people want choice and control in their own home both public expectations and demand are rising...
TRANSCRIPT
People want choice and control in their own
Home
Both public expectations and demand are rising
Money available is tight and unlikely to grow
There is increased rationing
and restricted choice
Social Care In England 2007
Expenditure on long-term services for older people with dementia in England set to rise from
£5.4 billion, 2002 to £16.7 billion, 2031
(0.6% to 0.96% of GDP)
Alzheimer's soc (LSE and King’s College)
Dementia UK
73% say a person requiring social care should be able to choose their services and be given money by the government to pay for them, rather than have the government decide.
MORI poll 2004
The Commission for Social Care Inspection
90% of the public would like social services or public agencies to provide support for them to stay in their own home.
87% would like to be given the choice to not live in a residential care home.
MORI poll
Disability Rights Commission (July 2006)
poll revealed only half of the public supports an increase in tax in order to fund better adult social care.
MORI poll
Disability Rights Commission July 2006
7 / 10 people receiving support only if their needs are in the top 2 of 4 possible levels (substantial or critical)
situation is set to get worse not better 80 per cent of councils planning to tighten eligibility criteria further.
Local Government Association social services finance 2005/06
‘In my view the time has come, in terms of social care, for a new
settlement between the state the family and the citizen.’
Speaking on Radio4 Today program 27th February 2007
Ivan Lewis Parliamentary Under Secretaryof State for Care Services
‘Demographic pressures on society are one of the questions we’ve most got to answer; as politicians and as
citizens working together and deciding between ourselves what is fair’
Speaking on Radio4 Today program 27th February 2007
Ivan Lewis Parliamentary Under Secretaryof State for Care Services
Change the organisation of social care in England so that people who need support can take more control of their own lives and fulfilltheir role as full citizens:
This means the complete transformation of social care into a system of Self-Directed Support.
Mission
Self Directed Support
•Says how much money is available early and upfront•Creates a deal between the citizen and the state•Is clear about what must be achieved not what must be done•Allows the person and their family to be in charge•Encourages flexibility and creativity•Encourages a mixture of community family and state support •Rewards efficient use of resources•Achieves better outcomes for individuals
Problems with current approach to resource allocation
pick and place
bidding up of needs
bidding up. of costs
tension of gate keeping
conflictstifles
creativityslow & costly
Slots people into services
Rules are unclear
Some Benefits of Self directed support
Allocates money in line
with need
Enables
self-assessment
of entitlement
Supports
good
governance
Removesdisincentive for family, friends community
Supports meaningful
long-term planning
Local Government
Families & Disabled people
Provider Organisations
National Government
All these people are working together to define best practice in Self-Directed Support and change the system.
inControl is a unique partnership bringing together
In Control believe that to achieve the goal of citizenship disabled people should know how much money they have available to meet their needs, and that this money be held in an individual budget, under the control the disabled person.
In Control believe that to achieve the goal of citizenship disabled people should know how much money they have available to meet their needs, and that this money be held in an individual budget, under the control the disabled person.
This does mean they have to have that money as a direct payment
WWW.in-control.org.uk
People who do not want direct control of their own money
People who cannot manage their own budget
People who shouldn’t manage their own budget
This means self directed support is Universal and can work for….
WWW.in-control.org.uk
Initial inControl Pilot
Small pilot 2003-2005
6 Local Authorities
60 people with personal budgets