A system of self directed support

What are the different terms you have heard about self directed support?

Self-directed support? In Control? Individual budgets? Personalisation? Co-production? Direct payments? Resource allocation? What’s all this about?

Context National and international change – changing consumer expectations and demand 21 st Century Social Work review - ‘More of the same won’t work’ There’s never enough money – ‘more for the same’ It’s a progression not a new direction Things are happening in Scotland and the rest of the UK

What is personalisation? ’a significant change’ ’fundamentally moves the location of power, decision making and expertse’ ’people...supported to live the lives they want to live’ ’people..increasingly involved in shaping the support they require to achieve....outcomes’

What is personalisation? ‘Personalisation means thinking about public services and social care and support in an entirely different way – starting with the person rather than the service. It requires the transformation of adult social care’

in Control’s model of SDS version 4.0

Key features of personalised systems An identified up front allocation of resources at the start of the process A support system that facilitates choice, control and flexibility A focus on outcomes and a change in culture and shift of power

Self directed support: -‘ the system through which disabled people can get the life and support they want. It is an active process rather than something people are given’. ‘I direct my own support……’

‘ Self-directed support (SDS) allows people to choose how their support is provided to them by giving them as much control over the individual budget spent on their support. In other words, SDS is the support a person purchases or arranges to meet agreed health and social care outcomes’

A direct payment: ‘A cash payment someone can get and manage instead of having the services or support arrranged or provided by Social Work’

Self directed support strategy and bill – duty of council Identifies 4 different options: -Direct payment -Individual Service Fund -Arranged services -Mixture of above

What is an individual budget ? An individual or personal budget is simply an amount of money -an allocation of resources- that can be used flexibly to enable the person to get the life they want

What are the pros and cons of using each of the 4 different ‘mechanisms’ ? What are the implications for your organisation of the different mechanisms and what will you need to change top make sure they are available in your area and that each offers mechanism offers real choice and control?

Self directed support - is fundamentally about a shift of power -requires cultural change -is a significant change -takes into account people’s real wealth

citizenship outcomes keeping my independence and carrying on meeting my own personal care needs forming more friendships or relationships outside of family or people paid to be with me having more chances to work and take part in ongoing learning doing more things in and contributing more to my community taking the decisions that are important to me being safe and free from harm

Self-directed Support - National Strategy for Scotland and Bill!