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Developing a common resource allocation system in Scotland Gordon Dunbar Personalisation and Outcomes Programme Manager, City of Edinburgh JIT, Learning and Action Group Member
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Background Different practices across Local Authorities – RAS – Equivalency model Aspiration to develop a fair and transparent tool Explore the possibility of developing a tool that would have more wide spread usage across Scotland That supported an outcomes approach
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Background – Initial Interest City of Edinburgh Glasgow City Council Perth and Kinross In-Control Scotland Falkirk Council
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Initial Meeting Increasing concern about the usage of resource allocation systems A common approach within Scotland An growing interest to explore a new way forward – possibly linked to IoRN National Dissatisfaction with mutant developement
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Simon Duffy - Simplifying the Resource Allocation System Long - there are now models with 40 page Complex - some models involve getting multiple perspectives on one question Ambiguous - some models ask lots of questions, but no clear budget Restrictive - often models slip back into prescribing how someone should be supported
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Developing Interest City of Edinburgh Glasgow City Council NHS Lothian (Self Directed Support Pilot) In-Control Scotland Orkney Council Dumfries and Galloway Perth and Kinross Highland Council Fife Council East Renfrew Council Angus Council Falkirk Council Joint Improvement Team, Scottish Government
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The Way forward It has been suggested that in Scotland we should consider whether an improved system might be possible if the IoRN were to be used in some way as part of the process.
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Key Elements Supports Outcomes Focused Assessment Sits within a dynamic assessment framework Supports decisions to be made in a more co- productive way at the earliest opportunity Supports fair and transparent allocation of resources The budget is sufficient to meet the outcomes/needs of the person
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Three key elements RAS IoRN Talking Points Work to identify areas of commonality and deficits Potential to develop a dynamic assessment framework that supports outcomes and allocation that included a resource allocation tool
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IoRN - Options Use the traditional IoRN Developing a tool using the methodology employed within the IoRN to allocate people into groups – distilled large quality of information down to a relatively small amount of significant factors – Place into grouping
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A work in progress Further details Gordon.dunbar@edinburgh.gov.uk
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