Personalisation and the Care Act 7 Months On

Matt Bowsher- ADASS West Midlands Personalisation Lead

Making Care and Health Personal Event

4th November 2015Colmore Gate, DeVere Venues Birmingham. B3 2QD

Personalisation Network PrioritiesBuilding Community

Capacity and Market Diversity

Information and Advice/ Prevention/ Partnerships with Voluntary sector/ Carers/micro commissioning/ assistive technology/

Enabling Choice and ControlPersonal Budgets/ Direct Payments/

ISF’s/ Carers Personal Budgets/ Suitable Person role / reducing beaurocracy/ Resource allocation best practice/ Personal Health Budgets

Tailoring Care and supportCare and Support Planning/

Independent Advocacy/ Co production/ Peer Support/Transitions planning/

Coordinating Care -Integration and Cooperation Strategic planning/ Working with Health and Well Being Boards/Housing authorities and providers/ Welfare and employment support/Continuity of Care/Personalisation across health and social care settings

Personal to you:

Your Contribution:One skill or experience you offer in relation to personalised

health and social care.......

Personalisation: The Care Act 7 Months On

• The Act introduces a new duty on promoting wellbeing • Applies also to those who do not have eligible needs but

come into contact with the system.• Shift away from providing services to meeting needs• Develop local approaches to prevention with partners• Services which help prevent, delay, or reduce development of

care and support needs, including carers’ support needs

Rhetoric and Reality

“Personalisation? I know this is happening when I am treated with warmth, respect and honesty - when people listen to me, treat me as an equal and support me – and when I don’t have to fight all the time to get what I want to help me recover and live my life the way I choose to” (Mental health expert by experience)

Paths to Personalisation in Mental Health NDTi (2013)

“Personalisation is failing to deliver for many older people” ADASS Case for Tomorrow 2013

“low levels of take up of direct payments and personal budgets for people with dementia and their carers” Alzheimer’s Society Getting Personal report. 2011

The Act is built around what is important to people, it:

• ensures that people’s well-being, and the outcomes which matter to them, will be at the heart of every decision made

• Places new duties on councils critical to realising the potential of personalisation – such as those relating to information and advice and market shaping

• creates a new focus on preventing and delaying needs for care

• puts carers on the same footing as those they care for

• puts personal budgets on a legislative footing for the first time

Personalisation and the Care Act

Wellbeing principle (section 1) and Prevention (section 2)

• The Act introduces a new duty on promoting wellbeing • Applies also to those who do not have eligible needs but

come into contact with the system.• Shift away from providing services to meeting needs• Develop local approaches to prevention with partners• Services which help prevent, delay, or reduce development of

care and support needs, including carers’ support needs

Information and advice (Clause 4)

• A new duty on local authorities to ensure the availability of information and advice about care and support, for their whole population.

What is happening locally – Information and Advice

• Shropshire –Lets Talk Local sessions• Staffordshire Cares – redesigned web portal • Solihull – Information Hubs

Personal budgets and direct payments (Clauses 25-32)

• The Act puts personal budgets on a statutory footing for the first time for everyone with an eligible need. This also applies to carers. Also includes duty to develop a care and support plan, or support plan

Care and support planning (section 25 - 27) Transitions (sections 58-66)

The Act places a legal duty on Councils to prepare a care and support plan and a carers support plan

• Plan must be person -centred and person –led

• Completed regardless of the setting

• Not new – but significant differences in both practice and local delivery will impact

• Delivering Care & Support Planning - supporting implementation of the Care Act 2014 (TLAP)

• Personalisation and SEND Reforms

• Education, Health and care plans Transitions Assessments.

• Developing an Information and Advice offer. Development of age appropriate local services and resources

• Children's Personal Budgets. Direct Payments offer.

• 'Making it Personal - Family Guide to Personalisation, Personal Budgets and Education, Health and Care Plans‘ (TLAP)

Advocacy and participation support – New duty to involve (Sections 67 and 68 )

• Applies to all adults and carers as part of assessment and care planning and in all settings

• Where there is substantial difficulty in being fully involved – and no-one appropriate available to support

• Councils required to have policy in place for appointing of advocates and

• Ensure there are sufficient independent advocates available from 1st April 2015

• Guidance:http://www.scie.org.uk/care-act-2014/advocacy-services/commissioning-independent-advocacy/

Market Shaping (Clause 5)

• The Act introduces a new duty requiring local authorities to actively encourage local markets that provide a sustainable, diverse range of high quality services so people have choice

Personalisation and Integrated Personal Commissioning: