National Children’s and Adult Services
Conference
What Next for Personalisation?
David Pearson
President of the Association of Directors of Adult Social
Services (ADASS)
Corporate Director, Adult Social Care, Health and
Public Protection, Nottinghamshire County Council
What are we trying to achieve?
Key Principles of the Care Act
 Health and wellbeing of individuals and carers
 Continued move towards personalisation of services
enshrined in Personal Budgets, Direct Payments and coproduced assessment and commissioning
 Joining up public services
 Creating communities and businesses that are sensitive and
supportive through social action in neighbourhoods and
communities
The approach for those with longer term
needs and risk
 Good advice and information
 Prevention and early intervention and helping people in crisis
 Assessment of health and care needs and outcomes and
support planning
 Providing a personal budget, through a managed budget or
direct payment
 Building community capacity
Advice and Information
About...
• Managing the circumstances of disability and ill health to
remain independent
• Sources of informal help and advice
• Entitlement to formal services
• Costs of care
• The way the system works
• Navigating the system
• Managing the crisis
Prevention and early intervention
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Reablement
Housing options with access and support
Support for informal carers
Assistive technology and telehealth
Early diagnosis and support for people with dementia
Falls prevention
Preventing and responding to strokes
Public Health programmes
Making all public services and communities sensitive and
accessible to people with disabilities
Assessment, support planning and
personal budgets
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Co-producing the assessment
An indicative budget, using resource allocation systems
Support planning – taking account of the options in the market
Person centred approaches leads to new services - personal
assistants, “shared lives” and different arrangements for respite
care and day care
Much closer involvement of informal carers
Setting personal budgets
Supporting arrangements for Direct Payments, e.g. accounts and
payments
Review
Building Community Capacity
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Much better and clearer strategies for support to
carers in caring, employment and supporting health
and wellbeing
• Campaigns to develop awareness and sensitivity
towards disability
• Encouraging voluntary effort through social action
and corporate responsibility – Local Area Coordinators, Circles of Support, Neighbourhood
network schemes
• Joining up public services, health, housing and community services
• Initiatives include dementia awareness, loneliness (AgeUK) and encouraging
voluntary action.
Personalisation Survey 2014
• 80% of all people using community based services on a
personal budget
• 24% of people have a direct payment
• 37% of younger adults and 15% of older people have a
direct payment
• Variation in regions 21% in South West to 30% in the East
Midlands
• £4.428bn – 70% of total community based spend on
personal budgets
• High take up of making safeguarding personal 80%
Personalisation Survey 2014
Some areas for development
• Addressing variation – Care Act compliance
• Market development such as micro commissioning and
supporting growth of providers
• Training and development of staff on outcomes based and
asset based approaches
• More users and carers in service design and quality
assurance
• Investing in social capital and mapping assets
• Market position statements and local accounts sharing
progress
Where next?
• The Care Act compliance
• Moving from numbers to quality issues
• More work in regions to follow up personalisation survey
and national PB survey results in more detail
• Extending to more people who have extensive needs, e.g.
more people with Dementia
• Personal health and care budgets are a huge development
• Work across information and advice, service design and
market development, training and development
ADASS Business Unit
Local Government House
Smith Square
London SW1P 3HZ
Tel: 020 7072 7433
Fax: 020 7863 9133
EMAIL: team@adass.org.uk
WEB: www.adass.org.uk