equal participation and inlcusion for people with disabilities
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EQUAL PARTICIPATION AND INLCUSION FOR PEOPLE WITH DISABILITIES. 30th November 2011 DR. CATE HARTIGAN DISABILITY SERVICES HSE. PRINCIPLES. - PowerPoint PPT PresentationTRANSCRIPT
EQUAL PARTICIPATION AND INLCUSION FOR
PEOPLE WITH DISABILITIES
30th November 2011DR. CATE HARTIGAN
DISABILITY SERVICES HSE
PRINCIPLES
“Every person with a disability would be supported to enable them, as far as possible, to lead full and independent lives, to participate in work and in society and to maximize their potential” - Towards 2016
People with Disabilities need Flexible supports to suit individual needs though the use
of mainstream local services To do ordinary things in ordinary places More opportunities for families to play their part in
supporting their family member
Summary of Key Themes emerging from the Review of Disability Policy
POLICIES
UN Convention on the Rights of Persons with Disabilities, 2009
National Disability Strategy, 2004. This provides the overarching framework for legislative and policy development. (The Disability Act 2005, the Education for Persons with Special Educational Needs Act 2004, The Health Act (HIQA) 2007 and the Citizens’ Information Act 2007).
The emerging DoH policy direction (Value for Money and Policy Review),
CURRENT ISSUES
HSE Disability Service Governance National Consultative Forum Budget Inspection and Registration 0-18 reconfiguration Implementation of “Time to Move on from
Congregated Settings” Resource Allocation Model Cure or Care Model
VALUE FOR MONEY
From existing resource by Moving away from over-medicalised and
professionalised models of care Moving to more flexible models of support
focused on greater independence of individuals
Introducing a transparent system of resource allocation
This would result in more efficient use of resources, and better value from the monies invested in terms of individuals' quality of life (NDA)
PENDING REPORTS
VFM & Policy Review
New Directions-Personal Supports for Adults with Disabilities
Residential/Respite Care with Host Families
Review of Autism
HSE Challenges
Basic management accountability lacking
Governance and management process variable
Crisis management dominates Decision making processes unclear Data unavailability ICT systems platforms unfit for purpose Many people committed but
overburdened
Health Service Executive Board
Health Service Executive Board
Integrated Service Directorate
Integrated Service Directorate
National Disability Governance GroupNational Disability Governance Group
National Consultative Forum
National Consultative Forum
4 Regional Consultative Fora
4 Regional Consultative Fora
Local Consultative Fora (17 bases on Service Areas)
Local Consultative Fora (17 bases on Service Areas)
DoHC Cross Sectoral Working Group
DoHC Cross Sectoral Working Group
Governance StructureGovernance Structure
National Implementation Group
National Implementation Group
Regional Implementation Group
Regional Implementation Group
Local Implementation Groups
Local Implementation Groups
New DirectionsNew Directions
Congregated SettingCongregated Setting
Service UserService User
New DirectionsNew Directions
New DirectionsNew Directions
Congregated SettingCongregated Setting
Congregated SettingCongregated Setting
Service UserService User
Service UserService User
IMPLEMENTATION PLANNING
What is to be done?
Value for Money and Policy Review Improving Primary and Community Care
provision National processes-equity of access From congregated to community From segregation to inclusion Skill mix Shared services Commissioning/Tendering
What is to be done?
Leadership Stop doing some of what we are doing Innovation, do some thing's differently Collaboration, non-statutory providers and
State agencies Early intervention and prevention Person centred provision Emphasis on cultural change rather than
structure
Reform: ‘Continuous Discontinuous Change’
“Where organisations have to cope with many simultaneous and interactive changes, reacting to changes in strategy, structure and downsizing, all of which are stressful and can result in resistance by employees” (Marks 2007)
Health and Personal Social Services have to implement New strategies New Policies New Legislation New Technology
Concurrently with politically driven organisational reform and
Keeping the “show on the road”