Pushing Boundaries Consumer Choice Carlo Calogero Executive Director Aged Care Services

Overview Self Directed Services (SDS) SDS HACC WA project Client perspectives Implications

Where are we going?

HELP

Australian SDS Links to UK developments Disability services early 2000 (WA & Vic) Links to individualised funding & services Innovative SDS services eg My Place – self Management & shared management WA Health interest in SDS for HACC 2012

MERCYCARE SDS: N

SDS in HACC Trial testing SDS model in HACC MercyCare partnered Perth Home Care Services Trial commenced in May 2014 – ended 2016 Key objective to develop SDS model to operate within HACC & assess its applicability & effectiveness Key element testing choice & control (pre CDC) Curtin University evaluation report due

MercyCare’s Trial Group 29 participants (PHCS 90) 17 new to HACC & 12 current SDS option offered by RAS at review 21 females & 8 males Six under the age of 65 Youngest 40 & eldest 90 3 CALD participants

Supports Accessed

Client employing a Support Worker SDS Client Agreement Support plan Information booklet Price lists for our services & others Guide to Engaging own Support Worker Guide to responsibilities

Content Developing your plan Your plan (template) Writing a duty statement Choosing a support worker Sample interview questions Contract to engage your support worker Training & supervision Safety Insurance – workers compensation & public liability Termination of employment Agreement to engage a support worker "Statement by a supplier" form Sample invoice Payment advice

“WE SPEND A LOT OF TIME DESIGNING THE BRIDGE BUT NOT ENOUGH TIME THINIKING ABOUT THE PEOPLE WHO ARE CROSSING IT” Dr Prabhjot Singh

Curtin University some findings SDS is effective in meeting older clients needs to live independently, safe, securely in their homes SDS flexibility a key component in achieving success SDS benefits from support agency and client readiness SDS improve the quality of service users and their family’s quality of life

How far can this model go? Neurological disease Towards the end - high care, unable to communicate, non mobile, no signalling Employed his own workers Management & support circle

Key Learnings Consumer can employ own SWs Provides greater flexibility Reduces consumer costs – value for money SW paid more Consumer greater choice & control Removes employment from industrial arena Opportunity to maintain consumers Opportunity to sell additional supportive services Marketing analysis of a parallel service

Key Messages UK experience supports personalised services but there are differing views on outcomes Personalisation moving to integrated care models & direct payments Consumers employing their own worker works, its price competitive, flexible and quality option Can work in parallel with traditional service models

Thank You