Social care policy, person-centred practice and Making it Real Martin Routledge TLAP Programme Manager
Person-centred approaches and policy • 11 yrs since person-centred planning introduced into social policy • 10 yrs since first official guidance • 2007 Putting People First introduced personalisation into policy • 2010 Social Care Vision “P”s • 2012 White Paper • 2012 Draft Bill
The Care and Support White Paper This means that, in the future, we expect people will be able to say: • Vision • To promote people’s independence and wellbeing by enabling them to prevent and postpone the need for care and support. • To transform people’s experience of care and support, putting them in control and ensuring that services respond to what they want. 1. “I am supported to maintain my independence for as long as possible” 2. “I understand how care and support works, and what my entitlements are” 3. “I am happy with the quality of my care and support” 4. “I know that the person giving me care and support will treat me with dignity and respect” 5. “I am in control of my care and support”
Building the law around the person Clauses 1 sets out statutory principles which underpin how care and support is provided: • The local authority must promote a person’s wellbeing when taking any action in relation to them – this is the “single unifying purpose” for adult care and support. • ‘Wellbeing’ is defined in terms of outcomes most important to people, including: • Physical and mental health and wellbeing • Control over day-to-day life (including over services) • Social and economic wellbeing 5
The clause also sets out other important considerations which must be made, including: • Starting from the assumption that the person is the best judge of their own wellbeing. • Having regard to the person’s views, wishes or feelings. • Ensuring that the person participates as fully as possible in all decisions made about them.
Person-centred processes The journey through the system is described in terms of processes focused around the person’s needs and outcomes: • The assessment process must focus on needs and outcomes identified by the person – not on services or other factors. • Clear requirements to consult with the person, carer and any other nominated person as part of assessment, care and support planning and reviews. 7
The main duties for people with eligible needs is for the local authority to meet their needs, rather than to provide a service. This separates decisions about how needs are met to ensure that the focus is on needs and not types of service. • The care and support planning process also focuses on needs and outcomes. The local authority must help a person with deciding how they want their needs to be met
As part of these processes, the Bill provides for new and clarified entitlements which provide more control over how care and support needs are met: • A new right to a care and support plan for people who are entitled to local authority support, which must include: • The needs identified by the assessment, including those with the local authority is going to meet • The outcomes identified by the person
An entitlement to a personal budget as part of that plan – set out in law for the first time. • A right to request a direct payment to meet some or all of the needs identified in the plan, with rules clarified on when a direct payment must be made.
Think Local Act Personal • National and umbrella organisations committed to personalised community based social care • Owned by the sector, people who use social care and carers • We invite others to join us keeping personalisation real in tough times
Our approach • Starting from the outcomes and experiences important to people • Reviewing progress, identifying obstacles and working with others to resolve these • Sharing innovative solutions widely • Working with government and other key bodies to help make personalisation real
Will help to mark and make progress towards personalised, community–based support Developed by TLAP, led by the Co-Production Advisory Group Supported by ADASS, DH,CQC, LGA, Provider bodies What is Making it Real?
What is it not? • Performance management – TLAP is part of a voluntary movement for change • Councils and organisations providing social care support will want to use Making it Real with local communities to show progress Making it Real is a journey, not just a destination
How to become a Making it Real organisation? Your commitments Get Ready to make a declaration Use the 26 “I” statements to co-produce three priorities Board Level Declaration Develop and upload action plan Review after 6 months Remember – public / visible commitment