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

2. Plymouth Adult Social Care Transformation Programme 2008 - 2012 Services to promote independence & help people to stay at home Self Directed Support Choice & Control

3. 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

4. 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

5. Required Outcome To: Move from this To this:

6. Research

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

8. 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

9. 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’

10. 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