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Proces obe zbedjivanja socijalnih usluga i uloga regulatornih mehanizama ; različiti nacionalni primeri. Diana Chiriacescu HISEE, Be o grad, 15 . j un i 2006. Soci j al ne usluge.

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Diana chiriacescu hisee be o grad 15 j un i 2006

Proces obezbedjivanja socijalnih usluga i uloga regulatornih mehanizama; različiti nacionalni primeri

Diana Chiriacescu

HISEE, Beograd, 15.juni 2006.


Soci j al ne usluge

Socijalne usluge

  • A large and diversified range of services which are intended to improve the standards of living of the population, especially of individuals and groups in vulnerable situations.

  • They are linked to national welfare schemes and are important tools for the implementation of public policies in the field of social protection, non-discrimination, fight against poverty and exclusion.

  • They are not conditioned by the contribution of the users and enhance capacities of individuals for full inclusion and participation in society. They respond to social needs and social deficits, which cannot be managed by the market, or which can be even generated by the market.

  • The States are responsible for ensuring the access of all citizens to social services

  • (Description based on the perspective of several European platforms that are active in the field of social services - Social Platform, Eurodiaconia, EASPD)


Who can provide social services

Who can provide social services:

  • Public providers:

    • Central authorities, through their decentralized agencies;

    • Local authorities (departments, municipalities);

  • Private providers:

    • Non-profit NGOs, DPOs, Parents Organizations;

    • For-profit companies

  • Informal providers

    • Volunteers, neighbors, family members


The regulatory mechanisms

The regulatory mechanisms

Regulatory mechanisms in the field of social services are instruments meant to control, coordinate and improve social services, both at macro and micro level.

They are a lever for developing quality, accessible, available, accountable, affordable social services for all citizens, including people with disabilities.

They are designed to be applied for both public and private provision of social services


The main stakeholders in the process of services provision

The main stakeholders in the process of services provision

THE STATE

(public authorities,

central and local)

THE SOCIAL SERVICES

PROVIDERS

(public and private)

THE USERS


Diana chiriacescu hisee be o grad 15 j un i 2006

PUBLIC AUTHORITIES (CENTRAL LEVEL)

They guarantee the access to social services by defining the regulatory mechanisms

at national level and evaluating their implementation

PUBLIC AUTHORITIES (LOCAL LEVEL)

They implement the national regulatory procedures at local level

DEMAND and lobby (expressing the existing needs)

OFFER

(SUPPLY)

USERS

SOCIAL SERVICES PROVIDERS

PROVISION OF SERVICE

The responsibility in the definition and implementation of regulatory mechanisms

The regulatory mechanisms (the green arrows) are meant to coordinate: theaccess of users in the system of social services, following their needs and demands, the supply of services according to local needs, as well as the concrete provision of social services, respecting essential principles as quality, accessibility, accountability, affordability for all users who need them.

Regulation of the

implementation of RM

Regulation of the

supply

Regulation of the

access to services

Regulation of the

provision


The role of the regulatory mechanisms in the social services delivery process

The role of the regulatory mechanisms in the social services delivery process

  • To monitor and structure the needs for services, that are expressed at territorial level;

  • To articulate the offer with the demand;

  • To regulate the efficient use of the existing resources;

  • To guarantee the quality of the services for all users

    They allow the choice of the service and contribute to

    make the social services: available, affordable,

    accessible, of good quality


Diana chiriacescu hisee be o grad 15 j un i 2006

  • Gate keeping procedures

  • At the system’s level (macro)

    • Needs assessment

    • Territorial maps of needs and services

  • At individual level (micro)

    • Defining access criteria to services

    • Assessment of the individual situation

    • Decision making and orientation to

  • services

  • The need for services is identified and expressed;

  • The criteria for accessing the service are defined adequately;

  • The orientation to services reflects the needs and the choices of users

  • The quality criteria for the provision of services are defined

  • The providers’ offers are assessed according to the needs and to the standards; they are authorized to provide the respective service;

  • They have access to public funds;

  • Both user’s situation and service provision are monitored and evaluated according to the standards and principles of good governance

Quality standards

1) General principles

2) Technical standards

Contracting procedures:

Call for offers/ tender/ applications

Licensing

(Sub)contracting and Funding

Monitoring and Evaluation


Diana chiriacescu hisee be o grad 15 j un i 2006

Multi stakeholders

assessment of needs

for social services,

at territorial level

Elaboration of the

“territorial maps”

of services and needs

P

L

A

N

N

I

N

G

GK macro

If the service is needed / required

NO

Applications registration

Assessment of applications (cf.. quality standards)

Access criteria

for the users

of social

services

If application accepted

NO

Corrections

Licensing

Individual

situations’

assessment

and/or

Contracting

Funding

Concrete service provision

Decision

making/

Orientation of

users towards

services

Provision

Internal regulatory

mechanisms

Monitoring of the person’s situation

Monitoring of the service

Monitoring

GK micro

Evaluation of the service

Evaluation

If evaluation OK

yes

NO

Corrections

NO + severe errors


France

FRANCE

  • The majority of social services providers are non-profit (NGOs, parents’ organizations, DPOs);

  • They are subcontracted by the State (local authorities) and receive public funds (“public mandate” / “delegation de services publiques”)

  • In order to be subcontracted, the services have to respond to needs (territorial maps of needs) and to comply with quality standards

  • The services are monitored and evaluated (auto-evaluation each 3 years, external evaluation each 5 years); the result of these procedures condition the license.


Great britain

GREAT BRITAIN

  • All types of service providers exist (non profit, for profit, public, informal);

  • A single « Inspection Commission» is in charge with the majority of the regulatory procedures (CSCI)

  • Personal allowances (budgets) can be used by people with disabilities for the choice of the services that they want to access

  • Collaboration between the social and health service providers; benchmarking (the rating system for local authorities annual performances)


Romania

ROMANIA

  • Public and non profit providers;

  • A specific strategy and law for social services, including:

    • compulsory quality principles (9 principles, inspired by the EQRM system) for all social services;

    • detailed technical standards for each specific social service (e.g. standards for case management; for foster care; for day care centres for children with disabilities etc;

  • An “accreditation” procedure for all social services providers; an additional licensing procedure for each specific service;

  • Contracting procedures, monitoring and evaluation (exist in legislation, not yet implemented)


  • Main recommendations related with the implementation of regulatory mechanisms

    Main recommendations related with the implementation of regulatory mechanisms

    • Internal coherence within the system of procedures; correlation and coordination between the implementation agencies;

    • Training of the stakeholders that will implement these procedures (assessors, contractors, licensing bodies); specific training for services providers;

    • Testing the different scenarios and procedures for the new mechanisms;

    • Involving the users and/or their representatives in the elaboration of the regulatory frame for social services;

    • Introduction of new management and monitoring tools in the social services sector, (e.g. cost-effectiveness analysis, the cost per day per user, annual statistical reporting etc.)


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