Information Personal Care at University You may photocopy this information booklet You may quote from this information booklet if you acknowledge the source Skill information booklets are available in standard print, large print, Braille, tape and disk formats Every effort has been made to ensure accuracy. However, Skill cannot guarantee factual content Skill: National Bureau for Students with Disabilities Chief Executive: Benet Middleton Unit 3, Floor 3, Radisson Court, 219 Long Lane, London SE1 4PR Email: skill@skill.org.uk Website: www.skill.org.uk Tel: 020 7450 0620 Fax: 020 7450 0650 Information Service opening hours: Tuesdays 11.30am-1.30pm and Thursdays 1.30pm-3.30pm Tel: 0800 328 5050 or Textphone: 18001 0800 328 5050 Email: info@skill.org.uk Skill is a company limited by guarantee (2397897) and a registered charity (801971), also registered in Scotland (SC039212) 1 Personal Care at University Contents Introduction .................................................................................. 2 1. What are personal care packages? ...................................... 3 2. Who is responsible for providing personal care? .................. 4 3. Personal care packages: The process .................................. 5 4. Support in negotiating personal care .................................... 7 5. Who funds study-related support? ........................................ 8 6. Different approaches to personal and study related assistance ................................................................................... 9 7. Institutional approaches ...................................................... 10 8. Individual approaches ......................................................... 11 9. Other sources of funding ..................................................... 12 10. What are my rights? .......................................................... 14 11. Case studies ..................................................................... 15 12. Useful contacts ................................................................. 17 Introduction This guide looks at how to get the right personal assistance if you are a disabled student thinking about going to University. The term ‘University’ will be used to refer to universities and other institutions offering higher education courses. The booklet will look at some of the different ways in which you can access personal care while you are at University. This guide also contains a list of useful publications and contacts. We would also like to thank the NUS for their input and comments into this guide it has proved invaluable. 2 Assistance at University When thinking about assistance it might be helpful to think of: Personal assistance: Assistance that you might get even when you are not in University Study-related support: Support directly related to your studies. Personal assistance Personal assistance or personal care is the practical help and support you need for your daily life, even when you are not at university. If you are a disabled student, getting the right kind of assistance may be essential if you want to do a higher education course. Organising your personal assistance when you go to university can be complicated so you should start making arrangements as far in advance as possible. Twelve to fifteen months before you plan to go to university is a good time to start making arrangements. If you have less time, don’t worry it’s still possible to get the right support but you will need to take some proactive steps. Study-related support This is the support you need to attend your course, as a direct result of your disability, for example readers, sign language interpreters, note takers and other non-medical assistants you may need to benefit fully from your course. 1. What are personal care packages? Personal care packages are the services and equipment that local authorities provide for disabled people including students who need care. When a disabled person requires personal care, the local social services department carries out a health and social care assessment, which should focus on your individual needs. This is called an ‘Assessment of Need.’ 3 Health and social services teams then put together a personal care package, which may include healthcare, equipment (a hoist for example) or personal assistance. Personal care packages are reviewed initially after 3 months and after that annually. They are funded via a ‘personal budget’. Personal assistants Personal assistants are either employed by the local authority or by you through a ‘Direct payment’ (see page 6) Personal assistants carry out the care component of the package, which may include: domestic duties such as cooking, cleaning and shopping; personal hygiene; transport; basic medical needs such as injections. 2. Who is responsible for providing personal care? When you go to University the responsibility to fund your personal care package rests with the local authority where you are ‘ordinarily resident.’ This means deciding where you feel more settled and where you have the strongest ties. For many students this is the local authority they are coming from. This might be because they return there during the holidays, have their parents, friends and family based there and plan to return after graduating. However if you move to the local authority area in which the university is located for settled purposes and have no intention of permanently returning to your previous local authority then this may mean changing where you are ‘ordinarily resident’ to the university’s local authority. 4 The starting presumption is that your personal care is funded by the local authority you are coming from. If however you wish to settle in the new local authority area (perhaps you wish to stay there after graduation) then you will need to contact them. It can be complicated transferring between two local authorities and you may need to get in contact with Skill and other organisations to provide you with all the information you need. The Department of Health have also produced very clear guidance on the responsibilities of local authorities and funding personal care for students. This is called: ‘ORDINARY RESIDENCE: Guidance on the identification of the ordinary residence of people in need of community care services, England (March 2010) www.dh.gov.uk. 3. Personal care packages: The process You may already have a personal care package in place, however going to University may mean that you need to go through the process again because of the change in circumstances. ‘Assessment of Need’ At the assessment, a specialist - often an occupational therapist looks at your individual needs and discusses them with you. This is so that the right support can be provided. Services you may need can include healthcare, equipment or support from a personal assistant. Care plans The social services team will then put together a package of support. They will discuss this with you and write a care plan. This may include services from both private and voluntary organisations. 5 Being reassessed The types of support you need may change over time and so your care plan should be reviewed regularly. An initial review should be carried out after three months, and then once every year. If you feel that your needs have changed you can also contact social services for a reassessment. Personal Budgets When you have been assessed you will receive an allocation of funding, this money is known as a personal budget. The personal budget is used to buy (commission) your package and you have three options. You can: have the budget paid directly to yourself (see direct payment below); leave the responsibility of commissioning and paying for services with your local authority; have a combination of both of the above. Direct payments You can decide to have your personal budget paid directly to yourself. This enables you to buy the services and equipment that has been agreed in your care plan. This is sometimes called ‘self directed support.’ Direct payments are made directly into your bank, building society, Post Office or National Savings account. If you decide to have direct payments you will also take on the responsibility of employing people and dealing with tax and national insurance. You can find out more about employing people using direct payments from Independent Living Alternatives www.ilanet.co.uk. 6 4. Support in negotiating personal care It can be quite complicated negotiating your personal care package. However you can get lots of support, information and guidance from various different sources. Disability Co-ordinator Every university has at least one member of staff whose job it is to advise disabled students. Their title is normally Disability Coordinator or Disabled Students’ Advisor and their contact details are usually on their website, or in their prospectus. You can also search for their contact details on Skill’s online Into Higher Education Database www.skill.org.uk/into_hefe/. It is a good idea to contact this person before you apply, to discuss what your needs are likely to be and what kinds of support the university can provide. The Disability co-ordinator should be able to help with an assessment of your study support needs and may be able to negotiate funding with your awarding authority (such as Student Finance England) and social services. They will certainly be able to help you with questions about Disabled Students’ Allowances (DSA) and may also be able to help you find and manage your assistants. Skill We have a free helpline dedicated to providing information and advice for disabled people in or thinking about further and higher education as well as volunteering and work. Our contact details are at the end of this guide. National Union of Students (NUS) There may be a disabled students’ officer at your University’s Students’ Union who can help you access support. You can also contact the NUS Disabled Students’ campaign. 7 5. Who funds study-related support? The study-related support you need as a disabled student is usually funded by Disabled Students’ Allowances (DSAs). DSAs do not pay for: Personal assistance costs a disabled person would have whether or not they were a student. For more information on how this is funded see section 1 Study costs that a student might have whether or not they are disabled. There are four allowances under DSAs: Specialist equipment allowance This is for computers, digital recorders and other equipment. It can also pay for training on how to use equipment, help in setting it up or insurance. In 2010/11, the maximum amount was £5,161 (for full-time and part-time students) for the whole course. Non-medical helper’s allowance This is for note takers, sign language interpreters, readers and other non-medical helpers. In 2010/11 the maximum amount for non medical helper support was £20,520 (£15,390 on a pro-rata basis for part-time students) per year. General allowance This is for extra books, photocopying and tapes, Braille paper or can be used to top up the specialist equipment and non-medical helper allowances. In 2010/11 the maximum amount you can receive was £1,724 (£1,293 on a pro-rata basis for part-time) per year. Travel allowance This is to finance extra travel costs incurred because of your disability. You will not have all your travel costs paid but, for 8 example, if you need a taxi to get to the campus while most other students use public transport, you might receive the difference between the two fares. For more information about DSAs read our information booklet Applying for Disabled Students’ Allowances. 6. Different approaches to personal and study related assistance Provision for personal and study-related assistance at university has developed in a variety of ways. The two main approaches can be described as institutional and individual. In the institutional approach, personal and/or study-related assistance is coordinated by the university. In the individual approach, the personal and/or study-related assistance is co-ordinated by you. It is up to you to decide whether you ask your university to do this for you or whether you employ your assistant(s) yourself. However you should ensure that you are fully informed of all the pros and cons of being an employer before you do this. However, if you choose to organise your personal assistance, it is best to draw up a work agreement with the support worker(s) concerned. This agreement should outline the terms and conditions for your support worker and will cover pay, hours, duties, etc. Having a clear work agreement from the outset should help avoid any misunderstandings at a later date. Having a work agreement is vital if you are employing your own personal assistants. With study-related assistance, you and the support worker should be clear about the support role and responsibilities, the rates of pay, and the payment methods. 9 7. Institutional approaches Register of support workers Many universities will have a register of support workers, such as qualified dyslexia tutors, communication support workers and/or lists of students or staff who may or may not be fully trained. They can put you in touch with potential support workers and you may be able to negotiate with the university about who should employ the support worker. The university can also provide guidance on good practice, for example, forms for you to record the number of hours your assistants work, sample invoice forms and guidance on drawing up work agreements. Specialist agencies Universities may be able to put you in touch with specialist agencies that employ workers such as dyslexia tutors, note takers, sign language interpreters. Organisations such as the Council for the Advancement of Communication with Deaf People (CACDP) also keep registers of qualified communication support workers. Their contact details are in Part 6. Universities with adapted accommodation Some universities have adapted or purpose-built accessible accommodation and are able to provide facilities, rooms and assistants. This may include night and day care, full board and transport. They will probably have staff in charge of assistance and specialist nursing back-up. Funding for personal assistance would come from your local social services and they would probably pay the institution directly. Universities with volunteer schemes Some universities recruit volunteers who can provide personal care support to disabled students. Volunteers are usually students or recent graduates. The university will arrange their accommodation and give them an allowance. The funding for this 10 support will probably come from your local social services and from your awarding authority if the volunteers also assist you with your study-support needs. 8. Individual approaches Community Service Volunteers (CSV) CSV is the national volunteer agency that recruits full-time volunteers to help disabled people live independently in the community. CSV volunteers are aged between 16 and 35 and work for four to 12 months, receiving accommodation, food, pocket money and travel expenses in return. CSVs are often recent graduates or are planning to go to university, so they have an interest in or experience of the university environment. A member of staff at the university will act as a supervisor for the volunteers. The funding for CSVs will come from social services and from the Disabled Students’ Allowances if the volunteers also help with your study-support needs. Community Nursing Service The local community nursing service will provide help for disabled people who are temporarily resident in their area. If you attend a university away from home you are entitled to apply for regular help from your local service. The service is available across the UK. Even if you do not choose to receive regular help from the service you may find it useful to access it from time to time, for example if your regular assistant has time off. Your GP or local health centre will be able to give you more information about the service and any costs involved. Private agencies If you are organising your own support, private agencies can be useful to manage the assistants, and to remove you from the responsibility of being the employer. However, for personal assistance, you should determine the funding you have available 11 to you as private agencies can be expensive. Also agency staff providing personal assistance may not have experience of working with people in an academic environment. However, they may be helpful to fill gaps, for instance if your assistant becomes ill or needs some time off. The university may be able to recommend a local agency that students have used in the past. Study-related assistance, for example Braille transcription, dyslexia support, and note taking, may also be available through private agencies, which specialise in academic support. Your university or the centre that carried out your needs assessment may be able to recommend a local agency that students have used in the past. Funding for private agencies should come from your local social services and from the Disabled Students’ Allowances if you receive study-support assistance at the university. 9. Other sources of funding You may wish to look into other forms of funding to support you at University as well as explore different opportunities that may be available from your local authority. Housing allowances and additional rooms for carers From April 2011, disabled people claiming housing benefit will be entitled to funding for an extra bedroom for a carer. Contact your local authority for details. The Right to Control A number of local authorities across England are piloting the ‘Right to Control’. These local authorities are known as ‘Trailblazers’ and are working toward a more personalised agenda. Funding is drawn together from a number of different sources and paid as a direct payment to the disabled person or someone working on their behalf. The different sources include: 12 • adult social care: personal budgets • Supporting People: a programme of housing-related support to help people, including those who need personal or medical care, to live as independently as possible in the community • Disabled Facilities Grant: a local council grant to help towards the cost of adapting your home to enable you to continue to live there • Access to Work: if you are a student who is also in employment and need support at work • Community equipment services. At present Disabled Students’ Allowances (DSAs) has not been included in the list above, although this is something that may change in the future. Contact your local authority to find out if they are part of the Right to Control or visit the Office for Disability Issues website. Contact details are at the end of this guide. Additional funding Students who have expenses for which they cannot get funding from any other source may apply to charitable trusts. For example the Snowdon Award Scheme provides grants directly to disabled students to help cover costs that are not met by statutory funding. For more information see our information booklet Funding from charitable trusts. 13 10. What are my rights? It is a good idea to know your rights when organising personal care and support as well as the legal duties and responsibilities that organisations such as Local Authorities and Universities have. The Equality Act 2010 The Equality Act came into force in October 2010 and replaced the Disability Discrimination Act. It means that it is illegal to discriminate against disabled people both directly, such as rejecting a University applicant because of their disability or indirectly, such as having a policy which inadvertently discriminates. Under the act organisations such as Universities must make ‘reasonable adjustments’ for disabled students. This might be adapting a room to meet your needs or allowing flexibility in your timetable. The UN Convention on the Rights of Persons with Disabilities The UK ratified the United Nation Convention on the Rights of Persons with Disabilities in June 2009. Article 24 sets out how the Government must: ‘ensure the education system at all levels is inclusive and geared towards supporting disabled people to achieve their full potential and participate equally in society.’ Article 19 sets out how the Government must ensure that: disabled people have the right to choose where they live and who they live with – no disabled person should be unlawfully forced into a particular living arrangement disabled people have access to a wide range of support services (at home and in the community) including personal assistance to prevent isolation and support inclusion. 14 Getting help For more information and guidance you can contact Skill. It is also a good idea to speak to the Disability Coordinator at the University you are at or applying to. It is possible that they have dealt with similar enquiries before and may be able to help. You may also wish to speak to the NUS Disability Officer at the University. They may have useful information. Legal Advice If you are unable to go the university of your choice because you have difficulties arranging your care packages you may want to seek legal advice. The Equality and Human Rights Commission can give you information and advice on your rights. The Disability Law Service offer free legal advice for disabled people. Contact details of these organisations are available at the end of this booklet. 11. Case studies Catherine I have congenital muscular dystrophy, which means I use a powered wheelchair to get around. I also need help with most day-to-day tasks, including washing, dressing, preparing meals and accompanying to lectures and seminars. I also need help overcoming the physical barriers of my course, so I get assistance with things like note taking and collecting books from the library. 15 I decided to go to university as it was the obvious next step for me. I achieved good grades in my A-Levels and the kinds of jobs I am interested in require a degree. After a lot of thought and research, I decided to move away from home as the universities near where I live did not really provide the course I wanted. I also felt that if I stayed at home, I would miss out a lot on the social part of university life. However, I was very nervous about this decision - at home, I had a reliable care package who knew my needs well and I felt comfortable with. I was also worried about getting full time care as at home I only had carers come in for my personal care and my dad did the other things like meals. Through contact with the Disabilities Advisors at my conditional university (Lancaster), I was told about Community Service Volunteers (CSV). The volunteers would live with me on campus and provide my care for up to a year. Social Services were quite keen on this idea from a financial point of view, as it was relatively inexpensive for a 24-hour care package - they would only have to pay for the volunteers’ accommodation, food and living costs. However, it still had to be approved at ‘panel’, which was an anxious wait! On the whole, I feel that CSV is a great way of providing care. It allows me the flexibility to be able to decide what I do, rather than being tied to a schedule of carers coming in and out at certain times. I also feel I have made friends for life with several of my volunteers. However, it can be difficult if you don’t gel with a volunteer – you do spend a lot of time together so it’s important you get on with them! I would also say it is hard to get used to having different volunteers every year. To students considering moving away from home to go to university, I would say to go for it! It is a huge change and takes a lot of getting used to, but I now love living away from home and my new-found independence. 16 12. Useful contacts Community Service Volunteers 237 Pentonville Road, London N1 9NJ Tel: 020 7278 6601 Fax: 020 7833 0149 E-mail: information@csv.org.uk Website: www.csv.org.uk Volunteer Independent Living Schemes for people who need personal assistance. They have regional offices around England. Citizen’s Advice Bureau Website: www.citizensadvice.org.uk Citizens Advice service helps people resolve their legal, money and other problems by providing free, independent and confidential advice. DirectGov Website: www.direct.gov.uk Information on publicly funded services, such as Student Finance, person care assistance and benefits. Equality and Human Rights Commission (EHRC) Freepost RRLL-GHUX-CTRX, Arndale House, Arndale Centre Manchester M4 3AQ Telephone: 0845 604 6610 Textphone: 0845 604 6620 Open from Monday to Friday between 8am and 6pm Email: englandhelpline@equalityhumanrights.com Website: www.equalityhumanrights.com 17 Disability Law Service 39–45 Cavell Street, London E1 2BP Telephone: 020 7791 9800 Textphone: 020 7791 9801 Email: advice@dls.org.uk Web: www.dls.org.uk Free legal advice for disabled people and their families / carers throughout Britain. In Control In Control Support Centre, Carillon House, Chapel Lane, Wythall West Midlands B47 6JX Telephone: 0156 482 1650 Email: admin@in-control.org.uk Website: www.in-control.org.uk Independent Living Alternatives (ILA) Trafalgar House, Grenville Place, London NW7 3SA Telephone: 020 8906 9265 Email: PAServices@ILAnet.co.uk Website: www.ILAnet.co.uk Provides information and support to enable people to recruit, employ, train and manage their own personal assistant. National Centre for Independent Living Unit 3.40, Canterbury Court, 1-3 Brixton Road London SW9 6DE Tel: 020 7587 1663 Textphone: 020 7587 1177 Fax: 020 7582 2469 E-mail: ncil@ncil.org.uk Website: www.ncil.org.uk Provides information about personal assistance and support schemes. They can put you in contact with the local Independent Living Scheme or Centre for Independent Living. 18 National Union of Students NUS HQ, 4th Floor, 184-192 Drummond Street London NW1 3HP Telephone and Textphone: 0207 380 6600 Website: www.nus.org.uk Office for Disability Issues (ODI) Website: www.officefordisability.gov.uk/working/right-tocontrol.php Information on the right to control including a full list of the Trailblazer Pilot authorities. Royal Association for Disability and Rehabilitation (RADAR) 12 City Forum, 250 City Road, London EC1V 8AF Tel: 020 7250 3222 Textphone: 020 7250 4119 E-mail: radar@radar.org.uk Website: www.radar.org.uk Offers information and advice on all aspects of disability, including personal assistance. Skill Information Services Tel: 0800 328 5050 Textphone: 18001 0800 328 5050 E-mail: info@skill.org.uk Website: www.skill.org.uk Opening times for national Information Services vary. Please see our website for details. Skill’s Information Service can provide information and advice on post-16 education, training, volunteering and support finding work. 19 The Snowdon Award Scheme Unit 18, Oakhurst Business Park, Wilberforce Way, Southwater, West Sussex RH13 9RT Telephone: 01403 732 899 Email: info@snowdonawardscheme.org.uk Website: www.snowdonawardscheme.org.uk Social Services Social Services are part of the local council. Their address and numbers can be found in the phone book (under the council name) or contact your local library or Citizens Advice Bureau. Updated January 2011 20