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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
[Slideshow Title - edit in Headers & Footers] 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
[Slideshow Title - edit in Headers & Footers] 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
[Slideshow Title - edit in Headers & Footers] Four key areas of transformation1. Access to Universal Services2. A focus on Prevention and Early Intervention3. Increased Choice & Control4. Maximizing Social Capital
[Slideshow Title - edit in Headers & Footers] 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
[Slideshow Title - edit in Headers & Footers] 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
[Slideshow Title - edit in Headers & Footers] 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
[Slideshow Title - edit in Headers & Footers] 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
[Slideshow Title - edit in Headers & Footers] 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
[Slideshow Title - edit in Headers & Footers] 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