Page 1 Adult Social Care Resource Allocation System Transformation Team.
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Transcript of Page 1 Adult Social Care Resource Allocation System Transformation Team.
Page 1
Adult Social Care
Resource Allocation System
Transformation Team
Page 2
What is a RAS?
Points-based system for allocating resources according to need
Makes funding decisions fairer and more transparent
Explicitly designed to rebalance the system, moving funds from younger adults to older people (same amount of money for same level of need = a ‘generic RAS’)
Provides an upfront ‘indicative’ allocation of funding, so support planning can begin with a value
Gives an indication for planning – expect to plan within it for the majority
Page 3
Some Fundamental Principles A new contract with people needing support and their carers
– a sum of money for a set of outcomes Evidence-based – most people with a set level of need can
meet their needs for the value the RAS generates Allows support planning to be outcomes focused rather than
services focused Whole system designed to enable creativity, develop more
informal support options and grow community capacity Designed to support carers for longer – not penalise and
only intervene when the situation breaks down Designed to meet need rather than give values to enable
people to buy traditional services
Page 4
Creating a RAS Create a Supported Self Assessment (SSA) with points
values Desktop SSA on a sample of cases (usually 100) to
generate points values on real cases Gather data on value of actual services received Calculations compare points to pounds Scale back up to the budget and make adjustments as
needed – must be affordable and build in contingency for overrides
Recalibrate as things change, people find more creative solutions
Usually find that resources not linked to need
Page 5
Managing the Budget
The RAS is our key financial control mechanism in the new system
In theory, if all support plans come in under the IPB we should underspend the budget
But
• there will be some overrides
• this assumes that the level of need among the people we provide support to does not increase
• it also assumes that the numbers of people we support remains relatively steady
• existing cases have not all been reviewed using SSA yet – some will be far in excess of their IPB, and we won’t always be able to reduce the package/placement cost
• some of money tied up in in-house services and block contracts
Page 6
OLDER PEOPLE
0
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
1,300
1,400
1,500
0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 80.00
SSA POINTS
AC
TU
AL
WE
EK
LY
£'s
Current Data Moving Point Average Smoothed MPA Current RAS Model Adjustment 10%
RAS Data
Page 7
Package Values vs RAS
Number of Cases Total Weekly VarianceTable 1/2/3 Over IB Equals IB Under IB TotalOP 165 9 496 670PSD 31 2 98 131LD 32 2 88 122Total 228 13 682 923
Page 8
Package Values vs RAS
Average Weekly VarianceOver IB Equals IB Under IB Total
£178.33 £0.00 -£139.33 -£59.23£260.98 £0.00 -£153.20 -£52.85£467.57 £0.00 -£254.02 -£60.58£230.16 £0.00 -£156.12 -£58.50
OPPSDLDTotal
Page 9
Issues
