Self-directed support national policy by dffhrtcv3


									Self-directed support: national
   Jean MacLellan, Head of Adult Care and
              Support Division
  Emma Sinclair, Team leader of Self-Directed
   What is self-directed support
• Money paid to people who use services to have
  more choice and flexibility;
• Can be instead of (or in addition to) support
  services that a local authority would provide to
  meet assessed needs;
• Ranges from personal care or short breaks to
  leisure activities;
• Complements policies on Changing Lives and
  Independent Living; most radical aspect of
       Manifesto Commitments
• We will do more to empower individuals and
  communities to have more control over their own lives
  and more choice in how their needs are met;

• We will encourage the wider use of direct payments,
  particularly in groups where take-up has been low. We
  will also trial the development of individual budgets to
  extend the flexibility and choice of services available for
  people with a disability and who have an assessed need
  for care support;

• We will extend direct payments to carers.
So what’s the difference between direct
 payments and self-directed support?

• A direct payment historically used social care
  monies to meet assessed social care needs;

• Self-directed support makes it possible to use
  several funding streams such as ILF, health
  monies etc to meet wider needs and promote
  social inclusion.
              Evidence base
• Riddell et al (2006) considered the
  effectiveness of implementation of self-directed
  support since enactment of Health and Social
  Care (Scotland) Act 2002

• Homer and Gilder (2008) A Review of Self-
  directed Support considered the experience of
                           Main findings
Homer and Gilder 2008
• Overwhelming majority of clients and informal carers had very positive experiences
  of using self-directed support funding… flexibility, control and choice were the
  main benefits reported.

•   The key enablers to facilitating growth at a strategic level were identified as effective
    leadership on the part of local authorities, a dedicated resource providing
    knowledgeable and skilled support to clients and the capability to apply
    consistent and appropriate lighter touch practices and procedures in the
    administration of funding rules.

Riddell et al 2006
• Local authorities have not as yet shifted funds from traditional services into direct
   payments and there are anxieties that an increase in uptake of direct payments might
   destabilize existing provision.

•   Local authorities have major anxieties about financial accountability issues and
    social workers feel the paperwork associated with direct payments is onerous.
     What’s happening to improve
• Ministerial roundtable – 3 June 2008

• Developing self-directed support strategy with
  recommendations for action; publish early 2009

• Key strand of strategy – 3 local authority test sites over 2
  years; themes of cutting red tape, investing to save,
  leadership and training

• Other areas of investment: research on personal
  assistant workforce; improved communication tools;
  support for service providers to adapt services;
  consideration of particular needs of client groups.

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