Self directed support myths and truths
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Self-directed support: Myths and Truths. Self Directed Support Scotland The Gathering 27 th February 2013. Contents. The background to self-directed support (SDS) The current legislative context What is SDS and who is it for? What can SDS be used for? What is the process of getting SDS?.

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Self-directed support: Myths and Truths

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Self-directed support: Myths and Truths

Self Directed Support Scotland

The Gathering

27th February 2013


The background to self-directed support (SDS)

The current legislative context

What is SDS and who is it for?

What can SDS be used for?

What is the process of getting SDS?

‘SDS’ stands for

‘Splendidly Delicious Sandwich’



The background to SDS

The Independent Living Movement started in the 1970s

People wanted to be in control of their own care and support

Services weren’t fulfilling what was important to people

People wanted choice

“ ‘Independent Living’ means living by yourself”



Independent Living in the UK

The ideas were applied in a British context

Negotiations with Local Authorities

Research into the situation in the rest of the UK

The first Centre for Inclusive Living in the UK

A shift in power

Direct Payment schemes developed in some Local Authorities, but not all

Disabled people campaigned and commissioned independent research

Research looked at user satisfaction and cost

First Scottish CIL was Lothian CIL (1991), followed by Glasgow CIL (1993)

Direct Payments get moving

Minister of Health agreed to bring in Direct Payment legislation in 1995

The 1996 Direct Payments Act was implemented in 1997

National Centre for Inclusive Living set up in 1996 to promote and develop Direct Payments around the country

The CILs work to the social model of disability

“The ‘social model of disability’ says that people are disabled by society”



Where are we now with SDS?

Scottish Government and COSLA have a 10 year strategy for SDS

The SDS Bill was passed in Parliament in November 2012

Some Local Authorities are already rolling out SDS

“The Local Authority does not need to think about SDS until 2014”



Strategic responsibilities of Local Authorities

Develop an SDS strategy in their locality in conjunction with service users and other stakeholders

Appoint a ‘Lead’ person for self-directed support implementation

Follow the Guidance and Regulations

“SDS is exactly the same as Direct Payments”



What is self-directed support?

  • Care and support with choice and control

  • Will become the mainstream form of social care delivery in Scotland, i.e. everyone eligible for support will be offered it

  • “Available to everyone but imposed on no-one”

  • For anyone eligible for support, e.g. older people, people with mental health problems, parents of disabled children, people with learning difficulties, physically disabled people

How is SDS any different to what has come before?

Focused on outcomes instead of outputs

Changes to assessment

Changes to the way budgets are calculated

People will be told how much their budget is valued at

4 options for budgets

Culture change

SDS – the 4 options for your budget

Direct Payment

Individual Service Fund

The Local Authority makes the decisions about your support

A combination of the above

“A Direct Payment can only be used to purchase the services of a Personal Assistant”



“When a Direct Payment user chooses to employ their own staff it is really the council that is the employer”



“Someone might choose to use Option 1 (a Direct Payment) to buy the services of a freelance gardener”



SDS can facilitate:

Direct support in the home and the community

Legal rewards


Assistive technology/equipment

Community and social inclusion

Support with health

Short Breaks

Natural resources that do not cost any money

The SDS process

Information on SDS

Assessment by council

Outcomes established

Support plan created to meet outcomes

The SDS process (continued)

Agree how services will be arranged and managed

Plan and arrange services

Agree start dates and review dates

On-going monitoring by the council

On-going support offered by support service

“There are organisations that can assist people to go through the process of getting and managing SDS”



“It is through SDS that we hope that disabled people can have choice and control over their care and support”



Self Directed Support Scotland (SDSS)

4, PURE Offices

Bonnington Bond

2 Anderson Place

Edinburgh, EH6 5NP

[email protected]

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