1
Q
KEY TERM:
A
LOCAL AUTHORITY - the governing body of a country or distract officially repsonsible for all public services & facilities in that area.
AUTHORISED OR NOMINATED PERSON - someone who acts on behalf of an individual to allocate their direct payment, with local authority agreement
ELIGIBLE - fit the criteria for, be sutiable for or be entitled to something
MENTAL CAPACITY - being able to make a reasoned decision by understanding information, remembering it for long enough to make a decision and communicating
2
Q
PERSONAL BUDGETS
A
- agreed amount of money
- used to support an individuals support plan
all people who are eligible for social care and support should have access to a personal budget with the interaction that they could use it to exercise choice and control in the meeting their agreed social care outcomes. it is a means-tested cash payment made in the place of regular social services
UK GOVERNMENT 2007
3
Q
PERSONAL BUDGET - DIRECT PAYMENT
A
Direct payments that are held by the person. If the person lacks the MENTAL CAPACITY they will have an AUTHORISED / NOMINATED PERSON, this will normally be carer, family / friend. or a independent advocate.
4
Q
OWN RESPONSIBILITY FOR BUDGET - account are managed by LA in line with the person wishes. This could include paying for community care services provided or commissioned by the LA
A
- those who are eligable for community care services e.g. day centre can choose to receive amount of money
- they are responsible for making sure their personal budget is spent appropriately and they need to keep accurate records to demonstrate this
- there are certain rules, i.e. you cannot employ someone as your personal assistant if they are a friend or family member.
- You can’t pay for long term residential care or services provided by social care services
5
Q
MANAGED ACCOUNT - managed by the local authority in line with the person’s wishes
A
- LA sometimes provide services directly but they increasingly commission non - government providers i.e private companies or charities, to provide services their behalf.
- the individual must know that money is available and they also have choice and control over support provided
- less likely to be able to managed account will offer the same level of user choice and control as a direct payment.
6
Q
CO-PRODUCTION
A
- collaboration / working together.
- it is a partnership between and citizen & public service i.e. neighbourhood watch.
- the idea of this is to empower citizens to contribute time, expertise & effort t their local communities
- Co-production can strengthen communities as everyone involved can feel empowered by contributing
7
Q
CO-PRODUCTION IN ACTION
A
- older people are involved throughout: think about who needs to be engaged
- older people feel safe to speak up and are listened to, agree to how to support each other in making decisions.
- We work on issues that are important to older people: work together to agree these issues.
- it is clear how these decisions are made: agree what it is you wasnt to be different and what skills and how to use them.
- older people’s skills and experiences are use to achieve change: identify who has what skills and how to use them.
- Meeting, materials and venues are accessible: there are different ways to be involved and heard.
- Take actions - just do it! don’t wait until you are ready to co-produce, just make a start.
- Progress is evaluated by looking at the changes in people’s lives
8
Q
CHOICE AND CONTROL
A
- giving individual more choice and control, supporting and enabling them to make their own decisions about where and how care is provided and the support they need to live a full and independent life.
- housing options
- person-centred approach
- personal budget
- support in the form of a personal assistant
- giving them choice and control over there life for example, someone who doesn’t know how to get ready for bed they might need a PA. Having a PA it increases AUTONOMY, enabling and sustaining the rights of individuals to make choices about how they live their lives.
9
Q
SELF-ASSESSMENT OF NEEDS
A
- is led as far as possible by the person who uses the services, or in partnership with a professional, and focuses on the outcome they want to achieve.
- Self-assessment involves the individuals working with professionals to look at the circumstances, situations and needs of the individuals carers, family members and others who provide informal support
- The LA will decided if the person is eligible for long-term social care support and, if so how much money they will need to pay for this support. = this is called INDICATIVE PERSONAL BUDGET.
- there are different ways that individuals care needs can be met. For example, identifying preventative measures - i.e. aids (such as devices to open jars and tins more easily)
Home adaptations i.e. hand rails. - The LA must give the individuals a copy of their NEEDS ASSESSMENT or carer’s assessment.
10
Q
CHANGING ROLE OF PROFESSIONALS
A
- the control has to move from the pro
11
Q
CHANGING ROLE OF PROFESSIONALS
A
- the control has to move from the professionals to the person. Obvs everyone has their own dreams and aspirations professionals have to be sensitive and non-judgmental
- By listening to the individual, the professional can empower them to take control of their life and be able to make their own decisions
- it is about making sure individuals make decisions for themselves even if the professionals feels it may not be the right decision.
- part of their role is to provide the individual with all the relevant information and allows them to make their choices and their decisions.
12
Q
BENEFITS OF PERSONALISATION TO AN INDIVIDUAL - INDIVIDUALS GIAN AND MAINTAIN CONTROL
A
- individuals can gain and control a budget if they opt for a direct payment.
- it helps them to control everyday aspects of their lives that other people take for granted, such as getting up and going to bed when they want to. They do not have to fit into other people’s timetables.
INDIVIDUALS:
- more opportunities to socialise
- gain and maintain control
- Can remain in own home
- inclusion in community
- improved information and guidance
- improved quality of life
- improved self-esteem
13
Q
INDIVIDUALS CAN REMAIN IN THEIR OWN HOME WHEN RECEIVING CARE
A
- Remaining in their own home is important for most individuals as they may feel they will leave their memories and possessions behind if they have to go into residential care.
- Remaining in their own home, with support, will mean the individual can choose to do what they want, when they want to do it.
14
Q
INCLUSION IN COMMUNITY
A
- means that the individuals are involved in the same activities as the rest of the community. They feel valued, are treated with respect and feel like part of a community.
15
Q
IMPROVED INFORMATION AND GUIDANCE
A
- to make good decisions about the support they need, everyone must have access to the right advice, guidance, information and advocacy. Individuals must have much information as possible to give them the widest choice in how their needs can be met by UNIVERSAL SERVICES i.e. housing, health, education, transport and leisure.
- opens more opportunities for employment, regardless of age and disability. LA should ensure that information, advice and support are available are through single point of access which cannot be online.
16
Q
IMPROVED QUALITY OF LIFE, SELF-ESTEEM AND SOCIALISATION
A
- if an individual has more control over their everyday life then their quality of life improves as they have choices. This in turn improves self-esteem and if people feel good about themselves they are going to be more willing to meet new people and socialise
- if someones social life improves, so too will their self-esteem and confidence and they will be more likely to try new things.
17
Q
IMPACTS OF PERSONALISATION - POSITIVE IMPACTS OF PERSONALISATION
A
- DIRECT PAYMENTS for care allows rapid access to services and means the individuals can have support when needed. Because the individual doesn’t have to wait for the LA to do anything as they have the money to do it straight away.
- INCLUSIONS IN THE COMMUNITY means individuals do not have to go into a residential home where they are seperated from everyday life. They can be supported to life, work, socialise in the community in the same way that those who do not require care and support are able to
- REMAINING IN OWN HOME where there is familiarity and a sense of belonging adds to quality of life. The individual would feel more comfortable and safe. They know there surroundings and feel safe due to the memories and belongings and memories around them. They know their neighbours and use the local shops.
- ACCESS TO INFORMATION AND GUIDANCE Allows for better for choices. Individuals feel more confident when making a choice it’s important that they have more of the facts when making choices. It is the LA duty to ensure individuals have all the information.
- NEW OPPORTUNITIES i.e. employment, further and higher education, are individuals who need services as they can pay for the necessary support they need to access these opportunities. Support is available and given at the time when they want it.
18
Q
CHALLENGES OF PERSONALISATION
A
- CARE IS LIMITED TO THE PRESCRIBED BUDGET. the individual gets a set sum of money. If the individual spends all their money at once they might not be able to get another budget until next year. this could be an added worry and stress for the individual.
- AVAILABILITY AND ACCESS to some services may be restricted, particularly if the individual lives in a run down area and travel is difficult because of poor public transport. High - demand services may be provided only for individuals with the greatest needs, so some people will miss out. this could be a lack of trained carers.
- WORRYING ABOUT SPENDING THE BUDGET as the money has to be accounted for. If an individual has opted for direct payment, the LA will ask them for copies of the bank statement, invoices, and receipts to justify how their budget has been spent.
19
Q
HEALTH AND SOCIAL CARE ACT
A
- empowers patients to make choices and helps them to choose services that can best met their needs.
- patients can choose to have their treatment done in the hospital of their choice
- the act established health watch a organsisation which give patients a voice
- Monitior was established as a specalist regulator to protect patients needs
- The act strengthened the collective voice of patients. service providers and commissioners should welcome feedback as a means of assessing the quality of service
- The act provides the basis for better collaboration, partnership with and integration across local government + the NHS
- The NHS commissioning Board, CLINICAL COMMISSIONING GROUPS, Monitor and health and wellbeing boards all have duties to involve patients.
- The act established HEALTHWATCH ENGLAND (the national body repesenting the views of users of health and social care services.) as a statutory committee of the CARE QUALITY COMMISSION .
20
Q
LOCAL AUTHORITY CIRCULAR 2008
A
- Reinforces the commitment to personalisation
- ensures that the patients will have choice and voice in their care.
- enabling them and their supporters to maintain / improve their wellbeing and independence.
21
Q
THE CARE ACT 2014
A
puts people in care and their carers in control of their care and support
- people in need of support are encouraged to think about what outcomes they want, for a better sense of physical or emotional wellbeing
- if a carer has needs and is eligable for support, they have a legal right to assessment and to receive support
- LA’s will encourage + help people to live healthy lives, reducing the chances of them needing more support in the future.
- LA should provide clear guidance to help individuals make informed choices and enable them to stay in control of their lives
- greater emphasis on the use of an advocate
- Greater regulation for those who provide professional care and support, tougher penalties for those who do not provide care and support of a high enough standard
- greater emphasis on safeguarding vulnerable individuals from neglect and abuse
- greater emphasis on personalised budget and payments
THE CARE ACT REINFORCES PERSONALISATION IN THE GUIDELINES FOR HSC CARE PROFESSIONALS WORKING WITH INDIVIDUALS:
- the individual knows themselves and their needs best
- the individual’s views, wishes feelings and beliefs should always be considered
- any decisions should take into account all relevant circumstances
- an individual’s wellbeing should be balanced with that of involved family and friends
- professionals must protect the individual from abuse and neglect
- Professionals should ensure that any actions taken to support the individuals affect their rights and freedom as little as possible.
22
Q
CHILDREN AND FAMILIES ACT 2014
A
focuses on putting children and young people at the heart of planning and decision making through co-production and person - centred practice
- importance of involving young people + their parents / carers in all decisions
- choice and control for the children, young people and families are involved in decision making.
- the duty of the LA to integrate services across health, care + education.
- a single EDUCATIONAL, HEALTH AND CARE PLAN (EHCP)
- empowering young people so they are engaged and supported to plans for their future.
- the duty of the LA to carry out a CHILD’S NEEDS ASSESSMENT (CNA) for young people who may need support to make informed decisions on their future.
23
Q
ROLE OF THE LOCAL AUTHORITY - ASSESSMENT
A
EDUCATIONAL, HEALTH AND CARE PLAN (EHCP)
- EHCP is a legal document which sets out a description of the young person’s needs.
- It documents what they can and cannot do and what needs to be done to meet those needs by Education, HSC.
- little children are issued with an EHCP, usually those with complex and server needs which require high level of care and support.
24
Q
ROLE OF THE LOCAL AUTHORITY - FAIR ACCESS TO CARE
A
government 2003 to provide LA with a common framework for determining individuals eligibility for SCS.
framework is based on individual needs and associated risk to independence + includes 4 bands: CRITICAL, SUBSTANTIAL, MODERATE + LOW.
25
ROLE OF THE LOCAL AUTHORITY - INDIVIDUAL BUDGET
- if the individual wants to live independently their will need to be a assessment done by the LA for an individual budget.
- how much money the individual gets is done by SELF ASSESSMENT PROCESS (SAP).
- This process aims to assess people's care need's thoroughly and accurately, without procedures being needlessly duplicated by other agencies.
- if the patient is unable to hold or manage the individual budget themselves, then others can act on others best wishes for them.
26
ROLE OF THE LOCAL AUTHORITY - HOUSING
CHOICE OF RESIDENT:
- local authorities must ensure that homes are accessible, flexible and designed with the individual's needs in mind.
- There should be a core service for specialist housing with a range of additional options as required to meet individuals needs
27
ROLE OFTHE LOCAL AUTHORITY - HOUSING ADAPTATIONS
- they are assessed by the LA social service to enable the individual to live independently. For example, if a kitchen needs to be suitable for using a wheelchair, units, the cooker or sink could be lowered so everything is within reach.
- another adaptation could be a hoist in the bedroom / bathroom making it easy for individuals to go to bed or a bath.
28
ROLE OF THE AUTHORITIES - MEETING HOUSING NEEDS
if individual want to stay in their own home, social services can make adaptations using special equipment + adaptations. If it is not possible to adapt the house
- purpose - built or adapted accommodation that is accessible and meets the individuals needs; i.e. a ramp might already be in place to the front door or it may have wider doors to accommodate a wheelchair.
- sheltered accommodation that gives an individual the independence of having their own bungalow / flat with security of an alarm system and warden to check on the residents + help in an emergency; they would not provide care or carry out household tasks.
- Residential home would ensure that all individual physical need's were met. care assistant would be available to help day or night.
29
THE CARE ACT'S REMOVAL OF GEOGRAPHICAL BARRIERS
- barriers as it wanted continuity of care so that, when a adult who is receiving care and support in one area of England moves home, they will continue to get care in the new area. (no gap in the care and support).
- follow their care plans, they know when someone wants to move areas, and what must happen to make sure that their needs are met are met when they arrive in the new area.
30
DECENTRALISATION & COMMISSIONING
- process of redistributing or shifting functions from a central authority or location.
- commissioning is the process of planning, agreeing and mentoring services.
- KEY: to commissioning is working in equal partnership with individuals who use services, their families, communities and organisation.
31
DECENTRALISATION & COMMISSIONING: OUTSOURCING SERVICES
- outsourcing means that the service will not nessicariliy come from the LA but may be brought from other organisations.
- more value for money and better choice of service i.e. individuals can choose what hospitals they want to go to for their operation.
- The LA commissioner must demonstrate that services reflect comments from consultation with individual who use them.
- individual's must be part of it from the start of the process through implementation, monitoring and evaluation.
32
DECENTRALISATION & COMMISSIONING: PROMOTING GREATER REANGE OF CHOICE
- before personalisation, the services on offer to an individual would come from inside the LA.
- if the service was not available then the individual had no choice.
- Now services can be sourced from many different organisations, so the individual can choose the service that best meets their needs.
PERSONALISATION
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