Post on 22-Nov-2014
description
Riding the Wave of the Future- Consumer Directed Social Support
NSW Neighbour Aid and Social Support Association Inc. Annual Conference, Sydney NSW
August, 2014 Carrie Hayter
Director, Carrie Hayter Consulting
1
About Carrie Hayter Consulting
28 August 2014
• Transitioning to personalised support – Research, Evaluation & Translation – A Handbook for community care services , Empowering People,
enhancing independence, enriching lives with Alt Beatty Consulting for NSW Government
– Strategic Planning – Education, coaching and mentoring – Person Centred Practice and Thinking (managers and support workers) – Cultural Diversity and Cultural Competence – Ageing and Sexuality (managers) – Ageing and Sexuality (frontline workers) – Consumer Directed Care (Managers and Support Workers) – Living Life my Way (Service Users)
Consumer Directed Social Support © Carrie Hayter Consulting
2
Today’s Workshop
• What is consumer directed care?
• Transitioning to the future
– How consumer directed is your social support service?
• Opportunities of consumer directed care
– People with disabilities
– Older People
– Carers
28 August 2014 Consumer Directed Social Support © Carrie
Hayter Consulting 3
28 August 2014 Consumer Directed Social Support ©Carrie
Hayter Consulting 4
Highly personal Impersonal
Activity 1 – What is a personalised service?
Why consumer directed care?
28 August 2014 Consumer Directed Social Support Copyright Carrie Hayter Consulting
5
Policy
Practice Research
28 August 2014 Consumer Directed Social Support © Carrie
Hayter Consulting 6
28 August 2014 7
UN Convention on the Rights of People with a Disability Productivity Commission Reports National Disability Insurance Scheme (NDIS) launch sites from 1 July 2013 Consumer Directed Care Packaged Care from 1 July 2013-2015
Research on consumer directed care models - choice and control for people with a disability and cost savings (Glendenning 2008, Ottman, 2009, Leadbetter, 2004) Low take up of individualised budgets by older people (Glendenning et al 2008) (Ottmann, G., Carmel, L., & Allen, J. (2012)
Research Policy
Principles of Consumer Directed Care
• Choice
• Control
• Service users as active participants
• Self managed
• Individualised Budget
28 August 2014 Consumer Directed Social Support © Carrie Hayter Consulting 8
28 August 2014
Consumer Directed Care Models in Australia
Case Management &
Brokerage Individualised
Budgets Cash for Care
Self Managed/ Direct Payments
Home Care Packages Attendant
Care Packages
National Disability Insurance Scheme
Service User control of money and resources
Consumer Directed Social Support © Carrie Hayter Consulting
9
People leading the Way
Village to Village Network Boston Beacon Hill Village • Grass roots movement created by
older for older people • Member based http://www.beaconhillvillage.org Village to Village Network http://www.vtvnetwork.org/ Australia Waverton http://wavertonhub.com.au/
My Choice Matters
• Ideas and resources for people to have more voice, choice and control
• Run my projects
• Become a leader
http://www.mychoicematters.org.au/
28 August 2014 Consumer Directed Social Support © Carrie
Hayter Consulting 10
28 August 2014
NDIS National Disability Insurance Agency
Assessment
Registered Providers with NDIS
Devika (consumer)
Nominees/ Support Planner
National Disability Insurance Scheme
11
28 August 2014
National Disability Insurance Scheme Agency – Opportunities
Service Users
Registered Service Provider
Registered plan management provider
My access checker http://www.ndis.gov.au/my- access-checker
Registered Providers Disability Care Australia http://www.ndis.gov.au/document/297
Registered Plan Management Provider http://www.ndis.gov.au/providers-1
Consumer Directed Social Support © Carrie Hayter Consulting 12
Aged Care Policy Developments
HACC & NRCP Program 1 July 2015 Home Support Program
• HACC
• National Respite for Carers Program
• Day Therapy Centres
• All other Commonwealth aged care programs
• Discussion paper on home support program
Packaged Care Programs
• 1 July 2013 til July 2015 – Home Care Packages
– Consumer Directed Care
– Individualised Budget Model
• Transition for existing packages
28 August 2014 Consumer Directed Social Support © Carrie
Hayter Consulting 13
Consumer Directed Care Home Care Packages
Goals What
matters most
Outcomes Independence
Approved Provider
ACAT Tier 1 Tier 2 Tier 3 Tier 4
Strengths & Needs
Individualised Budget
Outcomes
Amanthi Amanthi
14
28 August 2014 Consumer Directed Social Support © Carrie
Hayter Consulting 15
Activity 2 – Self Assessment
28 August 2014
Service Users Service Users Practice Practice
Staff & Volunteers
Staff & Volunteers
Budgets Budgets
Cost Cost Carers Carers Life story Life story
Direct/ Indirect Direct/ Indirect
Training & Support
Training & Support
Education & Support Education & Support
Goals and Vision
Goals and Vision
Creative Culture Creative Culture
Culturally Competent
Consumer Directed Care
Lau
nch
Pad
Consumer Directed Social Support © Carrie Hayter Consulting 16
Activity 3 – Simon’s Story
28 August 2014 Consumer Directed Social Support © Carrie
Hayter Consulting 17
28 August 2014
Activity 4 – Reflective Practice
Consumer Directed Social Support © Carrie Hayter Consulting
18
28 August 2014
Key Area Questions
Service Users What skills do service users have to be active participants? What structures do we need to put in place to support this transition?
Financial Management Systems
How much does it cost to deliver particular services? How can we provide this information to service users and stakeholders in a format they understand?
Staff and Volunteers What skills do our staff need ? How is this different or similar to their current skill set? What support structures do we need for staff?
Consumer Directed Care – Systems and Processes
Consumer Directed Social Support © Carrie Hayter Consulting
19
28 August 2014
Key Area Questions
Risk Management How does our agency work with service users to identify and manage risks? How do our staff balance duty of care with dignity of risk?
Board and Governance What are the strategic directions our organisation needs to take?
Community Engagement Which community partners do we need to engage? How can we engage these partners? What languages do they speak?
Marketing How does our marketing material reflect what we do? What images do we want to portray to service users and the broader community?
Consumer Directed Care – Systems and Processes
Consumer Directed Social Support © Carrie Hayter Consulting
20
28 August 2014 21