‘PUTTING PEOPLE FIRST’
Colin Pitman
January 2009
Putting People First

Putting People First’: A shared vision and
commitment to the transformation of adult social
care…through personalisation, prevention and
early intervention

Systems wide transformation, 3 year programme
started April 2008 with significant progress
expected by 2011

signed by 6 Government Departments, the Local
Government Association (LGA) and the
Association of Directors of Adult Social Services
(ADASS)
WHY?
To give people more control over the
services and support they get, and
therefore more control over their lives.
PERSONALISATION
PERSONALISATION
Services and support tailored to individual
needs
 Accessible information
 Universal and Preventative services
 Working in partnership
 Developing communities
 Personal budgets for everyone eligible for
adult social care services

Visioning events - Lincolnshire
People want to be treated as equal citizens
 People don’t want to feel they have to
come ‘cap in hand’
 People want access to activities the same
as any one else in society
 People want jobs
 People want to be allowed to take risks
and make mistakes
 People want good quality information that
helps them in the choices they make

PERSONALISATION
PREVENTION
CRISIS MANAGEMENT
REABLEMENT
MAINTENANCE
WHAT IS AN INDIVIDUAL BUDGET?

A person centred assessment

A transparent allocation of resources

A person centred planning process

Flexibility on how to spend the budget

Monitoring arrangements that are appropriate
How it fits together
The process by which services can be
adapted to suit you
Personalisation
Self directed support
Individual
budgets
Personal
budgets
Support that is determined and
controlled by you, based on an
assessment of need. (Includes
receiving cash, spending on services
that meet your needs.)
Like an IB but solely
made up of social
care funding
Direct
payments
An indicative amount of money
that can combine several
funding sources that you can
use to purchase services, from
the public, private or voluntary
sector
A cash payment paid directly to you so you can
acquire your own services, rather than having them
delivered by the council
The IB Model
Self Assessment /
Reablement
Service
Review
Brokerage
Resource Allocation
Support Planning
Maintenance
A Learning Process

Not a prescriptive policy document – there is
no detailed roadmap, councils are still
learning how to deliver this

There are many things to be decided locally
to ensure that personalisation works

PPF doesn’t say you’re doing a bad job – this
is about building on what we do well and
extending greater choice and control to
those using services
IB Evaluation: Headlines

Published 21st October 2008

Most outcomes better for no additional cost

People more likely to feel in control of their lives
than under traditional provision

Best results with physical disability and mental
health, less effective for older people

New systems and integrating funding streams
were a challenge for local authorities
Providers and Commissioners

Providers and Commissioners have welcomed the
principles of IB;

Commissioners have a new role in ensuring
people can make good decisions when directing
their own care and support;

Commissioners have recognised the importance
of working creatively with providers;

Some movement away from block contracts
towards more flexible arrangements;

Some providers have used the opportunity to
grow service base or develop new services.
What to expect
During IB pilots most people continued to
buy similar types of services to those that
the Council had previously brought - 60%
 But 88% also accessed different types of
support than they had previously drawn
upon, often from within the community
 Evidence suggests people will gradually
move away from traditional services to
become more creative in designing their
support

Transition Period will be challenging
There may be temporary gaps in supply of
certain underdeveloped services –
i.e. brokerage
 Cost pressures as one customer becomes
many
 Individual choices constrained by lack of
information and/or new services
 Supplier attrition rate may increase for
those that are dependent on block
contracts and slow to react

New Opportunities.
Stability based on customer satisfaction
 Small providers selling niche services
 Providers working together to coordinate
different services around an individual
 New services – information, financial,
brokerage etc
 Councils signposting services for selffunders as well as personal budget holders

Quotes:



“ all I want is to have a life just like you, to do
the things that you do, the only difference is I
need some support in order to do this”
“what you provide to me at the moment allows
me to exist not live”
“receiving direct provision made me feel like a
child, receiving a direct payment made me feel
like an adolescent, now I have an Individual
Budget at last I feel like an adult.
NEXT STEPS
We need to work together to determine a
way forward that ensures the people of
Lincolnshire, flexibility, choice, control,
services that are tailored to individual
need and of high quality
 Lincolnshire are adopting a ‘Whole System
Change’ through an ‘Action Learning
Programme’ Skegness.
