Agenda item

Support Choice and Independence - A Presentation on Transformation in Social Care - Oral Report

Minutes:

Support Choice and Independence – A Presentation on Transformation in Social Care

 

The Interim Deputy Director of Adult Social Care and the Interim Head of Transformation provided a presentation and short video on Support Choice and Independence / Transformation in Social Care.

 

The following points were noted:

 

Background

  • The Transformation Agenda is the largest change to Social Care since the 1990’s.
  • Support, Choice and Independence aims to develop a universal offer to help people make the right choices for their specific needs through self directed support.
  • Self Directed Support (SDS) is a new system in which the person needing support is empowered to determine the support they need in contrast to the old system whereby professionals made all the decisions.

 

An New National Indicator 130

  • To be counted, the person must be getting a direct payment, or have a personal budget which meets the following criteria:
  • The person (or their representative) has been informed about a clear, upfront allocation of funding.
  • There is an agreed support plan making clear what outcomes can be achieved with the money.
  • The person (or their representative) can use the money in ways and at times of their choosing.

 

The Transformation Programme

  • This provides full support for customers to make the most of the system and find the right support options.
  • This provides real choice in the range of support options available and control in how they are received.
  • This helps people maintain independence and enjoy fuller lives.
  • Extended information and advice support for all.

 

Timescale for Self Directed Support

  • The Support, Choice and Independence programme will run over the next 2 years.
  • Two pilots are taking place in 2009.
  • The Authority is currently setting an ambitious target for implementing (SDS).

 

 

The Benefits of SDS

  • Greater choice in support and services to meet need.
  • Increased levels of independence.
  • Greater autonomy in decision making.
  • The promotion of equity.
  • Empowering customers.
  • The use of ‘individual budgets’.

 

Key Risks and Challenges

  • Carers needs as well as those of the citizen with the individual budget.
  • Positive risk taking and enablement.
  • Safeguarding.
  • Choice in support: the use of unregulated services and provision.
  • Commissioning and decommissioning.
  • Community resources and market development.
  • Performance rating and recording.
  • Financial forecasting.
  • Workforce.
  • Citizen engagement in the change process.
  • All Local Authorities at different stages in the process – no one has the answer.

 

In the course of discussions, Members raised a number of additional points. These included:

  • Whether the Council had the manpower to deliver the services anticipated under SDS.
  • Audit trails and those processes required to ensure money from individual budgets is not misspent.
  • Support Plans and concerns that these are reviewed regularly
  • For support plans to be effective they require sufficient financial resources and regular monitoring.

 

Resolved –

  1. That the information provided be noted.

 

  1. That officers be requested to provide a draft scoping report on Transforming Social Care to the next meeting covering the following issues:

                                 I.      Choice

                               II.      Commissioning

                              III.      Market Development

                           IV.      The right support / access to support

                             V.      Monitoring Services and Safeguarding

 

  1. That officers be requested to provide copies of the DVD on Support Choice and Independence to the Chairman and Cllr Anthony Way.