www.hertsdirect.org diversifying your business to support personalised care julie edwards head of...
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www.hertsdirect.org
DIVERSIFYING YOUR BUSINESS TO SUPPORT PERSONALISED CARE
JULIE EDWARDS
HEAD OF LEARNING & DEVELOPMENT
ADULT CARE SERVICES
HERTFORDSHIRE COUNTY COUNCIL
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The Department of Health is preparing a strategy to support the employment of ‘Personal Assistants’ to provide care due for publication in November 2010. The number of people in Hertfordshire who choose to employ their own carer will increase.115,000 adults in England (including 29,000 carers) already use a Direct Payment to do this. Others employ from other resources.
At the moment, ‘P.A.s’ are an unregulated and unregistered workforce. They are not required to train to minimum standards, or to undertake CRB checks.
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What is different about the care provided by a ‘Directly Employed Personal Assistant’ ?
• P.A.s usually work with one, or very few people, so can be isolated
• The job description can be very broad and most service users want that: ‘their role is to add value to everything that the employer wants to do’. so it is important that the expectations of both parties match exactly.
• The relationship needs very careful management: there may be no intermediary to resolve any difficulties that arise.
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Direct Employers may: - not have employed anybody before - not have been fully informed about employment-related law.
- not understand their responsibilities as employers
- prefer to deal with a brokerage for support instead of a number of professionals
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What is happening in other areas?
• Local Authorities were asked to inform how Personal Assistants were being employed
and how Direct Employers were supported.
55 authorities have reported a surprising variation in the arrangements for personal care assistance in their local areas, many involving partnerships, social enterprise services and brokerage services.
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Examples• ‘Support with Confidence’ : Nottinghamshire, Oxfordshire, Derbyshire: Partnerships led
by the L.A. through Trading Standards
• Agencies recruiting, employing and ‘matching’ self-employed P.A.s : Plymouth, Portsmouth.
• ‘P.A. led ‘micro businesses’: Plymouth, Stockport, Doncaster, Dudley Some concern about solo businesses from RBK & C
• Networking agencies for employers and P.A.s: many L.A.s and external organisations
• Employer consortia/ extended families jointly employing P.A.s: Hackney, Kensington and Chelsea, Newcastle
• Development of domiciliary care services to provide P.As: Hampshire, Wolverhampton
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Examples• Training and safeguarding services:
offering a list/register of approved P.A.s and matching service for employers: Norfolk, Merton
• Business support agencies: Penderels Trust/ Barnsley, Poole ULO, Sefton, Westminster, A4E, Luton ULO, Leicestershire, Solihull/Shaw Trust
• Social enterprise on-line services: Havering/Redbridge/Waltham Forest/Barking and Dagenham ‘People for People’
‘travel/dating agency’ model & ‘e Bay’ ratings!
• P.A Apprenticeships: Hertfordshire…..
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Where is the role for HCPA?
HCPA has always worked together :
• To enhance the quality of care provided in Hertfordshire • To develop and maintain a Social Care network.• To jointly promote work force planning and development• To jointly develop best practice models for specialist needs, for
example dementia care.• To jointly promote practice that minimises the risk of adult
abuse in the social care setting.• To achieve compliance with national standards and good
practice in social and health care.
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Care provided by Personal Assistants
BrokerageEmployerSupport
PA Supply
PA Support
Business opportunities
Employment Support
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P.A development and supply
• Recruit potential P.A.s
• Run CRB checks and references,
• Provide induction training,
• Provide a network for support,
• Create a register of approved carers or ‘passport’
• Offer ongoing training
• Create a bank of hours for P.A work
• Support apprenticeships
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Employer and employment support• Employ P.A. staff for service user• Offer payroll/NI/ tax/insurance/banking support to service user• Offer recruitment & retention support to service user: job
descriptions, advertising, CRB, references, interviews, terms and conditions, contracts, appraisals and closures
• Run a brokerage/matching service to source and supply different forms of specialist support required: LD, Dementia
• Offer legal advice and support with employment problems: disciplinary situations, maternity
• Help with DP financial returns• Management training• Financial training
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HCPA
Could stimulate and regulate
the P.A. market in Hertfordshire
Thank you