Direct Payments via Prepaid Card The Plymouth Journey Kate Jones Project Manager Strategic Cooperative Commissioning 13 th April 2016

Plymouth Adult Social Care Transformation Programme Services to promote independence & help people to stay at home Self Directed Support Choice & Control

Appreciative Inquiry (AI) Events 2009/2010  Engaging with our stakeholders in self determined change  Working from the premise of identify what works well and often solutions to things that don’t work will become apparent.  AI “advocates collective inquiry into the best of what is, in order to imagine what could be, followed by collective design of a desired future state that is compelling and thus, does not require the use of incentives, coercion or persuasion for planned change to occur.“ Gervase Bushe “It’s like going to a really good dinner party, where we had really good conversations, but without the hangover”. Feedback quote 2009

Direct Payment Forum AI process was applied: To identify what worked well in the current system Knowledgeable staff To identify what could be improved A more streamline process Less bureaucracy Time from agreeing that DP was the way to go to receiving it – average of 3 months! Bureaucratic monitoring that the LA were unable to keep on top

Required Outcome To: Move from this To this:

Research

Introducing Prepaid Cards Project started in 2010 (linked to our ASC transformation programme) February testing phase with members of our forum and their carers April to June ASC Transformation induction sessions with the workforce –Direct Payments & Prepaid Cards July 2012 Go Live!!!!

Lessons learnt  IT  WFD  Language Personal Budgets An envelope of available funding to meet unmet eligible for an individual Prepaid Cards Its just a bank account Direct Payments Legislation hadn’t changed Legacy Accounts Old style bank accounts

2016 – Service User Benefits Requirement delivered:  A more streamline process  Less bureaucracy  Time from agreeing that DP was the way to go to receiving it – average of 3 months! - If every one does `their bit’ 8 working days from support plan approval to money on the card’

2016 – Local Authority Benefits What we have:  Daily visibility of DP Numbers and Service User Activity  Daily visibility of DP Budget Commitment and Actual Spend  Process to recover unspent funds What are we currently doing:  Reviewing our Direct Payment Process end to end from point of Support Plan approval to delivery of funds on the card  Reviewing Direct Payment WFD with our Delivery Provider  Outstanding Legacy Accounts