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Putting People First Update. Mental Health VCS Network Thursday 16 th September 2010 Amanda Smith Development Manager, Choice & Control & Sue Harris Lead Commissioner for Mental Health. Personalisation – What is it ?. Choice and Control – assessment, funding, services, evaluation

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Putting People First

Update

Mental Health VCS Network

Thursday 16th September 2010

Amanda Smith

Development Manager, Choice & Control

&

Sue Harris

Lead Commissioner for Mental Health


Personalisation what is it

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Personalisation – What is it ?

  • Choice and Control – assessment, funding, services, evaluation

  • Focus on everyone not just the few

  • Focus on early intervention / prevention rather than crisis management

  • Focus on quality of life and personaloutcomes not needs and disabilities

  • Self directed support for eligible people and their personal budgets, with a support / brokerage rather than assessment / gate keeping role for statutory agencies

  • Information, advice and advocacy key

  • More efficientuse of available money building on personal, family, friends, and communityresources and networks


Personalisation why

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Personalisation – Why ?

  • Demographics – by 2026 the population of over 65s will increase by 56% from 96,500 to 151,000

  • Finances - Wanless Review identified that the total spend on social care for older people would need to increase from £10.1bn in 2002 to £24bn by 2026

  • Eligibility - FACS criteria focuses on critical and substantial with little funding for prevention which can mean people become more dependent for longer (Transforming Social Care)

  • Expectations – are growing and people don’t want the menu of services provided by Social Care (Putting People First)

  • Citizenship – need to shift control and decision making power from the state to the citizen for social care


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Four key areas of transformation1. Access to Universal Services2. A focus on Prevention and Early Intervention3. Increased Choice & Control4. Maximizing Social Capital


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Milestone Self-ImprovementFrameworkMilestone 1: Effective partnerships and people using services, carers and other local citizens.Milestone 2: Self-directed support and personal budgets.Milestone 3: Prevention and cost effective services.Milestone 4: Information and adviceMilestone 5: Local commissioning



Personalisation in mental health the challenges

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Personalisation in Mental Health – the challenges

  • Social and health care policy

    • Pace of change and expectation

    • More prescribed system

    • “Duty of care”

  • Different access / pathway

  • Limited creative care planning

  • Limited menu to choose from

  • Issues around capacity and timely recovery


Making it a reality

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Making it a reality

JCU addressing 3 key challenges:

  • Menu of provision

  • Support

  • Creative support planning

    How?

  • Re- ablement service

  • Introduction of the recovery star,

  • Updated dashboard linked to outcomes


Coming on the journey

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Coming on the journey

Re-ablement +

  • 3 year market support mechanism

  • Moving the market closer to what people want

  • Recovery is central

  • Develop unit costs linked to outcomes

    Health Budgets – for example:

  • s117

  • Crisis budgets


Uncertain times

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Uncertain times

Structural reform and financial pressures

= changing environment for providers

Need to enhance the outcomes for service users, maximize what is available and build capacity….

Personalisation at the core of future delivery


Choice and control summary

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Choice and Control – Summary

“The overall vision is that the state should empower citizens to shape their own lives and the services they receive.”

  • Change is inevitable

  • Partnership working- users/carers, providers, statutory agencies – is vital


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