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Personalisation
Evidence & Policy
See evidence & policy for other inclusive practices and domains
On 16 November 2010, the Care Services Minister Paul Burstow launched "A vision for adult social care: Capable communities and active citizens ". The Vision sets out how the Government wishes to see services delivered for people; a new direction for adult social care, putting personalised services and outcomes centre stage.
The vision sets the context for the future development of social care services. It is the first step, followed by the Law Commission’s work on reforming the legal framework next spring and the Commission on Funding of Care and Support next summer, towards the White Paper on care and support at the end of 2011. This will set out plans to establish a modern and financially sustainable framework for care and support, and the requirements for new legislation.
Visit website to download all related papers:
This report suggests ways in which personalisation, already widespread in health and social care, can be successfully rolled out across the whole spectrum of public service delivery, including welfare to work, benefits reform and support for ex-offenders.
The Commission is clear that personalisation will transform the way public services are delivered, “creating a series of new social markets where people can choose from an increasing range of providers”. It also sees major scope for an extension of self-help and mutual aid.
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Response to the consultation on the extension and revision
The Health and Social Care Act 2008 extended direct payments to adults who lack the capacity to consent to their receipt.
From August to November 2008 the Department of Health consulted on regulations implementing this extension.
This document summarises the responses to the consultation and outlines what subsequent action the Department proposes to take.
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New Directions
A report by the Joseph Rowntree Foundation into the findings of the New Directions Project.
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Putting personalisation into practice
This is the first UK introductory textbook on direct payments and personal budgets, summarising the current evidence and implications for policy and practice.
Written by leading national experts in the personalisation agenda Jon Glasby and Rosemary Littlechild, the book is essential reading for everyone involved in social care.
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An Evaluation
This summary provides an overview of a study of the National Pilot to implement direct payments in mental health.
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Written by SCIE in collaboration with the AMHP National Leads Network and the Social Care Strategic Network for mental health, this briefing examines the implications of the personalisation agenda for practitioners and managers in community mental health services.
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Government strategy report from 2008 which brings together a number of initiatives – across Government – enabling more people to have choice and control over the support they receive, remove barriers to independent living, and improve access to services.
The London Development Centre has produced a participant feedback report from their Mental Health and Direct Payments Seminars held in the Autumn of 2007.
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A whole system, whole life framework
This is from National Mental Health Development Unit (NMHDU), DH, National Development Team for Inclusion (NDTi) & New Horizons.
This guide has been produced to help all those involved understand how things will need to be done differently to make personalisation a reality for people with mental health needs. This is a whole system guide, so hopefully it will give some information, guidance and signposts for people, whoever and wherever they are. The guide provides information about what personalisation means for mental health services and supports, offers examples of what needs to be in place to make things work, and provides pointers to good practice and sources of advice and information.
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With the NHS developing mental health ‘care clusters’ in response to the shift to payment by results, and the Government also demanding the implementation of personalisation (which is a clear priority for local government), there is a real danger that these two policies are not ‘talking to one another’ and the mental health PbR systems will be developed in a way that runs counter to the aspirations of PbR.
NDTi have produced this discussion document to help promote debate about how to avoid this happening and would welcome your thoughts and contributions.
Presentation made by the Department of Health's Deputy Director of Policy and Strategy Directorate, Andrew Sanderson, to the Central Executive Committee of the Royal College of Psychiatrists in May 2009
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This briefing from the SCIE, and co-produced with the Department of Health and ADASS, highlights how smart commissioning is critical to achieving the vision spelled out in Putting People First.
It requires a transformation in the commissioning role in terms of the investments commissioners make, the markets they work to shape and the relationships they seek to build to meet local needs.
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Safeguarding within Supporting Independence in Bromley
The aim is to support those involved to explore the issues and make arrangements which go as far as possible towards meeting the individual’s aspirations, whilst balancing the needs and risks to themselves, others and the Council.
Written in 2003 for the Missouri Department of Mental Health (DMH) in the United States, the purpose of this document is to present guidelines for incorporating choice, participation and purpose as core principles for services delivered or funded by the DMH.
These guidelines delineate common values and goals among the particular populations, communities and cultures served by the DMH, while also highlighting
values and goals unique to these different stakeholders.
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Transforming Adult Social Care
Produced by the Department of Health, this document states that by 2011 all 152 councils will be expected to have made significant steps towards redesign and reshaping their adult social care services (in light of their JSNAs), and have most of the core components in place - these are listed in the snapshot attached.
In the longer term, all 152 councils with adult social services responsibilities should take a balanced approach to prevention and early intervention and deliver personalised services, enabling individuals or groups to develop solutions that work for them.
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Support planning and brokerage with older people and people with mental health difficulties
This guide responds to the findings of the Personal budgets pilots evaluation, which concluded that more work was required to develop approaches to support planning and brokerage that work for all groups of people rather than just some.
The guidance and examples below illustrate effective methods for support planning with older people and people with mental health problems that can be built upon by councils and other stakeholders in their local development of self-directed support.
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Planning together - peer support and self-directed support
The National Centre for Independent Living (NCIL) recently produced a report highlighting that the availability of effective peer support is essential in the transformation of adult social care and in enabling people using services to have greater choice and control.
This report builds on that premise, summarising activity undertaken as part of the Putting People First Delivery Programme's Planning Together project in 2009. It shows how it is possible to build disabled people and carers' own support planning skills, rather than continuing to rely solely on professional solutions to help people direct their own care and support.
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The National Implementation report of shop4support and the findings so far.
shop4support is the new web-based marketplace that will transform how people manage their Individual Budgets online is now one step closer to be rolled out across the UK following a successful first phase programme.
In Control trialled shop4support with five local authorities, 121 individuals and 20 service providers. The findings from the pilot reveal that there is a clear demand for the system, which offers a cost efficient, versatile online infrastructure that opens up choice and inclusion for users.
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NDTi published insights to share the findings and lessons from government funded Demonstration Projects on independent living.
NDTi worked with the Office for Disability Issues and six local authorities between 2008 and 2010 to increase the choice and control that disabled and older people with high support needs have over the support they need in their lives.
The key messages from the report are:
· The crucial role played by User Led Organisations (ULOs) in delivering support planning and brokerage in order to increase disabled people's choice and control. When provided by ULOs, these services are felt to be more 'human' and less bureaucratic than when delivered through local authorities.
· ULOs can deliver positive advantages in reaching local people and supporting them to negotiate LA systems. ULOs need investment in capacity building and involvement in strategic partnerships with LAs to achieve this.
· Delivering key policy objectives - people whose support plan was facilitated by a ULO were more likely to take their personal budget as a direct payment than those whose support plan was delivered by the local authority.
.....to Improving the Quality of Mental Health Services
This report, developed by the Office of the Assistant Secretary for Planning and Evaluation at the US Department of Health and Human Services, focuses on adults with serious mental illnesses who are served by the public mental health system.
It aims to identify and describe the range of self-directed care (SDC) programs for this group that are currently being pursued by states; and brings together existing evidence relating to the impact of these programs on individuals and on state resources. In doing so, it attempts to contribute to ongoing debate about effective strategies for improving the quality and outcomes of the public mental health system.
SDC is a model of service delivery that supports self-determination. Its core components include
- Person-centered planning
- Individual budgeting
- Support services
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SCIE research briefing 20
This briefing examines some of the recent UK and international literature relating to the development of personal budget schemes for adults eligible for support from social care services. These include older people, people with physical or sensory disabilities, people with learning disabilities and people with mental health problems
The briefing is an update of Research briefing 20: Choice, control and individual budgets: emerging themes (2007) and incorporates some new findings from research published between 2006 and 2008. It includes highlights from the In Control evaluation, the UK Direct Payments survey and the Department of Health Individual Budgets pilot.
The briefing is intended to provide an outline of - and signpost to - some of the most recent research for all those interested in the role of individual budget schemes for the development of personalised adult social care in England. The findings presented here are not comprehensive or conclusive, but give a brief indication of how personal or individual budgets have been working to date.
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Is it for me? - Interim Report
Interim report regarding the successes of the "Is it for me?" direct payment training to service users living with mental health conditions at the pilot sites across the country. Bromley was one of few that received funding to go ahead with the training programme. This finished 2 weeks ago and service user consultants involved in the training are currently collecting the notes together for a report.
In Bromley, 12 people attended the "Is it for me?" programme which introduced client to the principles of direct payments; as a result 3 service users attended the "I'll give it a go" programme which discussed taking on a direct payment the processes involved etc.
1 client has had a DP processed and another is awaiting a home visit from their CPN to discuss using Dp's within their home environment.
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Article from the long-term care section of the Guardian:
"The consumer model of care turns every service into a transaction. Providers should recognise a valuable resource - their own clients."
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Improving Outcomes for Individuals and Communities
Localising community services at the same time as reducing budgets is testing the public sector. Having more responsibility and less resource is an undesirable state of affairs and is very demanding on professionals who are facing uncertain times.
This paper takes an optimistic view of what could be achieved. It looks at ways in which housing, social care and other professionals might reorientate and reorganise their programmes in the light of localism and the expectation of a ‘bigger society’.
It supports the opinion that co-production, which shares many of the principles of personalisation, is a credible model for public service reform across many sectors.
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