WHAT IS PERSONALISATION AND WHY IS
IT IMPORTANT?
MY CARE MY CHOICE
Running within and alongside general advice.
 Providing information about the personal
budget application process for the client
 Creating eBefs in the usual manner eg when
significant stress or hardship is experienced
 Providing talks and training to groups of service
users, carers and professionals
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SOME HISTORY
The needy and deserving poor
People are diagnosed and labelled by
professionals
The barrier to inclusion is the impairment
THE MEDICAL MODEL
SOCIAL MODEL
The social model of disability came out of the
disabled peoples movement. It was influenced
by other civil rights movements
It looked at ways to change the system through
removing barriers to inclusion.
At it’s heart was this slogan:
THE SOCIAL MODEL OF DISABILITY
Although people might have impairments
it is the way that society is structured......
the systems and procedures
the built environment
....that creates barriers to social,
economic or cultural participation
THE OLD WAYS- PROFESSIONAL LED
People’s needs were assessed (maybe aged 18)
Suitable services were found and the person
attended them
Unless there was a huge change in the persons
life they weren’t reassessed, a lifetime of bingo.
PERSONALISATION IS A USER LED APPROACH
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Assessments aren’t done about people.
People do their own assessment (or do it with support)
Care plans are not written about people
Support planning is done with the person at the centre
Support plans are reviewed regularly. People are clear
about the process and can ask for a review
Services change around a persons needs and barriers
are removed
People don’t have to fit around a service.
7 STEPS
There are 7 steps to self directed support , which is at the
centre of ‘the personalisation agenda’
1. My money – finding out how much
Your local authority will give you a short self-assessment
questionnaire. The authority should then tell you quickly how
much money you are entitled to for your support. (indicative
budget)
2. Making my plan
You have to write a support plan. It should include the support you need
and the things you would like to achieve in your life.
3. Getting my plan agreed
Your local authority must agree your plan before you get the money.
7 STEPS
4. Organising my money
There are several ways that you can take and manage
the money you get for your support. (Direct payments,
Managed accounts, Commissioned services)
5. Organising my support
There are different ways of organising your support.
You can organise it yourself or get someone else to organise it.
7 STEPS
6. Living life
Self-directed support is about using the support money to have a
good life– for example, a good place to live, work, friends, and interesting
things to do in the day.
7. Seeing how it worked
Support plans are bound to change and you need to review how things are
working. Your local authority will review your plan with you.
FAIR ACCESS TO CARE SERVICES
Introducing.......
Fair Access to Care Services and the Resource
Allocation System
Under the fair access to care services Wirral have
agreed they have a duty to provide a service to
people who have substantial and critical needs
only.
RAS is the method by which needs are costed.
WHO GETS A PERSONAL BUDGET-SUBSTANTIAL
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there is, or will be, only partial choice and control over
the immediate environment; and/or
abuse or neglect has occurred or will occur; and/or
there is, or will be, an inability to carry out the majority
of personal care or domestic routines; and/or
involvement in many aspects of work, education or
learning cannot or will not be sustained; and/or
the majority of social support systems and relationships
cannot or will not be sustained; and/or
the majority of family and other social roles and
responsibilities cannot or will not be undertaken.
WHO GETS A PERSONAL BUDGET-CRITICAL
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life is, or will be, threatened; and/or
significant health problems have developed or will develop;
and/or
there is, or will be, little or no choice and control over vital
aspects of the immediate environment; and/or
serious abuse or neglect has occurred or will occur; and/or
there is, or will be, an inability to carry out vital personal care or
domestic routines; and/or
vital involvement in work, education or learning cannot or will
not be sustained; and/or
vital social support systems and relationships cannot or will not
be sustained; and/or
vital family and other social roles and responsibilities cannot or
will not be undertaken.
WHAT ARE PEOPLE’S RIGHTS
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Who has the right to assessment?
Person-centred assessment should be available, regardless
of age, circumstances or nature of needs, to any person who
approaches, or is referred to, the local authority for help.
When determining who has a right to assessment, whatever
their means, staff will need to:
respond in appropriate ways to a wider range of adults with a
diversity of presenting needs.
access relevant up-to-date information about local resources
and universal services to support and signpost adults
seeking and using services.
The council have a duty to provide a service to anyone with
critical or substantial needs (even if the individual has to
contribute financially to it)
CONTRIBUTIONS FOR NON-RESIDENTIAL CARE
Personal budgets are means tested. (Do not include
cost of residence)
In a nutshell:
 Calculations are based on individual not household
income
 Savings above £25,000 – charged at standard rate
 Savings below £14,250 – ignored.
 If income is above (income support + 25%) then 75% of
the ‘disposable’ amount is to be paid towards nonresidential care
SOME USEFUL REFERENCES
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http://www.adviceguide.org.uk/england/search.htm?query=small+employer
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http://www.in-control.org.uk/resources/fact-sheets.aspx
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http://www.wirral.gov.uk/my-services/social-care-and-health/getting-support-us
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http://liverpool.gov.uk/health-and-social-care/adults-and-older-people/paying-andpayments/direct-payments/
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http://www.scie.org.uk/publications/elearning/personalisation/index.asp - extra training
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http://www.scie.org.uk/publications/elearning/fairaccesstocareservices/index.asp extra
training