in Control Resource Allocation System by 158fJO

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									        The in Control RAS


What is a RAS….

Why its important to have one

How to make one
       Some important words

•Self Directed Support

•inControl

•Individual Budget

•Direct Payment

•RAS
The concepts & thinking behind the RAS




  The existing Social care system…
The concepts & thinking behind the RAS




  The existing Social care system…
Problems with current approach
     to resource allocation




   rules are       slots people
                                    pick and place
    unclear       into services
bidding up.     tension of        bidding up of
  of costs     gate keeping           needs
   poor link         stifles
                                     slow & costly
 needs and cost     creativity
Problems with current approach
     to resource allocation




But most fundamentally, by not telling people
what level of funding they have available, it stops
disabled people from deciding for themselves
how they want to be supported.
The concepts & thinking behind the RAS




     In-Controls approach to resource allocation
The concepts & thinking behind the RAS




     In-Controls approach to resource allocation
The concepts & thinking behind the RAS
               Who gets what and why ?
Local Authorities must create a new way of deciding openly
who gets what amount of money in their individual budget
and why.




   Town Hall


                                     Needs = £ ?
The concepts & thinking behind the RAS

……………..and why !



  Town Hall        What’s the deal

                      Outcomes
                       •Take part in work
                   •Remain healthy and safe
                     •Make decisions in lie
The concepts & thinking behind the RAS
We should provide a fair and reasonable level of help

• Wherever possible support should be provided which
removes or reduces the level of help that will be required
in the future and builds independence – prevention

• Whatever money is provided is enough to enable the person
to be a full and active citizen - sufficiency

• People with similar needs for help should receive similar
levels of money - equity
The concepts & thinking behind the RAS

We should provide a fair and reasonable level of help

•People should receive no more support than is necessary
to enable them to be full and active citizens – contribution

• Although people may be expected to pay for their own
support, this must not be to such an extent that they are
discouraged from earning or saving for themselves - anti-poverty
The concepts & thinking behind the RAS

We should provide a fair and reasonable level of help

•People should receive no more support than is necessary
to enable them to be full and active citizens – contribution

• Although people may be expected to pay for their own
support, this must not be to such an extent that they are
discouraged from earning or saving for themselves - anti-poverty
The concepts & thinking behind the RAS
               Initial aims in 2003
Develop a resource allocation system that would:

• make a clear and open statement about what kind of needs
would be matched by what specific levels of funding.

• enable people to make their own initial determination of
their needs - Self-Assessment
The concepts & thinking behind the RAS
              Initial aims in 2003
Develop a resource allocation system that would:


 •reduce the disincentive for family and friends to positively
 contribute to the person’s support

 •work within existing funding and allow people to plan
 ahead for the future years within a coherent and rational
 framework
The concepts & thinking behind the RAS
                     Parameters
•fit within existing statutory guidance and the existence of
other systems

•create the lowest feasible transaction costs

•be economically and practically feasible for any local
authority to deliver

•use definitions of need that are clear and make possible
self-assessment of need

•reflect the values and philosophy underpinning
self directed support.
The concepts & thinking behind the RAS
             Development process not a fixed solution
 Aware of and influencing local and national policy context

                              Development
                                 of best                       Resource
                              practice model                   Allocation
    Vision                                                     System

             Understanding   Working with people     Implementing
               what is now    Who want to make     learning by doing
              happening in     change happen          drawing from
                real world                               learning



                                 Re working
                                Improving best
                                Practice model


 Working within and applying a shared ethical base
The concepts & thinking behind the RAS

The development process has been working and re-working
two key aspects:


 •A Simple framework to understand and describe needs

 •Methodology for Conversion of needs to £ in a way that is
 sustainable
The concepts & thinking behind the RAS


A description    Understanding
                 who you serve        Turning this
      of                               Information
   Needs:                            Into individual
 Citizenship                           allocations
                  Understanding
                How you serve them
                  What this costs

                                      Looking ahead
                                     At new costs info
History and Evolution of RAS
 RAS 1
 The allocation of Funds to
 support people to move on
 from Hospital.

 The UK experience of self
 directed support emerged
 from work in Scotland
History and Evolution of RAS
 RAS 2
  Emerged from work in 2003 From Phase I of in Control
The process involved the mapping of existing spending patterns
and service types. Then identifying the common needs and
circumstances of people who use each type of service.

Finally slotting people into banded levels of funding.
History and Evolution of RAS
 RAS 2
  Emerged from work in 2003 From Phase I of in Control




Wigan Outside
of the Family Home
History and Evolution of RAS
 RAS 3
  Introduced self assessments and defined a needs framework
  Working age adults
1 Looking after myself – my personal needs
2 Relationships
3 Being part of the local community
4 Work, leisure and learning
5 Making Decisions
6 Staying safe from harm
7 Complex needs and risks
8 Family carer and social support
History and Evolution of RAS
  RAS 3
   Introduced self assessments and defined a needs framework
Level of need                                         Points Outcome
A) I don’t really have any relationships outside my     3   For me to form a
family. I need support to make relationships                friendship
– and keep them                                             or relationship outside of
                                                            family or people paid to
                                                            be with me.
B) I have one or two relationships – but not enough     2   For me to form more
for me. I need support to make relationships                friendships
and keep them.                                              or relationships outside of
                                                            family or people paid to be
                                                            with me

C) I’ve got a lot of relationships –                    1   To keep in touch with
the right number for me.                                    people who are important
I need a bit of support to keep them.                       to me.

D) I’ve got a lot of relationships.                     0
I don’t need support to keep them.
History and Evolution of RAS
 RAS 4
 •Provides a development process rather than a working
 model

 •Draws on an analysis of local needs and costs to inform
 allocations

 •Saw the emergence of a range of assessment frameworks
 (Area and social care group)
History and Evolution of RAS
 RAS 4 Process


                 Analysis of local
 Rationale                            Allocations
                      needs
 framework                           on individual
    needs                                needs
                    Analysis of
                   local pricing
History and Evolution of RAS
 RAS 5

 •Uses RAS4 development process

 •Provides a different way of converting needs to £

 •Provides a monitoring tool to assure sustainability

 •Provides an online system
  How do you convert needs
    to cost in a fair way ?
Issues and themes…..

•Social Capital

•Managing transition (existing commitments)

•Transparency

•Disproportionate allocation across social
care group

								
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