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Personalisation in Norfolk … An update Wendy Hardicker / Steve McCormack 1 July 2009

Personalisation in Norfolk … An update Wendy Hardicker / Steve McCormack 1 July 2009. Large Rural County. 720,000 population Generally healthy population An old and rapidly ageing population Rurality and poor transport links a challenge But also …. In Control Pilot for Social Care.

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Personalisation in Norfolk … An update Wendy Hardicker / Steve McCormack 1 July 2009

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  1. Personalisation in Norfolk … An update Wendy Hardicker / Steve McCormack 1 July 2009

  2. Large Rural County 720,000 population • Generally healthy population • An old and rapidly ageing population • Rurality and poor transport links a challenge But also …

  3. In Control Pilot for Social Care • Now over 2,000 people receiving direct payments • By 2010 aspiring to having 4,000 • 175 Individual / personal care budgets – underpinning Staying in Control approach

  4. Norfolk is ambitious … • ‘In Control’ – social care pilot • From September 2008 ‘health pilot’ – “Staying in Control” • Pilot for Integrated Care Organisations (ICOs) • Pilot for Personal Health Plans • Leader in the use of Assistive Technology – Telehealth & Telecare And now …… • DoH provisional pilot for Personal Health Budgets

  5. So what have we achieved • Partnership approach • Patient / carer involvement • Dedicated project management / Plan • Steering Group • Implementation Team

  6. Partnership Approach In NORFOLK we have • Built on social care experience • Involved Independent Living Norfolk & Age Concern • IPSOS MORI survey Re: Personalisation • Getting Personal – Getting Real (NSP)

  7. Potential Health Budgets: User Views SCENARIO Jo currently has a personal budget to access respite breaks, day service and home care. When Jo planned support she was using a day service funded by NHS, which had to be left out. Since found one that is funded through Social Care! However ………..

  8. Cont … Her comments were … • Finding out what’s available & important • Use of support organisations to ‘broker’ her requirements, etc. • I needed a list of services and costs details are essential. • Could she buy transport from a health budget? • Need joined up documentation!!

  9. Project Delivery • Preparation phase • Phase I – ‘preparing for a personal budget in Norfolk’ • Phase II – ‘Implementing a personal health budget pilot in Norfolk

  10. Preparation - Timelines OUTCOME – Achieve a suitable framework • Engage Stakeholders – achieved • Modelling with case studies – achieved • Communications plan – achieved • Establish user involvement – achieved • Meet with focus groups – end of July • Finalise plan for next phase – 3rd August

  11. Phase I • Implementation Plan • Explore how health and social care systems need to be aligned / changed to ‘receive one budget’. • Explore different options for individuals – e.g. notional budgets / third parties, etc. • Develop personal health planning process and system …………. • Identify individuals for whom “individual (health) budgets” would improve their lives • Plan for next stage

  12. Phase II • Target PHB offered to individuals – 10 by March 2010 • Report by ILB on learning elements from project • Identify and report on workforce issue arising • Produce recommendations for health and social care systems changes • Produce “Roll Out”

  13. Target Outcomes • Integrated framework from which individuals could be offered a personal budget across both health and social care ……. • … that ‘buy-in’ is evident across range of Stakeholders • An understanding of the requirements an individual needs in terms of advocacy or navigation support to use a personal budget.

  14. Target Outcomes cont… (continued) • An understanding of skills set needed of an advocacy and navigation role. • An understanding of the limitations of personal health budgets.

  15. Questions

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