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Personal health budgets: including people with learning disabilities
- Authors:
- TURNER Sue, GIRAUD-SAUNDERS Alison
- Publishers:
- Think Local Act Personal, National Development Team for Inclusion
- Publication year:
- 2014
- Pagination:
- 44
- Place of publication:
- London
Personal health budgets have been found to work best for people with the highest needs and can help join up health and social care at the level of the individual. A report commissioned by Think Local Act Personal (TLAP) focuses on personal health budgets for people with learning disabilities and autism. The report shows that when people and their families get the chance to write their own individual plan and have control over the money available for their support, it can lead to better support for individuals who may otherwise end up in high cost, poor quality residential services. The report, which can be used as a resource, contains examples from around England of NHS Continuing Healthcare (CHC) teams and people from specialist learning disability services working together to better integrate health and care support for individuals. The guide is organised around the personal health budget ‘markers of progress’ that require specific consideration to ensure success for people with learning disabilities and their families. The 14 markers of progress have been designed to fit with Making it Real. There are also case studies of people experiencing the benefits of receiving a personal health budget or joint health and social care budget. Manchester, Nottingham City and West Sussex were already implementing personal health budges for people with learning disabilities, and this document includes case studies on these sites as well as short examples of good practice from other locations. The report recommends that personal health budgets could and should be offered routinely to: young disabled people who are moving towards adult life; people being moved from unsuitable placements as part of the Winterbourne View action plan; and other people with learning disabilities or autism who have high support needs and are not well served by conventional service approaches. (Edited publisher abstract)
Best value reviews of learning disability services for adults: a framework for applying person centred principles
- Authors:
- POXTON Richard, GREIG Rob, GIRAUD-SAUNDERS Alison
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 15p.
- Place of publication:
- London
This framework has been produced for people who are responsible for designing and leading the implementation of Best Value reviews within the learning disability service area. The lives of people with learning disabilities cannot be compartmentalised. Where they live, what they do during their days, what relationships they develop and so on are all inter-linked. It is thus not possible to consider the effectiveness of services concerned with one aspect of their lives without considering others. The framework therefore proposes that reviews should be conducted on the basis of a “whole system approach”, adopting an across the board response to identified needs. The essence of the framework is about how to apply a person centred approach to a review of services. This has the potential to result in more creative outcomes than a traditional service-based review - as such approaches often take the performance of existing service structures as their starting point. Above all, Best Value is about ensuring that fundamental questions are asked about the appropriateness of services, how they are delivered and whether they are meeting needs effectively. This framework offers the potential to do this.