National Children

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National Childrens and Adult Services
ConferenceWhat Next for Personalisation?

• David Pearson
• President of the Association of Directors of
  Adult Social Services (ADASS)
• Corporate Director, Adult Social Care, Health and
  Public Protection, Nottinghamshire County Council

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What are we trying to achieve?
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Key Principles of the Care Act

• Health and wellbeing of individuals and carers
• Continued move towards personalisation of
  services enshrined in Personal Budgets, Direct
  Payments and co-produced assessment and
  commissioning
• Joining up public services
• Creating communities and businesses that are
  sensitive and supportive through social action
  in neighbourhoods and communities

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The approach for those with longer term needs and
risk

• Good advice and information
• Prevention and early intervention and helping
  people in crisis
• Assessment of health and care needs and outcomes
  and support planning
• Providing a personal budget, through a managed
  budget or direct payment
• Building community capacity

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Advice and Information

• About...
• Managing the circumstances of disability and ill
  health to remain independent
• Sources of informal help and advice
• Entitlement to formal services
• Costs of care
• The way the system works
• Navigating the system
• Managing the crisis

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Prevention and early intervention

• Reablement
• Housing options with access and support
• Support for informal carers
• Assistive technology and telehealth
• Early diagnosis and support for people with
  dementia
• Falls prevention
• Preventing and responding to strokes
• Public Health programmes
• Making all public services and communities
  sensitive and accessible to people with
  disabilities

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Assessment, support planning and personal budgets

• Co-producing the assessment
• An indicative budget, using resource allocation
  systems
• Support planning taking account of the options
  in the market
• Person centred approaches leads to new services -
  personal assistants, shared lives and different
  arrangements for respite care and day care
• Much closer involvement of informal carers
• Setting personal budgets
• Supporting arrangements for Direct Payments, e.g.
  accounts and payments
• Review

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Building Community Capacity

• Much better and clearer strategies for support to
  carers in caring, employment and supporting
  health and wellbeing
• Campaigns to develop awareness and sensitivity
  towards disability
• Encouraging voluntary effort through social
  action and corporate responsibility Local Area
  Co-ordinators, Circles of Support, Neighbourhood
  network schemes

• Joining up public services, health, housing and
  community services
• Initiatives include dementia awareness,
  loneliness (AgeUK) and encouraging voluntary
  action.

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Personalisation Survey 2014

• 80 of all people using community based services
  on a personal budget
• 24 of people have a direct payment
• 37 of younger adults and 15 of older people
  have a direct payment
• Variation in regions 21 in South West to 30 in
  the East Midlands
• 4.428bn 70 of total community based spend on
  personal budgets
• High take up of making safeguarding personal 80

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Personalisation Survey 2014 Some areas for
development

• Addressing variation Care Act compliance
• Market development such as micro commissioning
  and supporting growth of providers
• Training and development of staff on outcomes
  based and asset based approaches
• More users and carers in service design and
  quality assurance
• Investing in social capital and mapping assets
• Market position statements and local accounts
  sharing progress

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Where next?

• The Care Act compliance
• Moving from numbers to quality issues
• More work in regions to follow up personalisation
  survey and national PB survey results in more
  detail
• Extending to more people who have extensive
  needs, e.g. more people with Dementia
• Personal health and care budgets are a huge
  development
• Work across information and advice, service
  design and market development, training and
  development

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