An overview of learning disability services
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Mencap presentation by Richard Wilson, Commercial Development Manager, May 2010
Transcript of An overview of learning disability services
Mencap presentationAn overview of learning disability services
Richard WilsonCommercial Development Manager
May 2010
Background
• Historically care and support for vulnerable people was provided by philanthropic organisations
• Based on a desire to ‘do good and give relief to those in need’
• Emergence of institutional settings, poor houses and colonies
• State provision, subsidence levels only
The Welfare State• Created in 1948
• Focus on health needs not social needs
• Shift to state holding responsibility for provision of services to vulnerable people funded through taxation
• Emergence of NGO’s, campaigning and raising profile of needs of vulnerable people and their families
• Mencap founded in 1946
• Campaigning successfully led to the development of more and better services. (Better services for the Mentally Handicapped 1971, Government White paper)
Introduction of Community Care
• Government Care Act 1990 moved responsibility from State Government to Local Government
• Birth of mixed funding streams• Based provision around the assessment of an individual's needs • Focus on local and mainstream services• Local Governments budget for the provision of care and support was
cash limited• Local, government Purchaser provider split created• Clearly defined tender process• Local Government urged to contract with ‘not for profit’ providers to
deliver services
Personalisation agenda
• Driven by ‘Valuing People’ last 10 years have seen new approach to LD • move from care homes to individual tenancies • Focus on support at home and early medical intervention• Use of mainstream benefit systems• Emphasis on involvement and consultation• People having greater choice about where and who they live with• Personalisation builds service around the person• People able to purchase their own care through the ‘direct payments’ scheme
– users can become employers • Growth of brokerage services • Far more flexible staff structures
Questions
Contracting culture• Local Government secured service provision by legal contracts• Best value / MEAT (most economically advantageous tender)
tendering processes • Approved providers • Shift in purpose of Non Government Organisations from
philanthropic to accountable service providers• ‘Not for profit’ bodies required to demonstrate that they had:
– Sound financial systems– Good policies and procedures– Effective management structures
• Created risks for ‘not for profit’ organisations e.g. risks to Trustees• Created tensions as many bodies were campaigning groups as well
as service providers
Current position
• Government still committed to mixed economy for service delivery
• Introduce protocols for local government when working with ‘not for profit’ organisations, COMPACT
• Provide money for small ‘not for profit’ organisations to build infrastructure e.g. Future Builders’ programme
• Gershon report reviews the way in which government purchases services
How is quality ensured
• Compliance with external requirements, legal and contractual – monitoring processes
• Having clear organisational standards to work to• Have a framework for quality improvement • Keeping in touch with customers needs, service users
and commissioners • Person centred planning / approaches
Questions
