer journey launched in October 2010

• All new and existing customers offered a personal budget from this date

• 29% of people receiving a personal budget as of March 2011 (circa 2700 people)

• New Operating Model currently being reviewed to further improve customer journey

Achievements and Success Stories

• Awarded IDeA Innovation award for taking control of care – recognised Trafford’s excellent progress re Putting People First, huge contribution made by citizens and partners such as BlueSCI

• Creative pilots – My Health My Way mental health personal budget pilot, now being repeated with Older People

Achievements

• Innovation Funds – creative way to promote market transformation and build community capacity

• Developed St Giles as a Centre for Independent Living using Personal Budget model

• My Way – user friendly web site, basis for consistent information at right time

• Fully managed PB accounts delivered by your life

National Agenda• Big Society• Personalisation agenda (Right to Control, Think

Local, Act Personal, Communities)• Economic situation, efficiencies and savings • Health Reform: GP led commissioning, Public

Health transfer, Health and Wellbeing Boards• Public Service reform (White Paper in May)

“support the creation and expansion of mutuals, co-operatives, charities and social enterprises, and enable these groups to have much greater involvement in the running of public services.”

Local Challenges

• Culture change• Resource allocation system• Current economic climate• Public perception• Mainstreaming – risk it is all about the

personal budget offer, not what people do with it

• Working with wider partners- community budgets

What’s Next - Projects

• Development of voluntary and community sector consortia/ collaboration approach (e.g. hub and spoke)

• “Family Budget” pilot with health and CYPS• Community budgets- lottery bid/AGMA• Pathways – shift to Personal Budgets• Social enterprise for employment e.g. café• Innovation fund for small community groups- mentoring• On going development of Right to Control• Further development of Time Banking• Review of New Operating model and paperwork

Right to Control- What is it?• National initiative led by Office of Disability

Issues• RTC will enable disabled people to have

maximum choice and control over the support they receive

• Effective alignment and integration of different organisations, services and funding streams.

• = a simpler customer journey, what disabled people have been asking for

RTC Funding Streams• Access to work

• Work Choice

• Independent Living Fund

• Disability Facilities Grant

• Supporting People

• Adult Social Care

• Integrated Community Equipment Services

RTC Customer Journey• Advocacy, Advice and Support for all• Single Agency – Led via 1 organisation / funding stream• Coordinated – Led via CIL. Holistic and outcomes-based,

with professional input as required

Health and social care conference

1. Who has lead for personalisation?

- Adult Social Care Personalisation team Jo Willmott Programme Manager, Jo Bryan, Gill

Renshaw, Shabina Butt, Martin White, Jayne Tumbelty, Merry, Jo Lewis, Sarah Brookes

- Adult Social Care Operations- direct payments team- Dianne Baker

- CYPS commissioning team

Health and social care conference

2. In light of cuts is Trafford Council still pursuing personalisation?

Yes, increasingly and to a greater extent including partner agencies. Will be increased opportunities for voluntary sector organisations to deliver services that can be purchased through a personal budget. Personalisation is needed to transform services to better meet the needs of individuals and make savings.

Health and social care conference

3. Marketing and how services are offered?

Menu of services been developed for non care managed services.

Hub and spoke/ consortia model could support marketing within sector.

Culture change and training of health and social care professionals. Reablement model linked with TACT volunteers.

Promotion to key advice and information points- My Way, CIL, Age UK, Carers Centre, CAT, BlueSCI website etc etc……

Health and social care conference

4. Brokerage/ sustainability of information/advice

Budget reductions in adult social care- sustainability of sector

Personal budgets not practical to purchase info/advice- needs to be part of universal offer to public

Brokerage- needed in future especially in terms of more complex needs or language issues. Develop information provision then increases self brokerage. Develop peer brokerage? Develop capabilities of professionals ie social care assessors. Despite these brokerage still needed.

Questions

• Any questions?• What help and support do you need

from the Council?