[C] 1 / b – Vignette sheet Mr I.
SITE 1. BORDEAUX & AGGLOMERATION
Number of interviews : 3
interviewees and their role :
- Bordeaux’ information and coordination Center for the disabled elderly (CLIC / Centre local d’information et de coordination
gérontologique): managed by the Muncipal Social Action Center of Bordeaux (CCAS / Centre communal d’action sociale)
- Information and coordination Center for the disabled elderly of the North-West Urban Zone of Bordeaux (CLIC / Centre local d’information
et de coordination gérontologique)
- Local Health Insurance office (CPAM )
Source of information : vignette sheet interviews and experts interviews
C.1.1.
C.1.2.0 – Public
authority/authorities
considering the demand
(name; territorial level;
institutional framing)
Name:


Variations
Bordeaux’ information and coordination Center for the disabled elderly (CLIC / Centre local d’information et de coordination gérontologique):
managed by the Muncipal Social Action Center of Bordeaux (CCAS / Centre communal d’action sociale)
Pension funds (CRAMA / Caisse régionale d’assurance maladie d’Aquitaire ; MSA / Mutualité sociale agricole : Agricultural and Social mutual
Insurance) :
Level: Local – city of Bordeaux
Frame: the agglomération of Bordeaux is covered by 4 CLIC (territorial units)
C.1.2.1. – Case
management (if yes,
who)
Actors involved and relationship structure: specify also user’s involvement
CLIC adviser and referent
Pension Funds (CRAMA, MSA): files manager
Bordeaux social services offices(CCAS) : social worker
Office/professional in charge:
Single referent from the CLIC : Bordeaux’ information and coordination Center for the disabled elderly (CLIC / Centre local d’information et de
coordination gérontologique)
Time pattern: frequency of case assessment
the CLIC referent does the follow-up of the support scheme (obligation to do a follow-up after one month) and coordinates the action with the Municipal
Social Service (CCAS) alreadt provides assitance to the person.
C.1.2.2. – Assessment of Who: CLIC (Social workers or ‘medical/social’ team (équipe médico sociale) when such a team is integrated within the CLIC)
means: who
How: the social workers check the person’s rights (number of terms of contribution) and assess the beneficiary’s resources according to a scale.
C.1.2.3. – Cash
Entitlement (access criteria; appealability): Personalised support plan (Plan d’aide personnalisé) aiming at preventing dependence : home care or
(1) C.1.3.2
allowance (amount per
everyday life assistant, remote control alarm system, meal delivery service, etc ...
(2) C.1.3.4
month; duration)
(3) C.1.3.5
Amount: the Pension Fund (CRAMA / Caisse régionale d’assurance maladie d’Acquitaine) covers a maximum of 3070 euros (services in kind)
Duration: one year, renewable
Steps and path through services and offices:
1
The CRAMA has set up a preventive personalised subsidy scheme. A devolution convention has been signed between the Municipal Social Action
Center (CCAS), managing the Information and coordination Center for the disabled elderly (CLIC) and CRAMA (funding organisation). This convention
devolves the assessment to the CLIC.
C.1.2.4. – In-kind
support (if yes,
measures; duration)
Also consider transitional
solutions
C.1.2.5. – Criteria and
decision process
Entitlement (access criteria; appealability):
Measures:
Duration:
Steps and path through services and offices:
C.1.2.8. – Accountability
The CLIC controles the bills.
C.1.2.9. – Private and
informal care (how it is
taken into account;
likeliness)
C.1.2.10. – Strengths
and weaknesses of
service/policy
organization
C.1.2.11. - Last reform1
(year; changes in the
access chances)
C.1.2.12. - How relevant
is this case in your
country?
C.1.2.13 - Further
comments
How: The family and other people around are not taken into account to define the subsidy scheme. This does not affect the financial covering.
Likeliness:
The CLIC apply the assessment procedure at the person’s home using a scale called « Gerontology Autonomy, Iso Resource Group » (AGGIR /
Autonomie Gérontologie, Groupe Iso Ressource ): the assessment define the person’s level of autonomy and an life environment is checked out at the
same time. On basis of this assesment, the individual support plan is defines (subsidy scheme). Then the pension funds is asked for agreement on the
on the financial plan.
C.1.2.6. – Co-payment (if Criteria: according to the elderly person’s resources.
yes, criteria; degree)
Degree: The CRAMA covers from 25% to 100%
C.1.2.7. – Deliverer
It can be associations, private companies, municipal services,
1
Strengths:
Weaknesses:
Year: Access chances: Other relevant changes: Qualitative interviewees’ evaluation if available, data should be collected
Estimated weight of this case on all cases: statistical data and/or interviewees’ evaluation; national and local level.
Should be added in order to frame the case and help interpretation
If needed, please refer to summary tables and/or WP1 for further details. In case, specify the relevant differences between the legal and the actual frame.
2
Variations
C.1.2.3
(1) C.1.3.2 This may alter the personalised subsidy scheme.
(2) (2) C.1.3.4 Savings are taken into account only for the social support.
(3) (3) C.1.3.5 This may alter the amount the pension funds CRAMA will pay.
3