Self-Directed Support: How Does the RAS Work? Version 3.0 2016 PLEASE NOTE: THE PERSONAL BUDGET PROCESS IS BEING REVIEWED. THIS INFORMATION IS CURRENT AS AT 28/06/2016 AND WILL BE UPDATED. How does the RAS work? This guide tells you how the RAS works. It explains the calculations used to work out the Planning Amount and the Carer Support Allocation. This information might be useful to you when you complete the Support Needs Questionnaire, as it will help you understand where the amounts come from. It might also be useful for the people you work with, but be careful not to confuse people and only discuss it with them if you feel confident yourself in what you’re saying. 2.1 What is the RAS? The Resource Allocation System (RAS) underpins the whole Self Directed Support process. It’s the method by which we are able to determine the Indicative Amount, the Carer Support Allocation and the final Personal Budget. It isn’t a single ‘thing’ that you can point at and say “that’s the RAS”. It is not: A computer programme; although computer-based RAS do exist, ours isn’t one of them A person; there’s no-one in the Civic Centre making all the decisions about allocations A complex spreadsheet formula or algorithm; there is some arithmetic involved, but it’s pretty straightforward. The RAS is made up of: The Support Needs Questionnaire; which you and the person you’re working with use to identify the level of need and the amount of informal support the person has A set of ‘prices’ which are used to calculate the Planning Amount; A set of allocations which are used to calculate the Carer Support Allocation; The Support Plan; The Moderation process. So in some ways the RAS isn’t one single thing. It’s everything. We developed the RAS over a long period of time and many social work staff were involved in this process. We developed our Support Needs Questionnaire based on national guidance and practice. We further refined this based on an initial soft launch with the Older People Teams in the West of the City. Using this refined version of the SNQ, we used information on 250 people who already receive services to complete How Does the RAS Work v3.0 2016 1 SNQs as part of a Desktop Exercise. The results of this were analysed and compared with the budget available for Social Care in order to come up with the allocation for Personal Budgets and Carer Support. So how does the RAS actually calculate the amounts of money allocated? This guide tells you what calculations are done at each step in the process. It doesn’t cover the Support Plan and Moderation process, because these are covered in detail in other guidance. The Planning Amount The basic calculation for the Planning Amount is: SNQ score on each domain - % reduction to reflect need that x is met by informal carers on each domain price per point The first step is to work out the SNQ score on each domain. The maximum score on the Support Needs Questionnaire is 100 points. These 100 points are distributed between the four domains. It isn’t an even split of 25 points per domain. The distribution reflects the priority or relative costs of meeting different types of need. Within each domain, each level of need attracts a certain proportion of the points – ranging from no points for “no support need” to all of the points for the highest level of support needs. The points on the SNQ are distributed like this: Personal Care A B C D 0 11 25 35 Being part of your community A 0 B 10 C 14 D 20 E 14 F 20 Staying Safe A B C D 0 4 14 20 Dealing with risky behaviour A 0 B 5 C 17 D 25 Here’s an example of how a person might score on the SNQ: Domain Personal Care Being part of your community Staying Safe Risky Behaviour Total Level of need D C Points 35 14 D B 20 5 74 This person’s total level of need is represented by 74 points. Because this doesn’t take in to account any informal support, this is a ‘gross’ score. How Does the RAS Work v3.0 2016 2 However, it is our responsibility to satisfy unmet support needs. Unmet need is that proportion of a person’s total support needs which informal carers are either unable or unwilling to provide. We work out the level of unmet need by reducing the total level of need based on the amount of informal support the person will receive ‘from now on’, as identified in the Support Needs Questionnaire. This is sometimes called an informal support deflator. Each of the levels of informal support (None, Some, Most and All) represents a percentage reduction. So that if a person has a level of informal support on a domain, the score on that domain is reduced by a corresponding percentage. This reduced score represents the person’s unmet support needs, and is sometimes referred to as the net score. The percentages are: Level of informal support from now on None Some Most All Percentage reduction Remaining percentage 0% 40% 60% 80% 100% 60% 40% 20% In the example above, the person has informal support so the net level of need is worked out like this: Domain Gross level of need (points) % reduction Number of points reduced Level of unmet need (Points) 35 14 Informal Support From Now on None Most Personal Care Being part of your community Staying Safe Risky Behaviour Total None 60 0 8.4 35 5.6 20 5 All Some 80 40 16 2 4 3 26.4 47.6 74 So the level of unmet need is represented by 47.6 points. This is the score we use to calculate the Planning Amount. Because this takes in to account the level of informal support provided, this is a ‘net’ score. In preparing for the roll out, we assigned an amount of money to 1 point on the Support Needs Questionnaire. This is called the price per point and there is one for each domain. These are: Group Personal Care Being part of your community Staying Safe Risky Behaviour Price per point £161.68 How Does the RAS Work v3.0 2016 £98.50 £125.84 £139.19 3 The annual Planning Amount is calculated by multiplying the net score (level of unmet need) by the price per point. So in our example, the Planning Amount would be: Indicative Amount Annual Weekly £7131.33 £137.14 Carer Support Allocation The Carer Support Allocation is calculated using the same information from the Support Needs Questionnaire, but it does a different calculation. The Carer Support Allocation is based on the total level of need the person has and the amount of informal support being provided on each domain. So a carer providing large amounts of support to someone with high levels of need will get a higher Carer Support Allocation than someone providing some support to someone with a low level of need. An annual amount is allocated for each domain and added together. Not every combination of need and informal support leads to an allocation. Carer Support Allocation is allocated like this: Domain 1 – Personal care Need Score None D C B A Level of Informal Support Provided Some Most All 400 525 400 Domain 2 – Community access Need Score None D C B A Level of Informal Support Provided Some Most All 400 525 400 Domain 3 – Looking after yourself and staying safe Need Score None D C B A Level of Informal Support Provided Some Most All 400 525 400 How Does the RAS Work v3.0 2016 4 Domain 4 – Dealing with risky behaviour Need Score None D C B A Level of Informal Support Provided Some Most All 400 525 400 So in our example, the Carer Support Allocation would be: Domain Level of Need Informal Support Personal Care Community Staying Safe Risky Behaviour Total D D D B None Most All Some Carer support Allocation £0.00 £400.00 £525.00 £0.00 £525.00 In this example, the total Carer Support Allocation for the year would be £925.00 How Does the RAS Work v3.0 2016 5
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