Oldham SEND Pathfinder Personal Budgets An Oldham Perspective Wednesday 6th March 2013 Julie Hawkins: Short Breaks & Transformation Manager Personal Budgets – Culture change – winning hearts and minds • In early stages consulted ‘In Control’ & Oldham Adult Services and ‘friendly others’ • Commissioned Person Centered Planning training package encompassing train the trainer to build capacity for long term sustainability. Parents and professionals from Local Authority and Health attended. • Information events/meetings with professionals and providers including social care, access team, health, schools, early years, further education and voluntary sector. • In it together approach with professionals and parents as partners. What is a personal budget? Personal Budget RAS – Resource Allocation System Completed with families –leads to clear indicative budget based on assessed need. Choice of how the budget is spent outlined in a support plan owned by family Traditional services Direct Payment Or a range of options in between Personal Budgets – ‘Social care’ Pilot • Prior to being a Pathfinder we had commenced work to develop a pilot focusing on short breaks / social care and maybe health • Expression of interest from families reflecting range of needs / age range – numerous meetings with families – 10 volunteer families • Each family supported by Project Manager and named worker – social worker / community nurse • Regular pilot group meetings with professionals involved and families Personal Budgets – ‘Social care’ Pilot • Agreeing what’s in and what’s not in or maybe in with negotiation • Unit costing services • Paperwork & Process – Resource Allocation System (RAS) • Agreed initial ‘pounds for points’ level • Training and information events for staff / parents ongoing • PATH / Support Planning Personal Budgets – ‘Social care’ Pilot • Provider meetings work towards market readiness. • Tender process created preferred providers list to increase market choice • Developing process/systems to support implementation in line with adult services • Desk top exercise using adapted ‘In control’ RAS with 50 families across age / need range Personal Budgets – ‘Social care’ Pilot Evaluation • Key findings and issues to consider: - Wonderful and positive experience for my family - Path planning raises parent expectations - What’s in e.g. equipment, other family members etc - Ensuring support plans reflect individual needs and are linked to the child’s assessed needs - Message from all workers involved needs to be consistent and positive - Exposes full needs - Age differences – guidance in assessing - ‘Pounds for Points’ levels - Supporting parents when they have their budget – team capacity long term - Timescales for implementation need to improve Personal Budgets-Health pilot • Worked alongside LA, shared learning and training. • Struggled to recruit and sustain family involvement. - Death of Child - Families felt system too complicated - Families have felt choice restricted due to health's strict guidelines regarding care support. -Limited support planning resources. Personal Budgets – Education Pilot • Summer 2012 Personal Budget project group extended to include heads, SENCO’s, ‘central’ SEN staff, educational psychologists etc • Workshop consultations with parents • Identifying families and schools – mainstream and special for pilot • Unit cost calculation • Work on RAS to include education • Phased approach to implementation in education similar to that of social care • April 2013 commence pilot Personal Budgets – Education Pilot • Agreed what’s in and what’s out or with negotiation: -In: Transport, TA support -Negotiation: equipment, teacher time, additional support services - Out: Therapies • Virtual budget exercise to examine potential implications for settings and families - create framework for pilot families/schools. • FE: working on high needs funding form to ensure colleges can clearly demonstrate how they are meeting individual objectives/outcomes for individuals. Personal Budgets-Future implications and considerations • • • • • Personal Budgets Policy Contingency funds Appeals Process Prepayment cards/accountancy – audits Infra Structure to support personalisation – aligned/pooled budgets • Parents as Support brokers • Impact of Personal Budgets on current block contracts and in house provision • Senior leadership and council corporate support Personal Budgets – Next steps & key Challenges • Case study: personal budget across social care, health and education-creating framework to support • Integration with single assessment / plan process • April 2013 full implementation social care/short breaks personal budget option • RAS notional budgets in place for all children open to ACN Social work team – with full costing of current services accessed • Further develop the market to include wider choice of preferred providers and brokers Thank You • Julie.hawkins@oldham.gov.uk • Tel: 0161 770 3126 or 3110