HFT

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• HFT
• Voluntary Organisation Trustees -gt Central -gt
  Local Networks
• - 40 Years / - Diversity / Spectrum of Need /
  Decentralization
• - For People with Learning Disabilities and
  Families
• - 600 in houses
• - 300 in Day Services
• - Supported Employment / Advocacy
• Family Carers Support
• 27,000, 000 Turnover
• 1000 Staff
• National / International Partnerships

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UK CONTEXT
KEY SERVICES - Health - Education - SSD
- Housing - Financial Benefits KEY
FEATURES - Law - Policy - Resources
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CENTRAL GOVERNMENT (England Only)

• Makes Law varies in precision
• Makes Policy Valuing People
• Allocated Resources Taxes, Pension administered
  
• direct and mainly to Local / Health Authorities

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LOCAL GOVERNMENT Responsibility To Implement

• 100 Local Authorities
• Can raise some local taxes
• Can set some priorities

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HEALTH -Central Government
controlled -Strategic Health
Authorities -Primary Care
Trusts -Special Hospitals
EDUCATION -Central Government sets
standards -Local Authorities
manage -Inclusion
HOUSING -As Education -Supported Housing
All Client Groups -Directly / Indirectly
provided NB Separation of provision to ensure
security
SOCIAL SERVICES -As Education -Children -Adu
lts -Directly / Indirectly provided -Local
/ National -Private / Voluntary
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REGULATION BY QUANGOS

• Inspect
• Monitor
• Suggest
• Do not control expenditure
• Sometimes causes tension

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ASSESSMENT / ACCESS TO RESOURCES

• Information
• - Agencies must set priorities
• - These must be published
• - Duty to provide information
• - Duty to consult
• All variable
• Some authorities overwhelmed
• Some do not really want to
• Poorer / BME harder to reach

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ASSESSMENT / ACCESS TO RESOURCES

• Information
• - Agencies must set priorities
• - These must be published
• - Duty to provide information
• - Duty to consult
• All variable
• Some authorities overwhelmed
• Some do not really want to
• Poorer / BME harder to reach

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Referral
- Assessed against priorities - Fair
Access to Care - Internal consistency /
external variability - Carers as well as people
with learning disabilities Single
- Theoretical Assessment - Process driven, not
attitude driven Process - Care
Managers Needs - An assessed need must be
met - Though still have duty to assess
Best Value
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TREND / ORGANISATION

• A faster and faster pendulum
• Decentralization / Centralization
• Amalgamation / Division
• Generic / Specialisation
• PATTERN
• Deinstitutionalization
• Person Centred Services
• Transactional complexity
• Capacity Legislation / Advocacy
• Cultural changes / Person Centred Planning
  (Sanderson)
• Flexibility / Variability