SELF DIRECTED SUPPORT

Social Care (Self-Directed Support) (Scotland) Act 2013

Gillian McCready

Service Manager

Values and PrinciplesSelf-Directed Support

• Involvement – involving the supported person in a genuine and active way in the assessment and planning of support following completion of assessment

• Informed choice - provide the information and assistance needed to help the supported person make an informed choice

• Participation and Dignity – seeks to access person centred support based on the individual being at the heart of care support and delivery, and where possible being part of their community and wider society

Chronically Sick and Disabled Person’s Act 1972

Human Rights

Act 1998

Equalities Act 2010

Data Protection Act 1998

Local Government in Scotland Act 2003

Freedom of Information

Scotland Act 2002

Education Scotland Additional

Support for Learning Act 2009

Public Service Reform

Scotland 2010

Children’s Hearings Act 2011

Children Scotland Act 1995

Adults with

Incapacity Scotland Act 2000

Mental Health Care &

Treatment Act 2003

Social Work

Scotland Act 1968

Direct Payment Act 1996

Protection of

Vulnerable Groups

Scotland Act 2007

Disability Discrimination

Act 1995 Patients Rights

Scotland Act 2011

Domestic Abuse

Scotland Act 2011

NHS & Community

Care (Scotland) Act 1990

Adult Support

& Protection Act 2007

Welfare Reform

Act 2012

Housing Scotland Act 2010

National Assistance Act 1948

Regulation of Care

Scotland Act 2001

Community Care &

Health Act Scotland

2002

Social Care (Self-directed

Support) (Scotland) Act

2013

Public Bodies (Joint

Working) Scotland Act 2014

Children and Young

People (Scotland) Act 2014

Golden Threads

• Outcomes

• Personalisation

• Prevention

• Co-production

• Transparency

• Performance

OPTIONS

Option 1

• Previously Direct Payment. The making of a direct payment by the local authority to the supported person for the provision of support.

Option 2

• The selection of support by the supported person, the making of arrangements for the provision of it by the local authority on behalf of the supported person and, where it is provided by someone other than the authority, the payment by the local authority of the relevant amount in respect of the cost of that provision.

OPTIONS

Option 3• The selection of support for the supported person by the local

authority, the making of arrangements for the provision of it by the authority and, where it is provided by someone other than the authority, the payment by the authority of the relevant amount in respect of the cost of that provision.

Option 4• The selection by the supported person of Option 1, 2 or 3 for each

type of support and, where it is provided by someone other than the authority, the payment by the local authority of the relevant amount in respect of the cost of the support.

SDS APPLICATION

SDS does not have a budget attached – we are working within existing budget constraints

Options should be offered to people who have longer term, relatively stable and predictable needs for support e.g.

• Frailty• Cognitive impairment• Learning disability• Physical disability• Child with disability• Where a person has needs that may be episodic but their

recurrence has a degree of predictability

LOCAL DEVELOPMENTS

• Providers Forums• Working with CVS, Your Voice and Circles

Advocacy to promote SDS• Staff training• Training for unit managers• Cross care group discussions

PROMOTING CHOICE

A local authority must take steps to promote the availability of the options for self-directed support.

Making available to the supported persons a wide range of support when choosing options for self-directed support, a local authority must, in so far as is reasonably practicable, promote-

– a variety of providers of support, and – the variety of support provided by it and other providers e.g.

• In house• Private/voluntary sector• Personal Assistants• Social Enterprises• Etc.

DIRECTORY OF SERVICES

• Private and voluntary sector providers– Annual check of

• financial stability• Public liability insurance• Care Inspectorate gradings

• Community activities– Developed by CVS

INDIVIDUAL SERVICE FUND AGREEMENTS

• Updating Option 1 contract• Option 2

– Developing a tri-partite agreement• Between provider and service user• Between provider and CHCP• Between CHCP and service user

COMMISSIONING PLAN

• An important part of the development of SDS will be capturing: – Unmet need – where services are at capacity– Under-utilised services – where people are choosing

something different– New and innovative ideas of support not currently

available that would assist people to live longer as part of the wider community

• This should be made available through future commissioning plans so that providers can plan for future service developments.

Personal Pathway/Financial Cycle

Expenditure/obligations incurred and monitoring (welfare and

financial)

Review process including financial aspects. Changes that affect future

spend?

Assess over/underspend and impact of future spend

Financial projection of costs per Financial Year

Formal agreement on Option including accounting for money, recording and other terms and

conditions Impact on existing services?

Available Options (not available?)/ Inappropriate (e.g. financial

incapacity)?

Resource allocation: fair and transparent. Choice of models

Policy on eligibility – does budget reflect expected demand

Explain process to service user – e.g. eligibility criteria and resource

allocation process

Volume/demand on services feeds into management and service

planning

I need supportReview

First contact

Eligibility and

assessment

Support

Agreeing the plan

Support planning

CIPFA.org.uk

FUTURE

• Four years into the ten year strategy

• Still a great deal of work to be done

• Hopefully by working together to meet the aspirations and outcomes of service users we can facilitate the development of Self Directed Support and the Personalisation agenda in Inverclyde