Unit 6 LO1

  • Created by: abbiedye
  • Created on: 12-12-19 09:33

What is personalisation?

- choice and control over support

- recognising a person has individual strengths, preferences wishes and aspirations

- putting them at the centre of the process by identifying needs

- involvement in all aspects of their care needs

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What does personalisation mean to an individual?

  • addressing needs
  • control
  • independence
  • participation
  • choice
  • preference
  • meeting aspirations
  • empowerment
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What are the key features of personalisation?

  • personal budgets
  • co-production
  • choice and control
  • self-assessment of needs
  • changing role of the professional
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What is a personal budget?

- an agreed amount of money

- used to carry out or deliver aspects of provision set out in a support plan

- means-tested cash payment in the place of regular social care

- two types

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What is a direct payment?

- direct (cash) paymen held by an individual (or nominated person)

- underpins personalisation - gives them choice and control

- they can pay for their own services

- can be used to employ a personal assistant

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What is a managed account?

- managed by the local authority in line with the person's wishes

- provide services directly or commission providers

- person muct know what sum of money is available

- won't offer as much choice as a direct payment

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What is co-production?

- collaboration or working together

- partnership between citizens and public services

- empower citizens to contribute time, expertise and effort to their local communities

- everyone involved can feel empowered by contributing

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What is choice and control in personalisation?

- supporting and enabling to make own decisions about where and how care is provided

- individuals can decide:

  • housing options
  • person-centred support plans
  • personal budgets
  • support in the form of a personal assistant

- choice and control over what happens to them

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What is a self-assessment of needs?

- led as far as possible by the service user

- focuses on outcomes they wish to achieve

- look at circumstances, situation and individual's needs

- local authority decide if eligible for long-term social care and so a budget

- ensure involvement and time to capture all needs

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What is the changing role of professionals?

- control has moved from professional to the person

- empower service user to take control and make decisions

- make own decisions even if they appear 'wrong'

- allow choice and decision without compromising safeguarding issues

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What are the benefits of personalisation

  • gain and maintain control
  • can remain in own home
  • inclusion in community
  • improved information and guidance
  • improved quality of life
  • improved self-esteem
  • more opportunities to socialise
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How can individuals gain and maintain control?

- if they opt for direct payments

- can control aspects of their daily life that people take for granted

- do not have to fit into people's timetables

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How is remaining in your own home a benefit of per

- important for most individuals

- feel like they are leaving memories and possessions behind

- become dependent on others in care

- can choose to do what they want, when they want

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How does inclusion in community benefit an individ

- involved in the same activities as the rest of the community

- feel valued, respected and part of the community

- can use previous experiences

- provides access to social networks to widen social group

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How is improved information and guidance a benefit

- need right advice to make good decisions

- must have as much information as possible to make widest choice

- widens opportunity of employment

- information should be available through a single point of access, not online

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How does personalisation improve quality of life,

- all interrelated

- if they have more control, quality of life improves because they have choices

- self-esteem means more willing to socialise

- if social life improves, so will self-esteem and confidence

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What are the positive impacts of personalisation?

- direct payments allow rapid access to services

- inclusion within communities prevents isolation

- remaining in own home where familiarity adds to quality of life

- access to information allowing better choices

- new opportunities available

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What are the challenges of personalisation?

- care is limited to the prescribed budget

- availability and access to some services may be restricted in some areas

- worry about spending the budget

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Health and Social Care Act 2012

- improving the quality of care

- reinforced personalisation in social care and empowers patients to make choices

  • choose services that best meet their needs
  • choose to have treatment in hospital of their choice

- established new Healthwatch patient organisations to give patients a voice

- 'Monitor' was established as a specialist regulator to protect patients' interests

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Features of the Health and Social Care Act 2012

- strengthened the collective voice of patients

- basis for better collaboration, partnership working and integration across local government and the NHS

- NHS Commissioning Board, Clinical Commissioning Groups, Monitor and Health and Wellbeing boards have duties to involve patients, carers and the public

- establishment of Healthwatch England as a statutory committee of the Care Quality Commission

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Local Authority Circular (DH) 2008 - Personalisati

- 'Everyone who receives social care support, regardless of their level of need, in any setting... will have choice and control over how that support is delivered. It will mean that people will be able to live their own lives as they wish, confident that services are of high quality, are safe and promote their own individual requirements for independence, wellbeing and dignity.'

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Features of the Local Authority Circular

- reinforces the commitment to personalisation

- seeks to reassure individuals that, whatever their circumstances, they will have a voice and a choice in their care

  • enables them and their supporters to maintain or improve their wellbeing and independence rather than relying an intervention at the point of an emergency or crisis

- about prevention rather than waiting for something to go wrong

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The Care Act 2014

- puts people and their carers in control of their care and support

- sets out what local authorities have to do to provide support

- people in need of support are encouraged to think about what outcomes they want, for a better sense of physical or emotional wellbeing

- local authorities should provide clear guidance to help individuals make informed choices and stay in control

- greater emphasis on the use of advocates

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The Care Act 2014 Guidelines

- individuals know themselves and their needs best

- professionals' focus should be on the individual's wellbeing, reducing their need for care and support and reducing their need for care and support in the future

- any decisions should be made with the individual's involvement

- professionals must protect the individual from abuse and neglect

- professionals should ensure that any actions taken to support then individual affect their rights and freedom as little as possible

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Children and Familes Act 2014

- focus on putting children and young people at the heart of planning and decision making through co-production and person-centred practice

- emphasises the importance of engaging young people and their families in all processes

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Focus of the Children and Families Act 2014

- importance of involving young people and their carers in all decisions

- duty of the local authority to integrate services across health, care and education

- empowering young people so they are engaged and supported to plan for their future

- duty of the local authority to carry out a Child's Needs Assessment for young people who may need support to make informed choices for their futures

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How does the local authority carry out an Educatio

- role of local authority to carry out assessment for EHCP

- legal document which sets out a child's needs

- what they can/cannot do

- children with complex and severe needs have an EHCP

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How does the local authority enforce Fair Access t

- determining eligibility for social care services

- based on individual needs and associated risks to independence

- four eligibility bands

  • critical
  • substantial
  • moderate
  • low
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How does the local authority assess for individual

- will need to be assessed by local authority to achieve independent living

- entitled money determined by self-assessment process

- assessment of care needs

- can appoint someone to manage their individual budget

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How does the local authority ensure choice of resi

- offering individuals choice over where and how they live

- ensure homes are accessible, flexible and designed with needs in mind

- specialist housing with additional options to meet individuals' needs

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How does the local authority create housing adapta

- to individual's home or an already adapted house

- assessed by local authority to enable independent living

- hoists fitted or kitchen surfaces lowered

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How does the local authority meet housing needs?

- social services will do their best to help the person remain in their own home

- other options:

  • purpose-built or adapted accommodation
  • sheltered accommodation
  • a residential home
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How did the Care Acr remove geographical barriers?

- it wanted continuity of care when an adult moves

- will continue to receive support

- local authority will know when someone wants to move and what must happen to make sure that their needs are met when they move

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What is decentralising and commissioning?

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What is decentralising and commissioning?

- decentralising = shifting functions fom a central authority or location

- commissioning = planning, agreeing and monitoring services

  =working in equal partnership with individuals, their families, communities and organisations

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How can the local authority outsource services?

- the services will not necessarily come from the local authority but may be bought from other organisations

- gives more value for money and better choice

- demonstrate that services reflect comments from consultation

- individuals must be engaged through implementation, monitoring and evaluation

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How can the local authority promote a greater rang

- before, services offered would come from inside local authority

- if the service was not available, the individual had no choice

- now, services can be sourced from different organisations, so the individual has more choice

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