Voluntary Action Scotland

Self Directed SupportWhat does it mean

The Theory and the Practice

Scottish Government view of Self-directed Support

• The support individuals and families have after making an informed choice on how their individual budget is used to meet the outcomes they have agreed.

• Scottish Government preferred term

• Focus of their new bill and strategy

Self Directed Support Bill• Sets general principles for carrying out Self Directed Support of

– Involvement– Informed Choice– Collaboration

• Sets out 4 options for the provision of support which the council has a duty to offer– Use of a direct payment– Directing the council to provide support of their own choosing– The council should selects appropriate support to meet needs– A combination of the above

Support

• Introduces a statutory power to provide unpaid carers with support if this will help them maintain their caring role. A carer’s assessment will have to be carried out first

• The council must take reasonable steps to involve “family and friends” in helping a supported person – To make a choice over their options for support– in making decisions about the assessment of need.

Further guidance to follow

– Use of direct payments for people in residential care

– Specifying categories of people ineligible for Direct Payments

– Employment of close relatives– Ability to receive a Direct Payment Gross or Net of

local authority charges.

My money- finding out how much

So it looks like I can get £25,000

Glasgow Assessment Points

Glasgow Self Evaluation Questionnaire Meeting Personal Needs 30 Making and Maintaining Relationships 5 Being part of the local community 10 Work, Learning and Leisure 10 Making Important Decisions 3 My role as a parent or carer 6 Running & maintaining my home 4 Staying safe from harm 12 Complex needs and risks 20 Percentage reducer Available social support See matrix Family Carer and financial support See matrix

Glasgow SEQ – Meeting Personal Needs

Answer Outcome Your view Assessors View Points

A. I am able to meet my personal needs and do not require any support in this area

Outcome met 0

B. I am able to meet my personal care needs with occasional (not every day) physical, gestural or verbal support

To maintain independence but ensure essential care needs are met 2

C. I need significant (every day) physical/ gestural/ verbal support from another to meet my personal care needs

To have essential personal care needs met 4

D. I need frequent (several times per day) intimate personal care needs support to meet my met

To have essential personal care needs met 10

E. I need constant intimate support to meet my personal care needs

To have essential personal care needs met 22

A. I need two people to meet my intimate personal care needs

To have essential personal care needs met 4

B. I need frequent intimate support overnight

To have essential personal care needs met 4

North Lanarkshire RAS31 315.96 1643032 326.15 1696033 336.35 1749034 346.54 1802035 356.73 1855036 366.92 1908037 377.12 1961038 387.31 2014039 397.50 2067040 407.69 2120041 417.88 2173042 428.08 2226043 438.27 2279044 448.46 2332045 458.65 2385046 468.85 2438047 479.04 2491048 489.23 2544049 499.42 2597050 509.62 2650051 519.81 2703052 530.00 2756053 540.19 2809054 550.38 2862055 560.58 29150

Multipliers, Adders And Reducers

• Family care• Existing support networks• Institutionalisation and limited community

experience• Different councils do it different ways– North Lanarkshire multiplies– Dumfries and Galloway adds– Glasgow reduces

Making my plan – Looking at outcomesand person centred planning

Who else do you want to do and who can we get to help us do meet them?

Outcomes

• New form of plans• Input = money/time• Output = staff hours delivered, having a hot

meal• Outcomes = having made new friends, being

healthier

User OutcomesQuality of Life Process Change

Feeling safeHaving things to do

Seeing peopleStaying as well as you

canLiving where you

want/ as you want

Listened toHaving a sayTreated with

respectResponded to

Reliability

Improved confidence/morale

Improved skillsImproved mobility

Reduced symptoms

Getting My Plan agreed

Financial Negotiation

• RAS is only an indicator of budget.

• Altered by risk• Altered by duty of care• Altered by failure to meet agreed outcomes

• Will be an internal process for negotiation of budgets where outcomes and plans can not be delivered within indicative budget.

Getting the money organised

Managing the Budget• Direct Payments

– Keep Accounts and records– Hire Personal Assistants or support provider– Support organisations for payroll, accounts and other employer issues.

• Individual Service Fund– Managed by Voluntary Sector or Council– Notional Budget with agreed services– Only records are of support received

• Council Arranged– Council will arrange services to value of budget– Range of services chosen by council as most appropriate– No records to keep

Organising Support

Support• Personal assistants

– Open employment– Family

• Voluntary Organisation• Private Sector • Direct Council• Technology

– Alarm call systems– Dial a meal– Internet shopping

• Unpaid Family• Neighbours

Living Life

Creative solutions

• Group purchases• Specialist leisure activities• Specially commissioned services

All this is poorly developed locally and interfaces can play a role in developing this. – Glasgow Social Care Providers to Social Care Ideas

Factory

Seeing how it worked

Its gone well. Let’s talk about what’s next

Final 3 stages

• Putting Plan into action

• Review of plan within 12 months

• Should be based on outcomes

• Adjustment to support and budgets

Third Sector Infrastructure

• Develop locally in different ways• Support the use of natural support• Enhanced opportunities for local organisations• Provision of information to the third sector• Highlighting cross sector issues• Representing the voluntary sector in local

developments.