1. In Control Presentation An Overview in Lancashire Ian Turnbull and Kim Haworth

2. This presentation is an overview of the work so far in Lancashire This presentation is an overview of the work so far in Lancashire It is used to explain to a range of staff in various settings the concepts and thoughts regarding In Control, its application and the potential implications eg contracts, finance, IT systems etc It is used to explain to a range of staff in various settings the concepts and thoughts regarding In Control, its application and the potential implications eg contracts, finance, IT systems etc

3. In Control - What that means? Resource Allocation Model - RAM Resource Allocation Model - RAM Resource Allocation System - RAS Resource Allocation System - RAS Self Directed Services Self Directed Services Self Directed Support Self Directed Support Personalisation Personalisation Individual Supports Individual Supports Individual Budgets Individual Budgets

4. In a Nutshell!! Know how much money you are entitled to Know how much money you are entitled to You can plan for yourself – with support you control You can plan for yourself – with support you control You can use your money flexibly - on services, but also on new ideas You can use your money flexibly - on services, but also on new ideas You can make your own decisions or choose someone to help with this You can make your own decisions or choose someone to help with this You can change your mind and do something different You can change your mind and do something different

5. Where Did It Begin? Misunderstanding of the Social Work role re Person Centred Planning Misunderstanding of the Social Work role re Person Centred Planning Phone Call to Simon Duffy Phone Call to Simon Duffy Initial 3 day workshop with all the SW team members in Lancashire Initial 3 day workshop with all the SW team members in Lancashire Follow on sessions up to present day with Team Managers and others to progress thinking Follow on sessions up to present day with Team Managers and others to progress thinking

6. Work Undertaken Used Simon Duffy as a consultant Used Simon Duffy as a consultant Considered a range of work that had been undertaken with other authorities Considered a range of work that had been undertaken with other authorities Developed some thinking about how to work smarter in terms of Care Management Developed some thinking about how to work smarter in terms of Care Management Worked to construct a framework to test out some of this thinking Worked to construct a framework to test out some of this thinking

7. Main Areas of Thinking People plan better when they know the resources they have available People plan better when they know the resources they have available Providing a framework that clearly shows the allocation that is available based on a fair funding basis – ‘the matrix’ Providing a framework that clearly shows the allocation that is available based on a fair funding basis – ‘the matrix’ This was based on an analysis of current spend This was based on an analysis of current spend Try it out – Test To Destruction!!!! Try it out – Test To Destruction!!!!

8. Example of the Matrix – V2 FundCondition Possible Indicators £13,500 Medium level need and in the family home and no complexity Needs supervision & support most of the time Needs supervision & support most of the time Help typically in the form of prompts /guidance Help typically in the form of prompts /guidance Can be left for small periods Can be left for small periods

9. Lancashire Version in development Personal Care Needs I require full intimate support to meet my personal care needs High10 I am able to meet my personal care needs with occasional physical and gestural support Med5 I am independent in this area but need prompting to carry out my personal care needs Low2 I am fully independent in this area Nil0

10. More Thoughts Once you’ve had an allocation – how do you do the planning. Once you’ve had an allocation – how do you do the planning. More Terms!!! More Terms!!! Service Design Service Design Brokerage Brokerage Support Planning Support Planning

11. The 5 Pathways Individual Led Individual Led Family Led Family Led Provider Led Brokerage Provider Led Brokerage Independent Brokerage Independent Brokerage Care Management Care Management Has assisted National Thinking Has assisted National Thinking

12. Agree the Plan The Service Design should result in the production of a quality plan which needs approving The Service Design should result in the production of a quality plan which needs approving Basic criteria for a good plan already suggested Basic criteria for a good plan already suggested

13. Manage the Individual Budget You have the plan – you have the money, now choose how to manage it You have the plan – you have the money, now choose how to manage it Direct Payment Direct Payment Direct Payment (agent) Direct Payment (agent) Direct Payment (trust) Direct Payment (trust) Broker Broker Individual Service Account Individual Service Account Care Management Care Management

14. Organise the Support Agree who will organise the support Agree who will organise the support

15. LIVE LIFE!!! Use your resources as flexibly as possible to meet your needs in line with your personal aspirations Use your resources as flexibly as possible to meet your needs in line with your personal aspirations

16. Review and Learn Provide reports to Care Management to explain outcomes achieved. Provide reports to Care Management to explain outcomes achieved. Submit new plan for new period Submit new plan for new period

17. The 7 Steps to Make it Happen Resource Allocation Person gets an individual budget Plan Support The Support Plan – 5 Pathways Agree the Plan Criteria for Support Plan Manage the Individual Budget DP, DP(A) DP(T) Brokerage, ISF,CM Organise the Support Who Does What Live Life!!!! Funding Flexibility Review & Evaluate Reports to CM

18. Work in Progress We are trying it out with the pilot cases (15) We are trying it out with the pilot cases (15) Other desk top exercises Other desk top exercises Doing more work on Resource Allocation Matrix Doing more work on Resource Allocation Matrix Have considered & tried out Version 3 Have considered & tried out Version 3 Working on amalgamating Version 2 & 3 Working on amalgamating Version 2 & 3 Comprehensive Project Plan Comprehensive Project Plan Monthly Steering Group meetings Monthly Steering Group meetings We’re working through the Project Plan at the monthly Operations Group meetings We’re working through the Project Plan at the monthly Operations Group meetings

19. National Associated Work Resource Allocation Matrix – RAM Sub-group Resource Allocation Matrix – RAM Sub-group Provider Led Brokerage in East Lancashire exploring approaches Provider Led Brokerage in East Lancashire exploring approaches Evaluation of In Control and links to P.I’s Evaluation of In Control and links to P.I’s

20. Parting Thought The underlying principle of In Control is to ensure the way we help people with a disability is based upon a person centred approach and therefore to construct organisations and systems that promote this. To make this happen we need enthusiasm, belief and a change in culture (and the strength to drag a dead horse up a mountain!!!) The underlying principle of In Control is to ensure the way we help people with a disability is based upon a person centred approach and therefore to construct organisations and systems that promote this. To make this happen we need enthusiasm, belief and a change in culture (and the strength to drag a dead horse up a mountain!!!)