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Delivering Personalised Outcomes Direct Payments Striving for excellence www. enfield. gov. uk
WELCOME! • Introduction and housekeeping • This half day event will help you … Ø build on your existing skills to enable you to apply the revised direct payments process Ø become more competent and confident in setting up direct payments Ø harness your creativity to achieve more personalised outcomes • Any personal learning points?
Enabling people to achieve personalised outcomes through Direct Payments!
Just to be sure! The difference between a personal budget and a direct payment is…. A personal budget is the upfront allocation of funding that people are given following assessment and RAS. People must know their personal budget figure before support planning & services are discussed. A direct payment is the way in which a person can receive their personal budget (or part of it) to enable them to buy their own support. This can be through an e-card or payment to a bank account. People can have a mixed package.
Direct Payments – the preferred delivery method for personal budgets Ø Direct payments give greater choice and control, people can employ their own staff, purchase services outside of LBE contracts and devise creative ways and more personalised way of meeting their needs/outcomes. Ø The Government is promoting DP as the preferred delivery method for PBs Ø To support the increase in DPs, HHASC asked the DPOW to look at how numbers could be increased. Ø 2012/13 – stretch DP targets for all services
Some Examples Using direct payments for: Ø Respite care with paid carer at Centre Parcs Ø Employing a neighbour to provide support Ø Gym membership Ø Pooling budgets/DPs to set up a weekly Tea Dance Ø Reminiscence activities Ø Transport to get out and about Ø Using ‘off contract’ agencies Ø Culturally appropriate services Ø Support to access the allotment
Direct payments Through the DPOW workstream, people told us that the barriers to DP were: Ø Perceived to be too bureaucratic, too much paper work Ø Too ‘legalistic’ – Contract puts some people off Ø Problems with opening separate bank accounts Ø Not enough support available Ø Process takes too long Ø Difficult for people without capacity or who need high level of support
So what have we done to make it easier? Ø Developed a shorter and less ‘legalistic’ one page contract/agreement Ø Produced an accessible version of the contract Ø Reviewed the financial monitoring arrangements – Now piloting a risk based approach to reduce monitoring where appropriate Ø Removed the need for a separate bank account for packages under £ 120 per week (unless employing staff) Ø Streamline the process – E-card & BACS transfer (under £ 120) in 3 – 4 weeks.
So what have we done to make it easier? Ø Created additional capacity - internal DP support team in brokerage – aim to continue Ø Working with 4 external DP support providers to assist people going on to DPs, plus will pilot high level support/managed accounts. § § EDA (Udirect) Outward People for People Shaw Trust
Managed Accounts Pilot – what are they and who are they for? Ø Managed accounts are where an organisation holds the money on behalf of the service user and deals with all the financial aspects of the package. Ø They are not for everyone and should be the exception – will need to be signed of by the SM! Ø They are for people who lack the capacity to manage a DP for themselves and where there is no-one able to act as their agent. Ø They should facilitate personalised outcomes in a way that cannot be done by a directly commissioned service or E-Card Ø There should be some form external ‘advocacy’ Ø Case management role
What next? Ø Proposals discussed and agreed at TDB on Wed 27 June, formal sign off by Personalisation Board Ø Public Awareness campaign, DVD, public events, local press etc Ø Training/working with staff to promote DPs as the norm from the first point of contact. Ø Improve our DP ‘selling’ skills – challenging the myths.
THE POTTERS WHEEL!
Group Session • Consider what your team/service can do to increase take up of DPs • In light of the changes, can all your cases transfer to DP?